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首页> 外文期刊>Journal of oncology pharmacy practice: official publication of the International Society of Oncology Pharmacy Practitioners >User acceptance of an app-based adherence intervention: Perspectives from patients taking oral anticancer medications
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User acceptance of an app-based adherence intervention: Perspectives from patients taking oral anticancer medications

机译：用户接受基于应用的依从性干预：来自口服抗癌药物的患者的视角

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Background Widespread adoption by patients is imperative for the success of app-based interventions for enhancing adherence to oral anticancer medications. Patients' attitudes and beliefs should be evaluated to understand determinants of their acceptance and adoption of such interventions. Objective To identify factors that influence cancer patients' intention to adopt an app-based system for enhancing oral anticancer medication adherence. Methods This study was conducted as part of the usability evaluation of an app-based system for enhancing adherence. We followed the grounded theory approach employing audio-recorded face-to-face interviews for data collection from patients taking oral anticancer medications (n = 15) and caregivers of such patients (n = 3). Data analysis involved verbatim transcription of all interviews, coding of the transcripts and field notes, detailed memo writing, and constant comparative evaluation of emergent categories. Results A conceptual framework of facilitating and hindering factors for users' adoption intention for an oral anticancer medication adherence app was developed. Findings suggest that facing difficulties in maintaining adherence and patients' perceived superiority of the app over their current methods facilitate adoption intention. In contrast, having to pay, lack of language options and users' perception of low competence in using an app were the hindrance factors. Conclusion This study showed that adoption of adherence apps could be explained by technology acceptance constructs, such as performance expectancy. Adoption intention was also facilitated by patients perceived vulnerabilities in maintaining adherence to their medications, which was a health behaviour construct. Implementation of app-based programs should address patients' perceived vulnerabilities and relative advantage of the app over their current methods. Clinicians and app developers should also consider the financial, technological and language barriers for end users.
机译：背景技术患者的普遍采用是基于应用的疾病的成功，以提高对口服抗癌药物的依从性。应评估患者的态度和信念，以了解他们接受和采用此类干预措施的决定因素。目的识别影响癌症患者采用基于应用系统的患者的因素，以加强口服抗癌药物依从性。方法本研究作为可用性评估的基于应用程序的系统的一部分，以加强遵守。我们遵循基于面对患者的患者的数据收集的接地理论方法，用于服用口服抗癌药物（N = 15）和该等患者的护理人员（n = 3）。数据分析涉及逐字转录各次访谈，编码成绩单和现场备注，详细的备忘录写作，以及紧急类别的持续比较评估。结果开发了一种促进和阻碍因素的概念框架，为用户采用口服抗癌药物申请应用程序的采用意图。调查结果表明，在其目前的方法方面，在其目前的方法中保持依从性和患者的感知优势，促进了采用意图。相比之下，必须支付，缺乏语言选择和用户对使用应用程序对低能力的看法是障碍因素。结论本研究表明，可以通过技术验收构建，如性能预期常温解释依据应用程序。通过患者感知脆弱性在维持其药物依恋中，还促进了采用意图，这是一种健康行为构建。基于应用程序的程序的实施应该应对患者的感知漏洞和应用程序的相对优势通过其目前的方法。临床医生和应用程序开发商还应考虑最终用户的财务，技术和语言障碍。

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