Daniel D Lee1, Lily A Arya1, Uduak U Andy1, Mary D Sammel2, Heidi S Harvie1. 1. From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, and. 2. Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA.
Abstract
OBJECTIVES: The aim of this study was to assess willingness of women with pelvic floor disorders to adopt nontraditional mobile communication methods with health care providers. METHODS: This is a cross-sectional study of women with pelvic floor disorders. Women completed a survey regarding what technology they owned, how they utilized it, and their willingness to use technology to communicate with providers. RESULTS: Overall mobile technology ownership was high; however, older women were significantly less likely to own a smartphone (75%) compared with younger (100%) and middle-aged women (98%; P < 0.01). On univariable analysis, factors significantly associated with willingness to use mobile technology were age (P < 0.01) and education status (P < 0.01). A relationship between travel distance to the clinic and willingness to adopt various mobile technologies was not noted. On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (odds ratio [OR], 0.97; 95% confidence interval [CI], 0.95-0.99), text messaging (OR, 0.94; 95% CI, 0.91-0.97), Internet-based patient portal (OR, 0.96; 95% CI, 0.94-0.98), and e-mail (OR, 0.94; 95% CI, 0.91-0.98). However, almost 50% of older women and greater than 65% of middle-aged women expressed willingness to adopt technologies for health care communication. CONCLUSIONS: Age-related differences exist in the ownership, utilization, and willingness to communicate with medical providers through mobile technology. However, the majority of women across all age-groups, irrespective of travel distance, are willing to adopt alternative mobile technologies to communicate with their health care providers.
OBJECTIVES: The aim of this study was to assess willingness of women with pelvic floor disorders to adopt nontraditional mobile communication methods with health care providers. METHODS: This is a cross-sectional study of women with pelvic floor disorders. Women completed a survey regarding what technology they owned, how they utilized it, and their willingness to use technology to communicate with providers. RESULTS: Overall mobile technology ownership was high; however, older women were significantly less likely to own a smartphone (75%) compared with younger (100%) and middle-aged women (98%; P < 0.01). On univariable analysis, factors significantly associated with willingness to use mobile technology were age (P < 0.01) and education status (P < 0.01). A relationship between travel distance to the clinic and willingness to adopt various mobile technologies was not noted. On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (odds ratio [OR], 0.97; 95% confidence interval [CI], 0.95-0.99), text messaging (OR, 0.94; 95% CI, 0.91-0.97), Internet-based patient portal (OR, 0.96; 95% CI, 0.94-0.98), and e-mail (OR, 0.94; 95% CI, 0.91-0.98). However, almost 50% of older women and greater than 65% of middle-aged women expressed willingness to adopt technologies for health care communication. CONCLUSIONS: Age-related differences exist in the ownership, utilization, and willingness to communicate with medical providers through mobile technology. However, the majority of women across all age-groups, irrespective of travel distance, are willing to adopt alternative mobile technologies to communicate with their health care providers.
Authors: Halina M Zyczynski; Holly E Richter; Vivian W Sung; Lily A Arya; Emily S Lukacz; Anthony G Visco; David D Rahn; Benjamin Carper; Donna Mazloomdoost; Marie G Gantz Journal: Neurourol Urodyn Date: 2020-09-22 Impact factor: 2.696
Authors: Giacomo Novara; Enrico Checcucci; Alessandro Crestani; Alberto Abrate; Francesco Esperto; Nicola Pavan; Cosimo De Nunzio; Antonio Galfano; Gianluca Giannarini; Andrea Gregori; Giovanni Liguori; Riccardo Bartoletti; Francesco Porpiglia; Roberto Mario Scarpa; Alchiede Simonato; Carlo Trombetta; Andrea Tubaro; Vincenzo Ficarra Journal: Eur Urol Date: 2020-06-18 Impact factor: 20.096