Uptake of Digital Health Interventions for Cardiometabolic Disease in British South Asian Individuals: Think Aloud Study.

IF 2.6 Q2 HEALTH CARE SCIENCES & SERVICES JMIR Human Factors Pub Date : 2024-10-24 DOI:10.2196/57338
Mel Ramasawmy, Dan Roland Persson, David Sunkersing, Paramjit Gill, Kamlesh Khunti, Lydia Poole, Wasim Hanif, Ann Blandford, Madiha Sajid, Fiona Stevenson, Nushrat Khan, Amitava Banerjee
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Abstract

Background: Digital health interventions (DHIs) could support prevention and management of cardiometabolic disease. However, those who may benefit most often experience barriers to awareness and adoption of these interventions.

Objective: Among South Asian individuals, we evaluated user experience of DHIs for prevention and management of cardiometabolic disease, aiming to understand barriers and facilitators to initial and ongoing use.

Methods: Among South Asian individuals recruited via primary care, community organizations, and snowball methods (n=18), we conducted "think-aloud" interviews using a reflective and reactive approach. Participants included nonusers, as well as those that used a range of DHIs as part of monitoring and improving their health. Participants were asked to think aloud while completing a task they routinely do in a familiar DHI, as well as while setting up and completing a search task in a novel DHI; they were encouraged to behave as if unobserved.

Results: Lack of cultural specificity was highlighted as reducing relevance and usability, particularly relating to dietary change. Preferred features reflected individual health beliefs and behaviors, digital skills, and trust in DHIs. For example, tracking blood glucose was considered by some to be positive, while for others it caused distress and anxiety. Similarly, some users found the novel DHI to be extremely simple to set up and use, and others grew frustrated navigating through initial interfaces. Many participants raised concerns about data privacy and needing to agree to terms and conditions that they did not understand. Participants expressed that with information and support from trusted sources, they would be interested in using DHIs as part of self-management.

Conclusions: DHIs may support South Asians to prevent and manage cardiometabolic disease, but it is important to consider the needs of specific user groups in DHI development, design, and implementation. Despite motivation to make health changes, digital barriers are common. Cultural appropriateness and trusted sources (such as health care providers and community organizations) have roles in increasing awareness and enabling individuals to access and use DHIs.

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英国南亚人接受针对心脏代谢疾病的数字健康干预:大声思考研究
背景数字健康干预措施(DHIs)有助于预防和管理心脏代谢疾病。然而,那些最有可能从中受益的人在认识和采用这些干预措施时往往会遇到障碍:在南亚人中,我们评估了用户使用 DHIs 预防和管理心脏代谢疾病的体验,旨在了解初次使用和持续使用 DHIs 的障碍和促进因素:在通过初级保健、社区组织和 "滚雪球 "方法招募的南亚人(18 人)中,我们采用反思和反应的方法进行了 "思考-大声说 "访谈。参与者包括非使用者以及使用各种 DHIs 作为监测和改善健康的一部分的人。我们要求参与者在熟悉的 DHI 中完成一项常规任务,以及在新颖的 DHI 中设置和完成一项搜索任务时大声思考;我们鼓励他们表现得像没有被观察到一样:结果:结果表明,缺乏文化特异性降低了相关性和可用性,尤其是在改变饮食习惯方面。首选功能反映了个人的健康信念和行为、数字技能以及对 DHI 的信任。例如,一些人认为跟踪血糖是积极的,而另一些人则认为跟踪血糖会造成困扰和焦虑。同样,一些用户认为新型 DHI 的设置和使用非常简单,而另一些用户则在浏览初始界面时感到沮丧。许多参与者对数据隐私和需要同意他们不理解的条款和条件表示担忧。参与者表示,如果能从可信来源获得信息和支持,他们会有兴趣使用 DHI 作为自我管理的一部分:结论:数字健康倡议可帮助南亚人预防和管理心脏代谢疾病,但在数字健康倡议的开发、设计和实施过程中,必须考虑到特定用户群体的需求。尽管有改变健康状况的动机,但数字障碍也很常见。文化适宜性和可信来源(如医疗服务提供者和社区组织)在提高人们的认识以及使个人能够访问和使用 DHI 方面发挥着作用。
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来源期刊
JMIR Human Factors
JMIR Human Factors Medicine-Health Informatics
CiteScore
3.40
自引率
3.70%
发文量
123
审稿时长
12 weeks
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