患者在家庭环境中对数字健康解决方案的可用性和满意度:仪器验证研究。

IF 3.1 3区 医学 Q2 MEDICAL INFORMATICS JMIR Medical Informatics Pub Date : 2025-01-08 DOI:10.2196/63703
Susan J Oudbier, Ellen Ma Smets, Pythia T Nieuwkerk, David P Neal, S Azam Nurmohamed, Hans J Meij, Linda W Dusseljee-Peute
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引用次数: 0

摘要

背景:数字健康解决方案(DHS)领域在过去几年中取得了巨大的发展。卫生保健包括自我管理工具,这些工具支持个人对自己的健康负责。患者体验到的DHS的可用性是采用DHS的关键。然而,评估可用性和满意度的知名问卷使用来自人机交互的复杂术语,因此不太适合评估在家庭环境中使用DHS的患者的经验可用性。目的:本研究旨在开发、验证和评估一种测量在家庭环境中使用DHS的患者体验可用性和满意度的仪器。方法:采用“体验性可用性与家庭自我监控满意度”(GEMS)问卷编制方法。第一步包括评估内容效度,通过对当前可用性和满意度问卷进行文献回顾,收集陈述并在专家会议上讨论这些陈述,并翻译每个陈述并将其调整为一般人群的语言水平。这一阶段产生了GEMS的草案版本。第二步包括通过阿姆斯特丹大学医学中心患者小组的试点测试来评估其面部效度。在第三步,进行心理测量分析,并评估GEMS的信度。结果:共纳入14个项目进行心理测量分析,得到4个可靠量表:使用便利度、感知价值、使用效率和满意度。结论:总体而言,GEMS问卷在评估家庭环境中DHS的体验可用性和满意度方面证明了其信度和效度。有必要进一步完善该仪器,以确认其在其他患者群体中的适用性,从而促进指导机制的发展,该机制可以在整个实施过程中纵向应用,并可以用作基准工具。
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Patients' Experienced Usability and Satisfaction With Digital Health Solutions in a Home Setting: Instrument Validation Study.

Background: The field of digital health solutions (DHS) has grown tremendously over the past years. DHS include tools for self-management, which support individuals to take charge of their own health. The usability of DHS, as experienced by patients, is pivotal to adoption. However, well-known questionnaires that evaluate usability and satisfaction use complex terminology derived from human-computer interaction and are therefore not well suited to assess experienced usability of patients using DHS in a home setting.

Objective: This study aimed to develop, validate, and assess an instrument that measures experienced usability and satisfaction of patients using DHS in a home setting.

Methods: The development of the "Experienced Usability and Satisfaction with Self-monitoring in the Home Setting" (GEMS) questionnaire followed several steps. Step I consisted of assessing the content validity, by conducting a literature review on current usability and satisfaction questionnaires, collecting statements and discussing these in an expert meeting, and translating each statement and adjusting it to the language level of the general population. This phase resulted in a draft version of the GEMS. Step II comprised assessing its face validity by pilot testing with Amsterdam University Medical Center's patient panel. In step III, psychometric analysis was conducted and the GEMS was assessed for reliability.

Results: A total of 14 items were included for psychometric analysis and resulted in 4 reliable scales: convenience of use, perceived value, efficiency of use, and satisfaction.

Conclusions: Overall, the GEMS questionnaire demonstrated its reliability and validity in assessing experienced usability and satisfaction of DHS in a home setting. Further refinement of the instrument is necessary to confirm its applicability in other patient populations in order to promote the development of a steering mechanism that can be applied longitudinally throughout implementation, and can be used as a benchmarking instrument.

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来源期刊
JMIR Medical Informatics
JMIR Medical Informatics Medicine-Health Informatics
CiteScore
7.90
自引率
3.10%
发文量
173
审稿时长
12 weeks
期刊介绍: JMIR Medical Informatics (JMI, ISSN 2291-9694) is a top-rated, tier A journal which focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals. Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2016: 5.175), JMIR Med Inform has a slightly different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.
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