Factors Associated with Veteran Self-Reported Use of Digital Health Devices.

Autor: Robinson SA; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA. Stephanie.Robinson5@va.gov.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA. Stephanie.Robinson5@va.gov.; The Pulmonary Center, Boston University School of Medicine, Boston, MA, USA. Stephanie.Robinson5@va.gov., Shimada SL; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.; Department of Health Law, Policy, & Management, Boston University School of Public Health, Boston, MA, USA.; Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Zocchi MS; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.; Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA., Etingen B; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center of Innovation for Complex Chronic Healthcare, Hines Veterans Affairs Hospital, Hines, IL, USA., Smith B; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center of Innovation for Complex Chronic Healthcare, Hines Veterans Affairs Hospital, Hines, IL, USA.; Northwestern University Feinberg School of Medicine, Chicago, IL, USA., McMahon N; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA., Cutrona SL; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.; Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Harmon JS; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Office of Connected Care, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA., Wilck NR; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Office of Connected Care, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA., Hogan TP; eHealth Partnered Evaluation Initiative, Veterans Affairs Bedford Healthcare System, 200 Springs Rd., Bldg. 70 Room 263, Bedford, MA, 01730, USA.; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.; Peter O'Donnell Jr School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jazyk: angličtina
Zdroj: Journal of general internal medicine [J Gen Intern Med] 2024 Feb; Vol. 39 (Suppl 1), pp. 79-86. Date of Electronic Publication: 2024 Jan 22.
DOI: 10.1007/s11606-023-08479-8
Abstrakt: Background: Digital health devices (DHDs), technologies designed to gather, monitor, and sometimes share data about health-related behaviors or symptoms, can support the prevention or management of chronic conditions. DHDs range in complexity and utility, from tracking lifestyle behaviors (e.g., pedometer) to more sophisticated biometric data collection for disease self-management (e.g., glucometers). Despite these positive health benefits, supporting adoption and sustained use of DHDs remains a challenge.
Objective: This analysis examined the prevalence of, and factors associated with, DHD use within the Veterans Health Administration (VHA).
Design: National survey.
Participants: Veterans who receive VHA care and are active secure messaging users.
Main Measures: Demographics, access to technology, perceptions of using health technologies, and use of lifestyle monitoring and self-management DHDs.
Results: Among respondents, 87% were current or past users of at least one DHD, and 58% were provided a DHD by VHA. Respondents 65 + years were less likely to use a lifestyle monitoring device (AOR 0.57, 95% CI [0.39, 0.81], P = .002), but more likely to use a self-management device (AOR 1.69, 95% [1.10, 2.59], P = .016). Smartphone owners were more likely to use a lifestyle monitoring device (AOR 2.60, 95% CI [1.42, 4.75], P = .002) and a self-management device (AOR 1.83, 95% CI [1.04, 3.23], P = .037).
Conclusions: The current analysis describes the types of DHDs that are being adopted by Veterans and factors associated with their adoption. Results suggest that various factors influence adoption, including age, access to technology, and health status, and that these relationships may differ based on the functionalities of the device. VHA provision of devices was frequent among device users. Providing Veterans with DHDs and the training needed to use them may be important factors in facilitating device adoption. Taken together, this knowledge can inform future implementation efforts, and next steps to support patient-team decision making about DHD use.
(© 2023. The Author(s).)
Databáze: MEDLINE
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