R Khorammakan, S H Roudbari, A Omid, V S Anoosheh, A N Arabkhazaei, A Z Arabkhazaei, J Khalili, H Belyad Chaldashti, A Ghadami
Continuous training based on the needs of operating room nurses using web application: a new approach to improve their knowledge
BMC medical education
despite united states one leading health care systems world underserved minority communities face significant access challenges communities benefit telehealth innovations promise improve health care access consequently health outcomes however little known attitudes toward telehealth communities essential first step toward effective adoption use purpose study assess factors shape behavioral intention use telehealth services underserved hispanic communities along texasmexico border examine role electronic health ehealth literacy telehealth use intention used crosssectional design collect data community health event along texasmexico border area characterized high poverty rates low educational attainment health care access challenges trained bilingual students conducted 322 inperson interviews 1week period survey instrument assessed sociodemographic information telehealthrelated variables attitudes toward telehealth measured asking participants indicate level agreement 9 statements reflecting different aspects telehealth use ehealth literacy used ehealth literacy scale eheals 8item scale designed measure consumer confidence finding evaluating acting upon ehealth information assess intention use telehealth asked participants likelihood would use telehealth services offered health care provider analyzed data using univariate multivariate mediation statistical models participants primarily hispanic 310319 972 female 261322 811 average age 43 years almost threequarters 219298 reported annual household incomes 20000 healthwise 422 136322 selfrated health fair poor 797 255320 uninsured overwhelming majority 289319 906 never heard telehealth defined term participants exhibited positive attitudes toward telehealth 789 254322 reported somewhat likely likely use telehealth services offered health care provider based multivariate proportional odds regression analysis 1point increase telehealth attitudes reduced odds lower versus higher response intention use telehealth services 23 077 95 ci 073081 mediation analysis revealed telehealth attitudes fully mediated association ehealth literacy intention use telehealth services 1point increase eheals odds lower telehealth use decreased factor 095 5 095 95 ci 093098 p001 via increase score telehealth attitudes telehealth promises address many access challenges facing ethnic racial minorities rural communities lowincome populations findings underscore importance raising awareness telehealth promoting ehealth literacy key step fostering positive attitudes toward telehealth furthering interest use