■坚持治疗性鞋对于有效预防和治疗糖尿病足溃疡至关重要。了解关键的粘附因素和潜在的障碍对于鞋类设计和实施很重要。我们的团队正在开发智能卸载鞋,以防止糖尿病患者下肢截肢(PLwD)。这项探索性研究评估了已建立的统一接受和使用技术理论(UTAUT)模型预测PLwD使用或推荐这种智能卸载鞋的行为意图的能力,PLwD的护理人员,或治疗PLwD的医疗专业人员。
■实施了在线和纸质问卷,以评估UTAUT模型因素的影响(预期性能,期望努力,社会影响力,便利条件)和社会心理因素(态度、焦虑,自我效能)对使用鞋类的整体行为意图。此外,探讨了影响鞋类潜在接受和拒绝的因素。
■患者(4.0/5)和医疗专业人员(4.1/5)表现出“同意”使用或推荐可用鞋类的行为意图。结构方程模型表明,基于缺乏统计意义,UTAUT构建的模型可能不是行为意图的最佳指标。然而,logistic回归模型表明,PLwD的社会影响(p=0.004)和医学专业人员对鞋类的态度(p=0.001)可能是设计和实施鞋类时最重要的,尽管其他几个因素(性能预期,期望努力,便利条件,和自我效能)对这些人群中的一个或两个也很重要。此外,成本和临床医生支持被证明是影响鞋类潜在接受度的重要因素.
■该研究发现了未来使用智能鞋类的有希望的意图。这突出了需要继续未来开发和实施鞋类,以纳入这些结果,因此提高了鞋类的高粘附性的可能性。
UNASSIGNED: Adherence to therapeutic
footwear is vital for effective diabetic foot ulcer prevention and treatment. Understanding the key adherence factors and potential barriers is important for
footwear design and implementation. Our team is creating intelligent offloading
footwear to prevent lower extremity amputations in people living with diabetes (PLwD). This exploratory study assessed the ability of the established Unified Theory of Acceptance and Use of Technology (UTAUT) model to predict behavioral intention to use or recommend this intelligent offloading footwear by PLwD, caregivers of PLwD, or medical professionals treating PLwD.
UNASSIGNED: Online and paper questionnaires were implemented to assess the impact of the UTAUT model factors (performance expectancy, effort expectancy, social influence, facilitating conditions) and psychosocial factors (attitude, anxiety, self-efficacy) on the overall behavioral intention to use the footwear. Furthermore, factors influencing potential acceptance and rejection of the
footwear were explored.
UNASSIGNED: Patients (4.0/5) and medical professionals (4.1/5) showed a behavioral intention to \"agree\" to use or recommend the footwear when it becomes available. Structural equation modeling showed that the UTAUT constructed model may not be the best indicator for behavioral intention here based on a lack of statistical significance. However, the logistic regression modeling showed that the social influence for PLwD (p=0.004) and the attitude toward the footwear for medical professionals (p=0.001) may be the most important when designing and implementing the footwear, though several other factors (performance expectancy, effort expectancy, facilitating conditions, and self-efficacy) were also important for one or both of these populations. Additionally, cost and clinician support were shown to be important factors influencing potential acceptance of the footwear.
UNASSIGNED: The study found promising intention to use the intelligent footwear in the future. This highlights the need to continue future development and implementation of the footwear to incorporate these results, thus improving the likelihood of high adherence of the
footwear.