由复旦大学发展研究院王帆研究员（通讯作者），复旦大学公共卫生学院直博生王祎宁（共同第一作者）等合作完成的论文“FactorsAssociatedWithDigitalCapacityforHealthPromotionAmongPrimaryCareWorkers:Cross-SectionalSurveyStudy”发表于JCRQ1期刊《JournalofMedialInternetResearch》（ImpactFactor：5.8）。该期刊是全球领先的医疗服务和数字健康杂志，专注于新兴技术、医疗设备、应用程序、工程、远程医疗和信息学应用，用于患者教育、预防、人口健康和临床护理。
作者
YiningWang*
SchoolofPublicHealth,FudanUniversity
HuiRen*;ShaotanXiao*
ShanghaiPudongNewAreaCenterforDiseaseControlandPrevention
TianMeng
SchoolofAccounting,ShanghaiUniversityofInternationalBusinessandEconomics
ShuyueSun
SiyuYu;QingLiu
FanWang
（Correspondingauthor）
FudanDevelopmentInstitute,FudanUniversity
*Theseauthorscontributedequally
摘要
Background:Healtheducationandpromotionarerecognizedaseffectivestrategiesforfosteringhealthyageing,reducingthediseaseburden,andaddressinghealthinequalities,particularlywhendeliveredthroughdigitalmedia.Primarycareworkersareoftenregardedasthekeyprovidersoftheseinterventions.Despitethestrongpracticalsignificanceandsubstantialindividualdemand,theuseofdigitalmediafordeliveringhealthpromotionpracticeswasnotwidespreadinChina.Oneofthemainchallengesidentifiedistheproviders’inadequatecapacities.However,littleisknownaboutthedigitalcapacityforhealthpromotionamongprimarycareworkers.
Objective:Thisstudyaimedtoinvestigatethelevelsofdigitalcapacityforhealthpromotionanditsassociatedfactorsamongcommunityhealthworkers.
Methods:Atotalof1346communityhealthworkerswererecruitedfromacross47communitiesinShanghai,China,throughcluster-stratifiedrandomsampling.ThedigitalcapacityforhealthpromotionwasmeasuredusingtherevisedversionoftheDigitalCapabilitiesFramework.Web-basedquestionnairesweredistributedtocollectdatafromMarch20toMarch29,2024.Datawereanalyzedusingdescriptivestatistics,independentttests,one-wayANOVA,andlinearhierarchicalregressionusingStataMP(version17.0;StataCorp).
Results:Weincluded1199participants.Amongthem,47.5%(570/1199)hadhighdigitalmediauseformorethan19.6hoursperweek,whereas31.8%(381/1199)demonstratedhighdigitalmediatrust.Theaveragelevelofdigitalcapacityforhealthpromotionwas16.71(SD2.94)outof25points.Demographics,digitalmediausage–relatedcharacteristics,perceivedusefulnessandusability,attitudes,andbehaviorsweresignificantpredictorsofthecapacities,explaining44.4%ofthetotalvariance.Master’sdegreeorabove(β=.077;P=.013),perceivedusability(β=.235;P<.001),attitudestowarddigitalmediahealthpromotion(β=.095;P=.002),andpastdigitalmediahealthpromotionpractices(β=.377;P<.001)hadsignificantlypositiveassociationswithdigitalcapacitiesforhealthpromotion.However,senior(β=–.076;P=.008)ormedian(β=–.074;P=.012)titleshadasignificantnegativeassociationwithcapacitylevels.
Conclusions:Adigitallycapableworkforceisrequiredforprimaryhealthcaresystemstotakefulladvantageofdigitalmediahealthpromotion.Therefore,solutionsarenecessarytoachieveenhancedcapacitiesamonghealthprofessionals,includingpublichealthpolicymaking,communityempowerment,andindividualpractices.
关键词
healthpromotion;digitalcapacity;primarycareworkers;DigitalCapabilitiesFramework;onlinesurvey