目的:男性越来越多地转向在线直接面向消费者(DTC)男性健康平台,以满足他们的健康需求。缺乏围绕这些平台的研究,这种在线寻求健康行为背后的动机和预测因素在很大程度上是未知的。这篇综述涵盖了有关DTC男性健康的现有文献,并确定了影响参与的因素,以及这个平台的健康结果。
方法:按照PRISMA指南进行结构化搜索。CINAHL通过EBSCO,Embase,MEDLINE通过Ovid,PsycINFO,搜索了PubMed和WebofScience。
结果:同行评审的定量和定性研究,重点是使用DTC男性健康平台的人口统计学和特征,以及使用此类平台进行的与患者预后相关的研究,包括在内。在3,003项研究中,有10项符合纳入和排除标准。四项横断面描述性研究评估了男性参与DTC平台背后的动机。方便,尴尬和健康动机被确定为与DTC平台使用相关的主要因素。审查发现缺乏定性研究,在影响研究结果准确性的定量研究中发现了主要的局限性.六项进一步的定量研究探讨了DTC平台提供的护理质量。发现DTC平台对既定临床指南的依从性不同,但似乎提供了令人满意的患者结局,患者报告的副作用和不良事件水平较低.
结论:鉴于DTC男性的健康领域尚处于起步阶段,因此缺乏研究。在几项研究中,已经注意到男性选择访问这些平台的重要预测因素和动机。然而,需要进行进一步的研究来调查这种行为的社会心理基础。通过这些平台治疗的各种男性健康状况的研究也将有助于提供见解,以指导DTC领域以患者为中心的护理。
OBJECTIVE: Men are increasingly turning toward online direct-to-consumer (DTC) men\'s health platforms to fulfill their health needs. Research surrounding these platforms is lacking and the motivations and predictors underlying this online health-seeking behavior is largely unknown. This
review scopes the existing literature concerning DTC men\'s health and identifies factors influencing engagement, as well as health outcomes of this platform.
METHODS: A structured search was performed following PRISMA guidelines. CINAHL via EBSCO, Embase, MEDLINE via Ovid, PsycINFO, PubMed and Web of Science were searched.
RESULTS: Peer-reviewed quantitative and qualitative studies with a focus on demographics and characteristics of those using DTC men\'s health platforms, as well as studies related to patient outcomes using such platforms, were included. Ten of the 3,003 studies identified met the inclusion and exclusion criteria. Four cross-sectional descriptive studies evaluated the motivations behind men\'s engagement with DTC platforms. Convenience, embarrassment and health motivation were identified as predominant factors associated with DTC platform use. The
review identified a lack of qualitative studies, and major limitations were noted in the quantitative studies that impacted the accuracy of findings. Six further quantitative studies explored the quality of care provided by DTC platforms. DTC platforms were found to have a varying level of adherence to established clinical guidelines, but appeared to provide satisfactory patient outcomes with low levels of patient-reported side effects and adverse events.
CONCLUSIONS: There is a lack of research within the DTC men\'s health space given the infancy of the field. Important predictors and motivations underlying men\'s choices in accessing these platforms have been noted across several studies. However, further studies need to be conducted to investigate the psychosocial underpinnings of this behavior. Studies across a wider variety of male health conditions treated by these platforms will also help to provide insights to guide patient-centered care within the DTC landscape.