A mixed-method study to inform the development and implementation of eHealth in a bariatric surgery service in an Australian public hospital.

Autor: Wright C; School of Applied Psychology, Griffith University, Nathan, Queensland, Australia.; Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia., Kelly JT; Centre for Online Health, Faculty of Medicine, The University of Queensland, St Lucia, Queensland, Australia.; Centre for Health Services Research, The University of Queensland, St Lucia, Queensland, Australia., Campbell KL; Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia.; Healthcare Excellence and Innovation, Metro North Hospital and Health Service, Bowen Hills, Queensland, Australia., Healy R; Nutrition and Dietetics Department, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia., Musial J; Nutrition and Dietetics Department, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia., Hamilton K; School of Applied Psychology, Griffith University, Nathan, Queensland, Australia.; Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia.; Health Sciences Research Institute, University of California, Merced, California, USA.
Jazyk: angličtina
Zdroj: Nutrition & dietetics: the journal of the Dietitians Association of Australia [Nutr Diet] 2023 Sep; Vol. 80 (4), pp. 425-434. Date of Electronic Publication: 2023 Apr 24.
DOI: 10.1111/1747-0080.12812
Abstrakt: Aim: This study aimed to explore patient barriers to accessing services, current technology ownership/use and digital device preferences for accessing health information/health service delivery. Additionally, it aimed to explore the Theoretical Domains Framework and the acceptability of future eHealth solutions in bariatric surgery.
Methods: This mixed-method study (survey and semi-structured interviews) was conducted in a bariatric surgery service in an Australian public hospital. Quantitative data were analysed descriptively, and the qualitative data were deductively and inductively analysed.
Results: This study included 117 participants (n = 102 surveyed and n = 15 interviewed). Most participants were aged ≥51 years (n = 70, 60%), and two-thirds were female (n = 76, 65%). One in three participants reported barriers to accessing services (n = 38, 37%), including parking, travel time, and taking time off work. Most participants preferred to receive or access additional health information via email (n = 84, 82%) and were willing to engage with health professionals via email (n = 92, 90%), text messages (n = 87, 85%), and telephone (n = 85, 83%). Deductive analysis of interviews generated three themes: 'Knowledge', 'Social influence' and 'Behavioural regulation, goals and environmental resources'. The inductive analysis generated one theme: 'Seeing a place for eHealth in service delivery'.
Conclusion: This study's findings can potentially influence the development of future eHealth solutions. Text message, email, and online approaches may be suitable for delivering further information and resources to patients, particularly regarding diet and physical activity. Online health communities are being used by patients for social support and may be worth further investigation. In addition, developing a bariatric surgery mobile application may be beneficial.
(© 2023 The Authors. Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.)
Databáze: MEDLINE
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