背景:虽然存在评估数字素养的问卷,仍然需要一份易于使用和可实施的问卷,以评估更广泛意义上的数字准备情况。此外,应评估可学习性,以确定需要额外培训才能在医疗保健环境中使用数字工具的患者.
目的:制定数字健康准备问卷(DHRQ)的目的是创建一个简短的,可用,以及从临床实践角度设计的可自由访问的问卷。
方法:这是一项在比利时JessaHasselt医院进行的前瞻性单中心调查研究。问卷是由一个领域专家小组制定的,有以下5类问题:数字使用,数字技能,数字素养,数字健康素养,和数字学习能力。所有在2022年2月1日至2022年6月1日期间作为患者访问心脏科的参与者都有资格参加。进行Cronbachα和验证性因子分析。
结果:本次调查共纳入315名参与者,其中118人(37.5%)为女性。参与者的平均年龄为62.6(SD15.1)岁。Cronbachα分析在DHRQ的所有域中得出>.7分,这表明可接受的内部一致性。验证性因子分析的拟合指数显示出合理的良好拟合:标准化均方根残差=0.065,近似均方根误差=0.098(95%CI0.09-0.106),Tucker-Lewis拟合指数=0.895,比较拟合指数=0.912。
结论:DHRQ被开发为易于使用的,简短的问卷,以评估患者在常规临床环境中的数字准备情况。初始验证显示良好的内部一致性,未来的研究将需要外部验证问卷。DHRQ有可能作为一种有用的工具来实现,以深入了解在护理途径中接受治疗的患者。为不同的患者群体量身定制数字护理路径,并为那些数字准备程度低但可学习性高的人提供适当的教育计划,以便让他们参与数字途径。
While questionnaires for assessing digital literacy exist, there is still a need for an easy-to-use and implementable questionnaire for assessing digital readiness in a broader sense. Additionally, learnability should be assessed to identify those patients who need additional training to use digital tools in a health care setting.
The aim of the development of the Digital Health Readiness Questionnaire (DHRQ) was to create a short, usable, and freely accessible questionnaire that was designed from a clinical practice perspective.
It was a prospective single-center survey study conducted in Jessa Hospital Hasselt in Belgium. The questionnaire was developed with a panel of field experts with questions in following 5 categories: digital usage, digital skills, digital literacy, digital health literacy, and digital learnability. All participants who were visiting the cardiology department as patients between February 1, 2022, and June 1, 2022, were eligible for participation. Cronbach α and confirmatory factor analysis were performed.
A total number of 315 participants were included in this survey study, of which 118 (37.5%) were female. The mean age of the participants was 62.6 (SD 15.1) years. Cronbach α analysis yielded a score of >.7 in all domains of the DHRQ, which indicates acceptable internal consistency. The fit indices of the confirmatory factor analysis showed a reasonably good fit: standardized root-mean-square residual=0.065, root-mean-square error of approximation=0.098 (95% CI 0.09-0.106), Tucker-Lewis fit index=0.895, and comparative fit index=0.912.
The DHRQ was developed as an easy-to-use, short questionnaire to assess the digital readiness of patients in a routine clinical setting. Initial validation demonstrates good internal consistency, and future research will be needed to externally validate the questionnaire. The DHRQ has the potential to be implemented as a useful tool to gain insight into the patients who are treated in a care pathway, tailor digital care pathways to different patient populations, and offer those with low digital readiness but high learnability appropriate education programs in order to let them take part in the digital pathways.