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.

中文翻译：

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加强慢性病的数字健康参与：医患沟通和媒体使用在终末期肾病患者接受数字医疗保健中的作用。


本研究考察了终末期肾病 （ESKD） 患者的数字健康挑战，该人群的特点是年龄较大、社会经济地位较低和获得现代技术的机会有限。借鉴 Mere Exposure Effect、技术接受模型和医患沟通文献的见解，我们的研究对三个不同的群体实施了为期一个月的干预。数字媒体曝光小组每周两次使用平板电脑观看 YouTube 上医生推荐的视频，持续四个星期。除了第一组中的活动外，“医患沟通数字媒体曝光”小组还参与了医生主导的关于就诊期间查看内容的讨论。对照组收到了与视频内容相对应的印刷医疗信息。本研究的参与者均被诊断出患有 ESKD，他们都是从韩国的一所大学医院招募的 （n = 88，Mage = 64.8）。他们对数字医疗保健的看法、态度和行为意图在各组之间进行了测量和比较。结果揭示了显着的组差异 [Wilk's Λ = 0.829，F（8， 164） = 2.02，p = 0.047，部分 η2 = 0.090]，各组之间态度、感知易用性和意图存在差异，效应大小从 0.069 到 0.096 不等。提倡优先考虑用户友好界面和医生与患者之间清晰沟通的策略，以促进数字健康参与，确保慢性病患者公平获得并改善结果。