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      Evaluation of the Compliance, Acceptance, and Usability of a Web-Based eHealth Intervention for Parents of Children With Infantile Hemangiomas: Usability Study

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          Abstract

          Background

          Infantile hemangiomas (IH) are common benign vascular tumors in children. Recognition and timely referral of high risk IH to specialized centers is important. This might be achieved by involving parents in the care for IH by means of an eHealth intervention.

          Objective

          The objective of our study was to evaluate parent compliance, acceptance, and usability of an open access, Web-based eHealth intervention (including e-learning and e-consult) designed to increase parents’ knowledge and (risk) evaluation of IH.

          Methods

          A cross-sectional study of parents who completed the eHealth intervention between October 2010 and November 2012 was carried out. All parents were sent a study questionnaire. Questions to evaluate compliance (to the advice given by a dermatologist during e-consultation) were asked. Acceptance and usability were evaluated by using the modified Technology Acceptance Model.

          Results

          A total of 224 parents completed the eHealth intervention and received the questionnaire, 135/224 parents responded (response rate was 60.3%). There were 128/135 questionnaires that were completed and included. A total of 110/128 (85.9%) parents were compliant to the advice of the dermatologist. There were 116.8/128 (91.3%) that perceived the eHealth intervention as useful and almost all parents (98.4%, 126/128) found the information in the e-learning clear. There were 29/128 (22.7%) that experienced technical problems. The majority of the parents (94.5%, 121/128) found the eHealth intervention reliable and most of them (98.4%, 126/128) would recommend the eHealth intervention to other parents. Noncompliant parents judged the eHealth intervention significantly less reliable compared to compliant parents (71%, 10/14 versus 97.3%, 107/110; P=.003).

          Conclusions

          Parents of children with an IH showed a high compliance (85.9%, 110/128) to the advice of the dermatologist given via our Web-based eHealth intervention. This high compliance might be positively influenced by the good acceptance and usability of the eHealth intervention and might result in timely presentation and treatment of children with high risk IH in specialized centers.

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          eHealth Literacy: Extending the Digital Divide to the Realm of Health Information

          Efrat Neter, Esther Brainin (2012)
          Background eHealth literacy is defined as the ability of people to use emerging information and communications technologies to improve or enable health and health care. Objective The goal of this study was to explore whether literacy disparities are diminished or enhanced in the search for health information on the Internet. The study focused on (1) traditional digital divide variables, such as sociodemographic characteristics, digital access, and digital literacy, (2) information search processes, and (3) the outcomes of Internet use for health information purposes. Methods We used a countrywide representative random-digital-dial telephone household survey of the Israeli adult population (18 years and older, N = 4286). We measured eHealth literacy; Internet access; digital literacy; sociodemographic factors; perceived health; presence of chronic diseases; as well as health information sources, content, search strategies, and evaluation criteria used by consumers. Results Respondents who were highly eHealth literate tended to be younger and more educated than their less eHealth-literate counterparts. They were also more active consumers of all types of information on the Internet, used more search strategies, and scrutinized information more carefully than did the less eHealth-literate respondents. Finally, respondents who were highly eHealth literate gained more positive outcomes from the information search in terms of cognitive, instrumental (self-management of health care needs, health behaviors, and better use of health insurance), and interpersonal (interacting with their physician) gains. Conclusions The present study documented differences between respondents high and low in eHealth literacy in terms of background attributes, information consumption, and outcomes of the information search. The association of eHealth literacy with background attributes indicates that the Internet reinforces existing social differences. The more comprehensive and sophisticated use of the Internet and the subsequent increased gains among the high eHealth literate create new inequalities in the domain of digital health information. There is a need to educate at-risk and needy groups (eg, chronically ill) and to design technology in a mode befitting more consumers.
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            Investigating healthcare professionals’ decisions to accept telemedicine technology: an empirical test of competing theories

            Patrick Y.K. Chau, Paul Hu (2002)
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              Health beliefs, disease severity, and patient adherence: a meta-analysis.

              Kelly B Haskard, M Robin DiMatteo, S. Williams (2007)
              A large body of empirical data exists on the prediction of patient adherence from subjective and objective assessments of health status and disease severity. This work can be summarized with meta-analysis. Retrieval and summary analysis of r effect sizes and moderators of the relationship between patient adherence and patients': (1) beliefs in disease threat; (2) rated health status (by physician, self, or parent); and (3) objective disease severity. Comprehensive search of published literature (1948-2005) yielding 116 articles, with 143 separate effect sizes. Calculation of robust, generalizable random effects model statistics, and detailed examination of study diversity with moderator analyses. Adherence is significantly positively correlated with patients' beliefs in the severity of the disease to be prevented or treated ("disease threat"). Better patient adherence is associated with objectively poorer health only for patients experiencing disease conditions lower in seriousness (according to the Seriousness of Illness Rating Scale). Among conditions higher in seriousness, worse adherence is associated with objectively poorer health. Similar patterns exist when health status is rated by patients themselves, and by parents in pediatric samples. Results suggest that the objective severity of patients' disease conditions, and their awareness of this severity, can predict their adherence. Patients who are most severely ill with serious diseases may be at greatest risk for nonadherence to treatment. Findings can contribute to greater provider awareness of the potential for patient nonadherence, and to better targeting of health messages and treatment advice by providers.
              Article 0 comments Cited 114 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Marlies de Graaf:
                Wilhelmina Children’s HospitalDepartment of Pediatric Dermatology and AllergologyUniversity Medical Center UtrechtG02.124Heidelberglaan 100Utrecht, 3584 CXNetherlands31 88755738831 887555404m.degraaf-10@umcutrecht.nl
                Journal
                Journal ID (nlm-ta): JMIR Res Protoc
                Journal ID (iso-abbrev): JMIR Res Protoc
                Journal ID (publisher-id): ResProt
                Title: JMIR Research Protocols
                Publisher: JMIR Publications Inc. (Toronto, Canada )
                ISSN (Electronic): 1929-0748
                Publication date Collection: Jul-Dec 2013
                Publication date (Electronic): 17 December 2013
                Volume: 2
                Issue: 2
                Electronic Location Identifier: e54
                Affiliations
                [1] 1Wilhelmina Children’s Hospital Department of Pediatric Dermatology and Allergology University Medical Center Utrecht UtrechtNetherlands
                [2] 2University Medical Center Department of Dermatology and Allergology University Medical Center Utrecht UtrechtNetherlands
                [3] 3Children’s Hospital Erasmus University Medical Center-Sophia Department of Pediatric Dermatology Erasmus University Medical Center RotterdamNetherlands
                [4] 4Wilhelmina Children’s Hospital Department of Pediatric Plastic Surgery University Medical Center Utrecht UtrechtNetherlands
                Author notes
                Corresponding Author: Marlies de Graaf m.degraaf-10@ 123456umcutrecht.nl
                Article
                Publisher ID: v2i2e54
                DOI: 10.2196/resprot.2897
                PMC ID: 3875905
                PubMed ID: 24345450
                SO-VID: cbd50cdb-bd5a-41f2-a7bb-75c420a4a5e1
                Copyright © ©Marlies de Graaf, Joan Totte, Corstiaan Breugem, Harmieke van Os-Medendorp, Suzanne Pasmans. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 17.12.2013.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

                History
                Date received : 22 August 2013
                Date revision requested : 19 September 2013
                Date revision received : 30 October 2013
                Date accepted : 30 October 2013
                Categories
                Subject: Original Paper

                Keywords: ehealth,e-learning,internet,compliance,acceptance,usability,dermatology,optimizing care,infantile hemangioma,child
                Data availability:
                Keywords: ehealth, e-learning, internet, compliance, acceptance, usability, dermatology, optimizing care, infantile hemangioma, child

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