Quantifying beliefs regarding telehealth: Development of the Whole Systems Demonstrator Service User Technology Acceptability Questionnaire

被引:84
作者
Hirani, Shashivadan P. [1 ]
Rixon, Lorna [1 ]
Beynon, Michelle [1 ]
Cartwright, Martin [1 ]
Cleanthous, Sophie [1 ]
Selva, Abi [1 ]
Sanders, Caroline [2 ]
Newman, Stanton P. [1 ]
机构
[1] City Univ London, Ctr Hlth Serv Res, London, England
[2] Univ Manchester, Inst Populat Hlth, Manchester, Lancs, England
关键词
Telehealth; Acceptability; Self care; Adherence to telehealth; Beliefs about Telehealth; PATIENT SATISFACTION; ACCEPTANCE MODEL; SHORT-FORM; TELEMEDICINE; TELEDERMATOLOGY; INTERVENTIONS; TELECARE; IMPACT; TRIAL;
D O I
10.1177/1357633X16649531
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction: Telehealth (TH) is a potential solution to the increased incidence of chronic illness in an ageing population. The extent to which older people and users with chronic conditions accept and adhere to using assistive technologies is a potential barrier to mainstreaming the service. This study reports the development and validation of the Whole Systems Demonstrator (WSD) Service User Technology Acceptability Questionnaire (SUTAQ). Methods: Questionnaires measuring the acceptability of TH, quality of life, well-being and psychological processes were completed by 478 users of TH. The 22 acceptability items were subject to principal components analysis (PCA) to determine sub-scales. Scale scores, relationships between scales and other patient-reported outcome measures (PROMs), and group differences on scales were utilised to check the reliability and validity of the measure. Results: PCAs of SUTAQ items produced six TH acceptability scales: enhanced care, increased accessibility, privacy and discomfort, care personnel concerns, kit as substitution and satisfaction. Significant correlations within these beliefs and between these scales and additional PROMs were coherent, and the SUTAQ sub-scales were able to predict those more likely to refuse TH. Discussion: The SUTAQ is an instrument that can be used to measure user beliefs about the acceptability of TH, and has the ability to discriminate between groups and predict individual differences in beliefs and behaviour. Measuring acceptability beliefs of TH users can provide valuable information to direct and target provision of services to increase uptake and maintain use of TH.
引用
收藏
页码:460 / 469
页数:10
相关论文
共 27 条
[1]   Patients' perceptions regarding home telecare [J].
Agrell, H ;
Dahlberg, S ;
Jerant, AF .
TELEMEDICINE JOURNAL AND E-HEALTH, 2000, 6 (04) :409-415
[2]   SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D [J].
ANDRESEN, EM ;
MALMGREN, JA ;
CARTER, WB ;
PATRICK, DL .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1994, 10 (02) :77-84
[3]   A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial [J].
Bower, Peter ;
Cartwright, Martin ;
Hirani, Shashivadan P. ;
Barlow, James ;
Hendy, Jane ;
Knapp, Martin ;
Henderson, Catherine ;
Rogers, Anne ;
Sanders, Caroline ;
Bardsley, Martin ;
Steventon, Adam ;
Fitzpatrick, Raymond ;
Doll, Helen ;
Newman, Stanton .
BMC HEALTH SERVICES RESEARCH, 2011, 11
[4]  
Cartwright M, 2013, BMJ-BRIT MED J, V46, pf653
[5]  
Department of Health, IND DEPR
[6]   Participant satisfaction and comfort with multidisciplinary pediatric telemedicine consultations [J].
Dick, PT ;
Filler, R ;
Pavan, A .
JOURNAL OF PEDIATRIC SURGERY, 1999, 34 (01) :137-141
[7]  
Finkelstein SM, 2004, TELEMED J E-HEALTH, V10, P122, DOI 10.1089/1530562041641219
[8]   Attitudes toward medical and mental health care delivered via Telehealth applications among rural and urban primary care patients [J].
Grubaugh, Anouk L. ;
Cain, Gregory D. ;
Elhai, Jon D. ;
Patrick, Sarah L. ;
Frueh, B. Christopher .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2008, 196 (02) :166-170
[9]   A MODEL FORASSESSMENT OF TELEMEDICINE APPLICATIONS: MAST [J].
Kidholm, Kristian ;
Ekeland, Anne Granstrom ;
Jensen, Lise Kvistgaard ;
Rasmussen, Janne ;
Pedersen, Claus Duedal ;
Bowes, Alison ;
Flottorp, Signe Agnes ;
Bech, Mickael .
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 2012, 28 (01) :44-51
[10]  
Kline R.B., 1994, EASY GUIDE FACTOR AN