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首页> 外文期刊>BMC Health Services Research >Psychological, situational and application-related determinants of the intention to self-test: a factorial survey among students
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Psychological, situational and application-related determinants of the intention to self-test: a factorial survey among students

机译：心理，情境和与应用相关的自测意图的决定因素：学生中的析因调查

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Background The Internet enables an unprecedented opportunity to access a broad range of self-tests (e.g. testing for HIV, cancer, hepatitis B/C), which can be conducted by lay consumers without the help of a health professional. However, there is only little knowledge about the determinants of the use of self-tests. Thus, the aims of this study were (1) to experimentally investigate the impact of situational and application-related characteristics on the intention to use a self-test (ST), compared to being tested by a health professional at home (HPH) or at a doctor’s office (HPD), (2) to examine the applicability of social-cognitive health behaviour theories on self-testing, and (3) to explore the advantages of integrating technological affinity into social-cognitive health behaviour models to predict self-testing. Methods In a factorial survey, 1248 vignettes were rated by 208 students. The core concepts of social-cognitive health behaviour theories, technological affinity, and different situational and application-related characteristics were investigated. Results Intention to ST was only predicted by the medical expertise of the tested person, while HPH and HPD were also associated with the application purpose of the test and the presence of an emotionally supporting person. Perceived severity and outcome-expectancy significantly predicted intention to self-test. Technological enthusiastic people had a higher intention to use a self-test. Conclusions Intention to ST, HPH and HPD were predicted by different situational and application-related characteristics. Social-cognitive health behaviour theories can be applied to predict self-testing and do not need to be extended by technological affinity.
机译：背景技术互联网为空前的机会提供了前所未有的机会，可以进行广泛的自测（例如，对HIV，癌症，乙型肝炎/丙型肝炎的检测），这可以由普通消费者在没有医疗专业人员帮助的情况下进行。但是，关于使用自测的决定因素的知识很少。因此，本研究的目的是（1）通过实验研究情境和与应用程序相关的特征对使用自测（ST）意图的影响，而不是由在家中的医疗保健专业人员（HPH）进行测试。在医生办公室（HPD），（2）检验社交认知健康行为理论在自我测试中的适用性，以及（3）探索将技术亲和力整合到社交认知健康行为模型中以预测自我认知的优势测试。方法在析因调查中，对208名学生给1248个小插图进行了评分。研究了社会认知健康行为理论，技术亲和力以及与情境和应用相关的不同特征的核心概念。结果ST的意图仅由被测者的医学专业知识预测，而HPH和HPD也与测验的应用目的和情感支持者的存在相关。感知的严重程度和预期结果显着预测了自我测试的意图。热衷技术的人有更高的使用自测的意图。结论对ST，HPH和HPD的意图是通过不同的情况和与应用相关的特征来预测的。可以将社会认知健康行为理论应用于预测自我测试，而无需通过技术亲和力加以扩展。

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