TY - JOUR AU - Guzman-Parra, Jose AU - Barnestein-Fonseca, Pilar AU - Guerrero-Pertiñez, Gloria AU - Anderberg, Peter AU - Jimenez-Fernandez, Luis AU - Valero-Moreno, Esperanza AU - Goodman-Casanova, Jessica Marian AU - custa - vargas, Antonio AU - Garolera, Maite AU - Quintana, Maria AU - García-Betances, Rebeca I AU - Lemmens, Evi AU - Sanmartin berg glund, Johan AU - Mayoral-Cleries，TI -有轻度认知障碍或早期痴呆的老年人及其护理者的态度和信息通信技术的使用:横截面研究JO - J Med Internet Res SP - e17253 VL - 22 IS - 6kw -老龄化KW -轻度认知障碍KW -痴呆eHealth KW -信息通信技术KW - technophilia AB -背景:信息和通信技术是提高痴呆症或轻度认知障碍患者及其照顾者生活质量的有希望的工具。然而，由于社会人口因素和消极态度以及对技术的了解不足，它们的使用存在障碍。目的:本研究的目的是分析痴呆症/轻度认知障碍患者及其护理人员的科技癖(对新技术的态度)、智能手机和平板电脑的使用及其相关因素。方法:采用轻度痴呆支持监测与提醒(SMART4MD)随机多中心临床试验首次访视数据进行分析。数据来自两个欧洲国家，西班牙和瑞典，以及三个中心:Consorci Sanitari de Terrassa(西班牙加泰罗尼亚)，Servicio Andaluz de Salud(西班牙安达卢西亚)和Blekinge理工学院(瑞典)。在迷你精神状态检查中得分在20到28分之间、有记忆问题(超过6个月)、年龄超过55岁的参与者及其照顾者被纳入研究。采用双变量卡方检验和曼-惠特尼检验，多变量线性和逻辑回归模型进行统计分析。结果:共纳入1086对(N=2172)。 Overall, 299 (27.53%) of people with dementia/mild cognitive impairment had a diagnosis of dementia. In addition, 588 (54.14%) of people with dementia/mild cognitive impairment reported using a smartphone almost every day, and 106 (9.76%) used specific apps or software to support their memory. Among the caregivers, 839 (77.26%) used smartphones and tablets almost every day, and 181 (16.67%) used specific apps or software to support their memory. The people with dementia/mild cognitive impairment showed a lower level of technophilia in comparison to that of their caregivers after adjusting for confounders (B=0.074, P=.02) with differences in technology enthusiasm (B=0.360, P<.001), but not in technology anxiety (B=–0.042, P=.37). Technophilia was associated with lower age (B=–0.009, P=.004), male gender (B=–0.160, P<.001), higher education level (P=.01), living arrangement (living with children vs single; B=–2.538, P=.01), country of residence (Sweden vs Spain; B=0.256, P<.001), lower depression (B=–0.046, P<.001), and better health status (B=0.004, P<.001) in people with dementia/mild cognitive impairment. Among caregivers, technophilia was associated with comparable sociodemographic factors (except for living arrangement), along with a lower caregiver burden (B=–0.005, P=.04) and better quality of life (B=0.348, P<.001). Conclusions: Technophilia was associated with a better quality of life and sociodemographic variables in people with dementia/mild cognitive impairment and caregivers, suggesting potential barriers for technological interventions. People with dementia/mild cognitive impairment frequently use smartphones and tablets, but the use of specific apps or software to support memory is limited. Interventions using these technologies are needed to overcome barriers in this population related to sociodemographic characteristics and the lack of enthusiasm for new technologies. Trial Registration: ClinicalTrials.gov NCT03325699; https://clinicaltrials.gov/ct2/show/NCT03325699 SN - 1438-8871 UR - //www.mybigtv.com/2020/6/e17253 UR - https://doi.org/10.2196/17253 UR - http://www.ncbi.nlm.nih.gov/pubmed/32442136 DO - 10.2196/17253 ID - info:doi/10.2196/17253 ER -