在资源有限的环境中，医疗保健专业人员采用基于手机短信的意愿及其对结核病患者遵医支持和护理的预测因素：结构方程建模分析。

Healthcare professionals' intention to adopt mobile phone-based SMS and its predictors for adherence support and care of TB patients in a resource-limited setting: a structural equation modelling analysis.

机构信息

Department of Health Informatics, College of Health Sciences, Mattu University, Mettu, Ethiopia

Department of Lifelong Learning and Community Development, College of Education and Behavioral sciences, Mettu University, Mettu, Ethiopia.

出版信息

BMJ Open. 2023 Dec 7;13(12):e070813. doi: 10.1136/bmjopen-2022-070813.

DOI:10.1136/bmjopen-2022-070813

PMID:38149411

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10711927/

Abstract

OBJECTIVE

To assess healthcare providers' intentions and the associated factors to use mobile phone-based short message service (SMS) to support adherence and care of tuberculosis (TB) patients in the Oromia region of southwest Ethiopia.

STUDY DESIGN

An institutional-based cross-sectional study was conducted from October to November 2022.

STUDY SETTING

The study was conducted in public hospitals which include Mettu Karl referral hospital, Dembi Hospital, Bedelle Hospital, Darimu Hospital and Chora Hospital in Ilu Aba Bor and Buno Bedelle zones.

PARTICIPANTS

A total of 625 (54.9% male and 45.1% female) health professionals participated in the study. The study participants were selected using a simple random sampling technique. All health professionals permanently working in Ilu Aba Bor and Buno Bedelle zone hospitals were included in this study. However, health professionals with less than 6 months of experience and those who were not present during the data collection period were excluded from this study.

OUTCOME MEASURE

The intention to use mobile phone-based SMS to support TB patients.

RESULTS

Healthcare professionals' intention to use mobile SMS was 54.4%. Effort expectancy had a significant direct effect on attitude (β=0.162, p<0.01) and intention towards using mobile phone SMS (β=0.329, p<0.001). The intention to use mobile phone SMS was directly influenced by facilitating conditions (β=0.104, p<0.01) and attitude (β=0.26, p<0.001). The relationship between effort expectancy and intention to use SMS was mediated by attitude (β=0.043, p<0.01).

CONCLUSIONS

Overall, intention to use of mobile-based SMS was high. Effort expectancy, attitude and facilitating conditions were significant factors that determined healthcare professionals' behavioural intention to use mobile phone SMS. Effort expectancy had a more significant prediction power than others. As a result, system forms that are easily interactive and applicable should be implemented to improve capacity building and support the adherence and care of TB patients.

摘要

目的

评估医疗保健提供者使用基于手机的短信服务（SMS）来支持埃塞俄比亚西南部奥罗米亚地区的结核病（TB）患者的依从性和护理的意愿，以及相关因素。

研究设计

这是一项 2022 年 10 月至 11 月期间在机构中进行的横断面研究。

研究地点

该研究在包括 Mettu Karl 转诊医院、Dembi 医院、Bedelle 医院、Darimu 医院和 Chora 医院在内的公共医院进行，这些医院位于 Ilu Aba Bor 和 Buno Bedelle 区。

参与者

共有 625 名（54.9%为男性，45.1%为女性）卫生专业人员参与了这项研究。采用简单随机抽样技术选择研究参与者。所有在 Ilu Aba Bor 和 Buno Bedelle 区医院永久工作的卫生专业人员均包括在本研究中。然而，那些工作经验不足 6 个月的卫生专业人员以及在数据收集期间不在场的人员则被排除在本研究之外。

结果测量

使用基于手机的 SMS 来支持结核病患者的意愿。

结果

医疗保健专业人员使用手机短信的意愿为 54.4%。努力期望对态度（β=0.162，p<0.01）和使用手机短信的意图（β=0.329，p<0.001）有显著的直接影响。使用手机短信的意图受到便利条件（β=0.104，p<0.01）和态度（β=0.26，p<0.001）的直接影响。努力期望与使用短信的意图之间的关系通过态度得到中介（β=0.043，p<0.01）。