Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project

Fernando Suárez-Obando; Carlos Gómez-Restrepo; Sergio Castro-Diaz; Paola Paez-Rojas; José M Uribe-Restrepo; John A Naslund; William C Torrey; Leonardo Cubillos; Sophia M Bartels; Makeda J Williams; Lisa A Marsch

doi:10.1016/j.rcpeng.2021.06.003

Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project

Título traducido de la contribución: Patrones del uso de tecnologías de información y comunicación digital en pacientes de centros de atención primaria en Colombia: Fase I del proyecto DIADA

Fernando Suárez-Obando, Carlos Gómez-Restrepo, Sergio Castro-Diaz, Paola Paez-Rojas, José M Uribe-Restrepo, John A Naslund, William C Torrey, Leonardo Cubillos, Sophia M Bartels, Makeda J Williams, Lisa A Marsch

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Resumen

Objetivo
Evaluar la prevalencia y los tipos de uso de tecnología digital, al igual que el uso del internet y dispositivos móviles en pacientes. Evaluar las características sociodemográficas de pacientes y la posible relación a los patrones de uso de tecnología en Colombia. Entender la naturaleza del uso de tecnología en pacientes de atención primaria para búsqueda de información médica.

Métodos
Se aplicó una encuesta a pacientes adultos que asistían a centros de atención primaria en 6 ciudades colombianas. La encuesta preguntaba acerca de las características demográficas, el seguro médico, el acceso a servicios, el uso de celular y de internet, y el uso de estas tecnologías para acceder a servicios e información concierne a la salud. Los datos se recolectaron y se manejaron utilizando REDCap. Las medidas de resumen de cada item de la encuesta fueron calculados y las diferencias entre las variables discretas fueron analizadas utilizando chi-cuadrado. Se realizaron análisis multivariados utilizando un análisis de regresión logística para las variables binarias dependientes.

Resultados
En total se realizaron 1580 encuestas a pacientes en los seis sitios de estudio. 93% de los pacientes reportaron tener un celular. Los pacientes de centros de salud en zona urbana mostraron tener más uso de Internet en su celular que aquellos de zonas menos urbanas. Alrededor de mitad de los pacientes reportaron uso de Internet (49.7%). De los usuarios de Internet, 65% de los pacientes lo utilizan para buscar información concierne a la salud. Alrededor de un tercio de los pacientes utilizan el celular para agenda citas. Alrededor de 24% de los pacientes contestaron positivamente a las dos preguntas Whooley. De aquellos cuya tamización fue positiva a partir de las preguntas Whooley, 43% reportaron estar moderadamente ansiosos y 47% reportaron estar muy ansiosos; también 51% reportaron tener dolor moderado y 52% reportaron tener dolor severo.

Conclusiones
Los patrones de uso de tecnología identificados en este estudio son esenciales para el desarrollo de futuras intervenciones basadas en tecnologías de información y comunicación (TIC). El diseño de intervenciones clínicas que utilizan TIC debe tener en cuenta los planes de pago de celulares, la disponibilidad de la conexión a internet, las ventajas y desventajas de los servicios de mensajería, incluyendo los SMS como alternativa para aquellas personas que no tienen celulares inteligentes.

Título traducido de la contribución	Patrones del uso de tecnologías de información y comunicación digital en pacientes de centros de atención primaria en Colombia: Fase I del proyecto DIADA
Idioma original	Inglés
Páginas (desde-hasta)	116-132
Número de páginas	17
Publicación	Revista Colombiana de Psiquiatría (English ed.)
Volumen	50 Suppl 1
N.º	Suppl 1
DOI	https://doi.org/10.1016/j.rcpeng.2021.06.003
Estado	Publicada - jul. 2021

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Suárez-Obando, F., Gómez-Restrepo, C., Castro-Diaz, S., Paez-Rojas, P., Uribe-Restrepo, J. M., Naslund, J. A., Torrey, W. C., Cubillos, L., Bartels, S. M., Williams, M. J., & Marsch, L. A. (2021). Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project. Revista Colombiana de Psiquiatría (English ed.), 50 Suppl 1(Suppl 1), 116-132. https://doi.org/10.1016/j.rcpeng.2021.06.003

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title = "Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project",

abstract = "OBJECTIVE: Assess the prevalence and types of digital technology use, as well as the extent to which patients use the internet and mobile devises. Evaluate the socioeconomic characteristics of patients and the possible relation to patterns of technology use in Colombia. Understand the nature of patient technology use in primary care for finding medical information.METHODS: A survey was applied to adult patients who attended primary health care centers systems in 6 Colombian cities. The survey inquired about demographic characteristics, insurance, access to services, cell phone use, internet access, and the use of such technology to access health-related services and information. Data was collected and managed using REDCap. Summary statistics on each survey item were calculated and the differences between discrete variables were analyzed using chi-square. Multivariate analyses were performed using logistic regression analysis for binary dependent variables.RESULTS: A total of 1580 patients were surveyed across the six study sites. 93% of the patients reported they have a cell phone. Patients from urban healthcare centers showed a higher use of the Internet on their phone than less urban settings. Around half of the surveyed patients reported Internet use (49.7%). Among Internet users, 65% of participants use the Internet looking for health care information. Around one-third of patients use cellphones to arrange clinic visits. Around 24% of participants answered positively for both Whooley's questions. Of those who screened positive on the Whooley questions, 43% reported being moderately anxious, 47% reported being very anxious. 51% reported having moderate pain; 52% reported having severe pain.CONCLUSIONS: The patterns of technology use identified in this study are essential for developing future health interventions based on ICT. The design of ICT clinical interventions must take into account the cellphone payment plans, availability of internet connection, advantages, and disadvantages of messenger services, including SMS as a possible alternative to people who do not have smartphones.",

keywords = "Colombia, Communication, Humans, Information Technology, Primary Health Care, Technology",

author = "Fernando Su{\'a}rez-Obando and Carlos G{\'o}mez-Restrepo and Sergio Castro-Diaz and Paola Paez-Rojas and Uribe-Restrepo, {Jos{\'e} M} and Naslund, {John A} and Torrey, {William C} and Leonardo Cubillos and Bartels, {Sophia M} and Williams, {Makeda J} and Marsch, {Lisa A}",

note = "Copyright {\textcopyright} 2021. Published by Elsevier Espa{\~n}a, S.L.U.",

year = "2021",

month = jul,

doi = "10.1016/j.rcpeng.2021.06.003",

language = "English",

volume = "50 Suppl 1",

pages = "116--132",

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Suárez-Obando, F, Gómez-Restrepo, C, Castro-Diaz, S, Paez-Rojas, P, Uribe-Restrepo, JM, Naslund, JA, Torrey, WC, Cubillos, L, Bartels, SM, Williams, MJ & Marsch, LA 2021, 'Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project', Revista Colombiana de Psiquiatría (English ed.), vol. 50 Suppl 1, n.º Suppl 1, pp. 116-132. https://doi.org/10.1016/j.rcpeng.2021.06.003

Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project. / Suárez-Obando, Fernando; Gómez-Restrepo, Carlos; Castro-Diaz, Sergio et al.
En: Revista Colombiana de Psiquiatría (English ed.), Vol. 50 Suppl 1, N.º Suppl 1, 07.2021, p. 116-132.

Producción: Contribución a una revista › Artículo › revisión exhaustiva

TY - JOUR

T1 - Patterns of digital information and communication technology use among patients at primary health care centres in Colombia

T2 - Phase I of the DIADA project

AU - Suárez-Obando, Fernando

AU - Gómez-Restrepo, Carlos

AU - Castro-Diaz, Sergio

AU - Paez-Rojas, Paola

AU - Uribe-Restrepo, José M

AU - Naslund, John A

AU - Torrey, William C

AU - Cubillos, Leonardo

AU - Bartels, Sophia M

AU - Williams, Makeda J

AU - Marsch, Lisa A

PY - 2021/7

Y1 - 2021/7

N2 - OBJECTIVE: Assess the prevalence and types of digital technology use, as well as the extent to which patients use the internet and mobile devises. Evaluate the socioeconomic characteristics of patients and the possible relation to patterns of technology use in Colombia. Understand the nature of patient technology use in primary care for finding medical information.METHODS: A survey was applied to adult patients who attended primary health care centers systems in 6 Colombian cities. The survey inquired about demographic characteristics, insurance, access to services, cell phone use, internet access, and the use of such technology to access health-related services and information. Data was collected and managed using REDCap. Summary statistics on each survey item were calculated and the differences between discrete variables were analyzed using chi-square. Multivariate analyses were performed using logistic regression analysis for binary dependent variables.RESULTS: A total of 1580 patients were surveyed across the six study sites. 93% of the patients reported they have a cell phone. Patients from urban healthcare centers showed a higher use of the Internet on their phone than less urban settings. Around half of the surveyed patients reported Internet use (49.7%). Among Internet users, 65% of participants use the Internet looking for health care information. Around one-third of patients use cellphones to arrange clinic visits. Around 24% of participants answered positively for both Whooley's questions. Of those who screened positive on the Whooley questions, 43% reported being moderately anxious, 47% reported being very anxious. 51% reported having moderate pain; 52% reported having severe pain.CONCLUSIONS: The patterns of technology use identified in this study are essential for developing future health interventions based on ICT. The design of ICT clinical interventions must take into account the cellphone payment plans, availability of internet connection, advantages, and disadvantages of messenger services, including SMS as a possible alternative to people who do not have smartphones.

AB - OBJECTIVE: Assess the prevalence and types of digital technology use, as well as the extent to which patients use the internet and mobile devises. Evaluate the socioeconomic characteristics of patients and the possible relation to patterns of technology use in Colombia. Understand the nature of patient technology use in primary care for finding medical information.METHODS: A survey was applied to adult patients who attended primary health care centers systems in 6 Colombian cities. The survey inquired about demographic characteristics, insurance, access to services, cell phone use, internet access, and the use of such technology to access health-related services and information. Data was collected and managed using REDCap. Summary statistics on each survey item were calculated and the differences between discrete variables were analyzed using chi-square. Multivariate analyses were performed using logistic regression analysis for binary dependent variables.RESULTS: A total of 1580 patients were surveyed across the six study sites. 93% of the patients reported they have a cell phone. Patients from urban healthcare centers showed a higher use of the Internet on their phone than less urban settings. Around half of the surveyed patients reported Internet use (49.7%). Among Internet users, 65% of participants use the Internet looking for health care information. Around one-third of patients use cellphones to arrange clinic visits. Around 24% of participants answered positively for both Whooley's questions. Of those who screened positive on the Whooley questions, 43% reported being moderately anxious, 47% reported being very anxious. 51% reported having moderate pain; 52% reported having severe pain.CONCLUSIONS: The patterns of technology use identified in this study are essential for developing future health interventions based on ICT. The design of ICT clinical interventions must take into account the cellphone payment plans, availability of internet connection, advantages, and disadvantages of messenger services, including SMS as a possible alternative to people who do not have smartphones.

KW - Colombia

KW - Communication

KW - Humans

KW - Information Technology

KW - Primary Health Care

KW - Technology

U2 - 10.1016/j.rcpeng.2021.06.003

DO - 10.1016/j.rcpeng.2021.06.003

M3 - Article

C2 - 34257055

SN - 2530-3120

VL - 50 Suppl 1

SP - 116

EP - 132

JO - Revista Colombiana de Psiquiatría (English ed.)

JF - Revista Colombiana de Psiquiatría (English ed.)

IS - Suppl 1

ER -

Suárez-Obando F, Gómez-Restrepo C, Castro-Diaz S, Paez-Rojas P, Uribe-Restrepo JM, Naslund JA et al. Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project. Revista Colombiana de Psiquiatría (English ed.). 2021 jul.;50 Suppl 1(Suppl 1):116-132. doi: 10.1016/j.rcpeng.2021.06.003

Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project

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