PDF(Sci-hub)
Abstract：
A growing number of Internet sites and mobile applications are being developed intended for use in clinical practice. However, during the development process (e.g., creating features and determining use cases), the needs and interests of providers are often overlooked. We explored providers\' interests using a mixed-methods approach incorporating both qualitative and quantitative research methods. A first study used an interview approach to identify the challenges providers faced, tools they used, and any use of computers and apps specifically. Fifteen providers from both the United States and Canada completed the interview and recordings were transcribed and analyzed using a constructivist grounded theory approach. Four primary themes were identified including challenges, potential tools, access and usability. A second study used a brief survey completed by 132 providers at a large healthcare system to explore current use of and potential interest in Internet and mobile technologies. Although many providers (80.9%) reported recommending some form of technology to patients, this was mostly Internet websites that were predominantly informational/psychoeducational in nature. Overall, these studies combine to suggest a strong interest in websites and apps for use in clinical settings while highlighting potential areas (ease of use, patient security and privacy) that should be considered in the design and deployment of these tools.
摘要：
正在开发越来越多的互联网站点和移动应用程序，用于临床实践。然而,在开发过程中(例如，创建功能和确定用例)，供应商的需求和利益往往被忽视。我们使用定性和定量研究方法相结合的混合方法方法探索了提供者的兴趣。第一项研究使用访谈方法来确定提供商面临的挑战，他们使用的工具，以及对计算机和应用程序的任何使用。来自美国和加拿大的15家提供者完成了采访，并使用建构主义的理论方法对录音进行了转录和分析。确定了四个主要主题，包括挑战，潜在的工具，访问和可用性。第二项研究使用了大型医疗保健系统中132家提供商完成的简短调查，以探索互联网和移动技术的当前使用和潜在兴趣。尽管许多提供者（80.9％）报告向患者推荐某种形式的技术，这主要是互联网网站，本质上主要是信息/心理教育。总的来说,这些研究结合起来，表明人们对在临床环境中使用的网站和应用程序产生了浓厚的兴趣，同时突出了潜在的领域(易用性，患者安全和隐私)，在设计和部署这些工具时应该考虑这些工具。
