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A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic

BACKGROUND: Personal health records (PHR) may improve patients' health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barr...

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Autores principales: Hilton, Joan F., Barkoff, Lynsey, Chang, Olivia, Halperin, Lindsay, Ratanawongsa, Neda, Sarkar, Urmimala, Leykin, Yan, Muñoz, Ricardo F., Thom, David H., Kahn, James S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282785/
https://www.ncbi.nlm.nih.gov/pubmed/22363761
http://dx.doi.org/10.1371/journal.pone.0031888
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author Hilton, Joan F.
Barkoff, Lynsey
Chang, Olivia
Halperin, Lindsay
Ratanawongsa, Neda
Sarkar, Urmimala
Leykin, Yan
Muñoz, Ricardo F.
Thom, David H.
Kahn, James S.
author_facet Hilton, Joan F.
Barkoff, Lynsey
Chang, Olivia
Halperin, Lindsay
Ratanawongsa, Neda
Sarkar, Urmimala
Leykin, Yan
Muñoz, Ricardo F.
Thom, David H.
Kahn, James S.
author_sort Hilton, Joan F.
collection PubMed
description BACKGROUND: Personal health records (PHR) may improve patients' health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barrier to engagement with web-based health information, as measured by consent to participate in a trial that provided access to personal (PHR) or general (non-PHR) health information portals and by completion of baseline study surveys posted there. METHODS: Participants were individually trained to access and navigate individualized online accounts and to complete study surveys. In response to need, during accrual months 4 to 12 we enhanced participant training to encourage survey completion with the help of staff. Using logistic regression models, we estimated odds ratios for study participation and for survey completion by combined MH/SU status, adjusted for levels of computer competency, on-study training, and demographics. RESULTS: Among 2,871 clinic patients, 70% had MH/SU conditions, with depression (38%) and methamphetamine use (17%) most commonly documented. Middle-aged patients and those with a MH/SU condition were over-represented among study participants (N = 338). Survey completion was statistically independent of MH/SU status (OR, 1.85 [95% CI, 0.93–3.66]) but tended to be higher among those with MH/SU conditions. Completion rates were low among beginner computer users, regardless of training level (<50%), but adequate among advanced users (>70%). CONCLUSIONS: Among patients attending a safety-net clinic, MH/SU conditions were not barriers to engagement with web-based health information. Instead, level of computer competency was useful for identifying individuals requiring substantial computer training in order to fully participate in the study. Intensive on-study training was insufficient to enable beginner computer users to complete study surveys.
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spelling pubmed-32827852012-02-23 A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic Hilton, Joan F. Barkoff, Lynsey Chang, Olivia Halperin, Lindsay Ratanawongsa, Neda Sarkar, Urmimala Leykin, Yan Muñoz, Ricardo F. Thom, David H. Kahn, James S. PLoS One Research Article BACKGROUND: Personal health records (PHR) may improve patients' health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barrier to engagement with web-based health information, as measured by consent to participate in a trial that provided access to personal (PHR) or general (non-PHR) health information portals and by completion of baseline study surveys posted there. METHODS: Participants were individually trained to access and navigate individualized online accounts and to complete study surveys. In response to need, during accrual months 4 to 12 we enhanced participant training to encourage survey completion with the help of staff. Using logistic regression models, we estimated odds ratios for study participation and for survey completion by combined MH/SU status, adjusted for levels of computer competency, on-study training, and demographics. RESULTS: Among 2,871 clinic patients, 70% had MH/SU conditions, with depression (38%) and methamphetamine use (17%) most commonly documented. Middle-aged patients and those with a MH/SU condition were over-represented among study participants (N = 338). Survey completion was statistically independent of MH/SU status (OR, 1.85 [95% CI, 0.93–3.66]) but tended to be higher among those with MH/SU conditions. Completion rates were low among beginner computer users, regardless of training level (<50%), but adequate among advanced users (>70%). CONCLUSIONS: Among patients attending a safety-net clinic, MH/SU conditions were not barriers to engagement with web-based health information. Instead, level of computer competency was useful for identifying individuals requiring substantial computer training in order to fully participate in the study. Intensive on-study training was insufficient to enable beginner computer users to complete study surveys. Public Library of Science 2012-02-20 /pmc/articles/PMC3282785/ /pubmed/22363761 http://dx.doi.org/10.1371/journal.pone.0031888 Text en Hilton et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Hilton, Joan F.
Barkoff, Lynsey
Chang, Olivia
Halperin, Lindsay
Ratanawongsa, Neda
Sarkar, Urmimala
Leykin, Yan
Muñoz, Ricardo F.
Thom, David H.
Kahn, James S.
A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title_full A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title_fullStr A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title_full_unstemmed A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title_short A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
title_sort cross-sectional study of barriers to personal health record use among patients attending a safety-net clinic
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282785/
https://www.ncbi.nlm.nih.gov/pubmed/22363761
http://dx.doi.org/10.1371/journal.pone.0031888
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