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Instrument for assessing mobile technology acceptability in diabetes self-management: a validation and reliability study

机译：评估糖尿病自我管理中移动技术可接受性的工具：一项验证和可靠性研究

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Background: Nowadays, mobile technologies are part of everyday life, but the lack of instruments to assess their acceptability for the management of chronic diseases makes their actual adoption for this purpose slow. Objective: The objective of this study was to develop a survey instrument for assessing patients’ attitude toward and intention to use mobile technology for diabetes mellitus (DM) self-management, as well as to identify sociodemographic characteristics and quality of life factors that affect them. Methods: We first conducted the documentation and instrument design phases, which were subsequently followed by the pilot study and instrument validation. Afterward, the instrument was administered 103 patients (median age: 37?years; range: 18–65?years) diagnosed with type 1 or type 2 DM, who accepted to participate in the study. The reliability and construct validity were assessed by computing Cronbach’s alpha and using factor analysis, respectively. Results: The instrument included statements about the actual use of electronic devices for DM management, interaction between patient and physician, attitude toward using mobile technology, and quality of life evaluation. Cronbach’s alpha was 0.9 for attitude toward using mobile technology and 0.97 for attitude toward using mobile device applications for DM self-management. Younger patients (Spearman’s ρ =-0.429; P <0.001) with better glycemic control (Spearman’s ρ =-0.322; P <0.001) and higher education level (Kendall’s τ =0.51; P <0.001) had significantly more favorable attitude toward using mobile assistive applications for DM control. Moreover, patients with a higher quality of life presented a significantly more positive attitude toward using modern technology (Spearman’s ρ =0.466; P <0.001). Conclusion: The instrument showed good reliability and internal consistency, making it suitable for measuring the acceptability of mobile technology for DM self-management. Additionally, we found that even if most of the patients showed positive attitude toward mobile applications, only a moderate level of intention to indeed use them was observed. Moreover, the study indicated that barriers were truthfulness and easiness to use.
机译：背景：如今，移动技术已成为日常生活的一部分，但是缺乏评估其在慢性病管理中的可接受性的工具，使得为此目的而实际采用它们的速度很慢。目的：本研究的目的是开发一种调查工具，以评估患者对糖尿病患者自我管理使用移动技术的态度和意图，并确定影响其的社会人口统计学特征和生活质量因素。方法：我们首先进行了文件编制和仪器设计阶段，随后进行了初步研究和仪器验证。此后，该仪器接受了103名被诊断参与1型或2型DM的患者（中位年龄：37岁;范围：18-65岁）。可靠性和结构效度分别通过计算Cronbach的alpha和使用因子分析进行评估。结果：该仪器包括有关用于DM管理的电子设备的实际使用，患者与医生之间的互动，使用移动技术的态度以及生活质量评估的陈述。克龙巴赫（Cronbach）的alpha对使用移动技术的态度为0.9，对于使用移动设备应用程序进行DM自我管理的态度为0.97。年轻的患者（Spearman的ρ= -0.429; P <0.001）具有更好的血糖控制（Spearman的ρ= -0.322; P <0.001）和较高的教育水平（Kendallτ= 0.51; P <0.001），对使用手机的态度要好得多DM控制的辅助应用。此外，生活质量较高的患者对使用现代技术表现出更加积极的态度（Spearman的ρ= 0.466; P <0.001）。结论：该仪器显示出良好的可靠性和内部一致性，使其适合测量移动技术对DM自我管理的可接受性。此外，我们发现，即使大多数患者对移动应用程序都表现出积极态度，也仅观察到中等水平的意图来真正使用它们。此外，研究表明障碍是真实性和易用性。

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