Enhancing Digital Health Engagement in Chronic Disease: The Role of Doctor–Patient Communication and Media Use in Acceptance of Digital Health Care Among End-Stage Kidney Disease Patients.

Park, Mina; Son, Seongmin; Lee, Sunhwa; Baek, Hyunjeong; Park, Ji In

This study examines digital health challenges among end-stage kidney disease (ESKD) patients, a population characterized by older age, lower socioeconomic status, and limited access to modern technologies. Drawing from the Mere Exposure Effect, the Technology Acceptance Model, and insights from doctor–patient communication literature, our study implemented a month-long intervention across three distinct groups. The Digital Media Exposure Group watched doctor-recommended videos on YouTube using a tablet PC twice weekly for four weeks. The Digital Media Exposure with Doctor–Patient Communication Group engaged in physician-led discussions about the viewed content during their medical visits in addition to the activities in the first group. The Control Group received printed medical information that mirrored the content of the videos. Participants in this study, all of whom were diagnosed with ESKD, were recruited from a university hospital in South Korea (n = 88, Mage = 64.8). Their perceptions, attitudes, and behavioral intentions regarding digital health care were measured and compared between groups. The results unveiled significant group differences [Wilk's Λ = 0.829, F(8, 164) = 2.02, p = 0.047, partial η2 = 0.090], with variations in attitudes, perceived ease of use, and intentions among groups, and effect sizes ranging from 0.069 to 0.096.These findings underscore the importance of tailored interventions to address digital health disparities, particularly among underserved demographic groups. Strategies that prioritize user-friendly interfaces and clear communication between doctors and patients are advocated to promote digital health engagement, ensuring equitable access and improved outcomes for patients with chronic disease.

SOUTH Korea; HEALTH services accessibility; RESEARCH funding; ACADEMIC medical centers; DIVERSITY & inclusion policies; DIGITAL health; SOCIOECONOMIC status; PSYCHOLOGICAL adaptation; DESCRIPTIVE statistics; MULTIVARIATE analysis; CHRONIC kidney failure; CHRONIC diseases; SURVEYS; PHYSICIAN-patient relations; COMMUNICATION; DIGITAL media; MATHEMATICAL models; MEDICAL appointments; INTENTION; ANALYSIS of variance; THEORY; COMPARATIVE studies; DATA analysis software; SOCIAL classes; VIDEO recording; PATIENTS' attitudes; USER interfaces

CyberPsychology, Behavior & Social Networking, 2024, Vol 27, Issue 12, p939

2152-2715

Academic Journal

10.1089/cyber.2023.0699