Patients' Perspectives, Factors, and Patterns of eHealth Use in Kidney Transplant Recipients.
digital health
eHealth
transplant
Journal
Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
09
03
2022
revised:
02
01
2023
accepted:
09
01
2023
medline:
19
4
2023
entrez:
18
4
2023
pubmed:
19
4
2023
Statut:
epublish
Résumé
eHealth supports the delivery of relevant health information and management of chronic disease. However, little is known about patients' perspectives and the determinants of eHealth use among kidney transplant recipients. Kidney transplant recipients aged 18 years and older from 3 transplant units in Australia and the Better Evidence and Translation in Chronic Kidney Disease consumer network completed a survey with free-text responses relating to eHealth uptake. Multivariable regression modeling was used to determine the factors associated with eHealth use. Free-text responses were thematically analyzed. Of the 117 participants who were invited in person and who responded to the email, 91 completed the survey. Sixty-three participants (69%) were current eHealth users (active use of eHealth tools), and 91% had access to eHealth devices, including smartphones (81%) and computers (59%). Most (98%) reported that eHealth improves posttransplant care. Factors associated with increased eHealth use (odds ratio [95% confidence interval]) were higher eHealth literacy scale (eHEALS) score (1.21 [1.06-1.38]) and tertiary education (7.78 [2.19-27.7]). We identified the following 3 themes on eHealth determinants: (i) empowering self-management, (ii) enhancing health services, and (iii) technology burden. Transplant recipients believe that eHealth interventions have the potential to improve their posttransplant care. eHealth interventions should meet the needs of all transplant recipients and be accessible to those with lower educational attainment.
Identifiants
pubmed: 37069969
doi: 10.1016/j.ekir.2023.01.007
pii: S2468-0249(23)00008-6
pmc: PMC10105051
doi:
Types de publication
Journal Article
Langues
eng
Pagination
727-736Informations de copyright
© 2023 Published by Elsevier, Inc.
Références
J Nurs Scholarsh. 2018 Mar;50(2):151-162
pubmed: 29193654
Am J Epidemiol. 2008 Mar 1;167(5):523-9; discussion 530-1
pubmed: 18227100
Kidney Int. 2016 Sep;90(3):685-95
pubmed: 27521115
PLoS Med. 2012;9(9):e1001307
pubmed: 22984353
N Engl J Med. 2020 Jun 18;382(25):2475-2477
pubmed: 32329975
N Engl J Med. 2020 Apr 30;382(18):1679-1681
pubmed: 32160451
Fam Med Community Health. 2020 Feb 16;8(1):e000262
pubmed: 32148735
Transplantation. 2017 Apr;101(4S Suppl 2):S1-S56
pubmed: 28328734
BMC Fam Pract. 2006 Mar 24;7:21
pubmed: 16563164
Am J Transplant. 2021 Oct;21(10):3369-3387
pubmed: 33866675
Lancet. 2020 Apr 11;395(10231):1180-1181
pubmed: 32278374
Clin Transplant. 2021 Feb;35(2):e14184
pubmed: 33278846
Transplant Direct. 2022 Nov 10;8(12):e1404
pubmed: 36382131
J Med Internet Res. 2012 Feb 17;14(1):e34
pubmed: 22343270
N Engl J Med. 1999 Dec 2;341(23):1725-30
pubmed: 10580071
J Am Pharm Assoc (2003). 2016 Jul-Aug;56(4):450-454.e1
pubmed: 27450140
J Med Internet Res. 2004 Sep 29;6(3):e34
pubmed: 15471760
N Engl J Med. 2020 Jun 4;382(23):e82
pubmed: 32240581
Cochrane Database Syst Rev. 2019 Aug 06;8:CD012379
pubmed: 31425608
BMC Nephrol. 2019 May 16;20(1):175
pubmed: 31096942
JAMA Netw Open. 2020 Dec 1;3(12):e2031640
pubmed: 33372974
J Med Internet Res. 2021 Apr 14;23(4):e24577
pubmed: 33784240
Transpl Int. 2021 Jan;34(1):16-26
pubmed: 33111393
Perspect Health Inf Manag. 2012;9:1-13
pubmed: 23209454
JAMA. 2020 Jun 16;323(23):2375-2376
pubmed: 32421170
Am J Transplant. 2017 Sep;17(9):2263-2276
pubmed: 28188681
Transplantation. 2020 Aug;104(8):e224-e235
pubmed: 32732828
Am J Kidney Dis. 2021 Jun;77(6):941-950.e1
pubmed: 33309860
J Med Internet Res. 2006 Nov 14;8(4):e27
pubmed: 17213046
BMC Med Inform Decis Mak. 2021 Feb 1;21(1):34
pubmed: 33522934