78 Chapter 3 Patient preference regarding e-health Of all patients, 39% stated that they consulted the internet at least once a month to search for information regarding their stoma. This percentage was 64.8% for patients with a stoma of less than three years. Patients stated that their most preferred way of consulting information would be using the internet (55.9%), on paper (46.3%), or via a yet to be developed mobile app (33.5%). The preference for an app increased to 47.4% for patients aged 50 years or younger. Experience with mobile technology was moderate to high for the majority of patients (86.8%), and this was also largely present in patients above 80 years of age (70.9%). A mobile app would be expected to be of benefit for them, as reported by 47.6% of the patients, as they expected it to help them cope with a stoma. However, this percentage was significantly increased for patients with a stoma less than three years, 59.5% compared to 43.8% of the remaining study population (p<0.001). Table 4 presents the patients’ preferences for the functionalities of an app, in order of popularity. Most items were assessed as useful, except for a sensor measuring stoma production. The most popular items were advice on stoma-related problems and information on stoma care, stoma materials, instructions at discharge, and lifestyle. The multinominal logistic regression analysis in table 5 showed that willingness to use an app was significantly influenced by experience in mobile technology, frequency of psychosocial and physical problems, time having a stoma, and the independent domains of SSCQ. Patients who have a stoma for less than 3 years are more willing to use an app. Other cut-offs of time having a stoma were studied, but were not significant or more clinically relevant. Interestingly, patients who have a high satisfaction score on the SSCQ domains: ‘preoperative care and information’ and ‘contact with stoma nurse’ are more willing to use an app.
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