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Development of the PRE-HIT instrument: patient readiness to engage in health information technology

BACKGROUND: Technology-based aids for lifestyle change are becoming more prevalent for chronic conditions. Important “digital divides” remain, as well as concerns about privacy, data security, and lack of motivation. Researchers need a way to characterize participants’ readiness to use health techno...

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Autores principales: Koopman, Richelle J, Petroski, Gregory F, Canfield, Shannon M, Stuppy, Julie A, Mehr, David R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916695/
https://www.ncbi.nlm.nih.gov/pubmed/24472182
http://dx.doi.org/10.1186/1471-2296-15-18
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author Koopman, Richelle J
Petroski, Gregory F
Canfield, Shannon M
Stuppy, Julie A
Mehr, David R
author_facet Koopman, Richelle J
Petroski, Gregory F
Canfield, Shannon M
Stuppy, Julie A
Mehr, David R
author_sort Koopman, Richelle J
collection PubMed
description BACKGROUND: Technology-based aids for lifestyle change are becoming more prevalent for chronic conditions. Important “digital divides” remain, as well as concerns about privacy, data security, and lack of motivation. Researchers need a way to characterize participants’ readiness to use health technologies. To address this need, we created an instrument to measure patient readiness to engage with health technologies among adult patients with chronic conditions. METHODS: Initial focus groups to determine domains, followed by item development and refinement, and exploratory factor analysis to determine final items and factor structure. The development sample included 200 patients with chronic conditions from 6 family medicine clinics. From 98 potential items, 53 best candidate items were examined using exploratory factor analysis. Pearson’s Correlation for Test/Retest reliability at 3 months. RESULTS: The final instrument had 28 items that sorted into 8 factors with associated Cronbach’s alpha: 1) Health Information Need (0.84), 2) Computer/Internet Experience (0.87), 3) Computer Anxiety (0.82), 4) Preferred Mode of Interaction (0.73), 5) Relationship with Doctor (0.65), 6) Cell Phone Expertise (0.75), 7) Internet Privacy (0.71), and 8) No News is Good News (0.57). Test-retest reliability for the 8 subscales ranged from (0.60 to 0.85). CONCLUSION: The Patient Readiness to Engage in Health Internet Technology (PRE-HIT) instrument has good psychometric properties and will be an aid to researchers investigating technology-based health interventions. Future work will examine predictive validity.
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spelling pubmed-39166952014-02-08 Development of the PRE-HIT instrument: patient readiness to engage in health information technology Koopman, Richelle J Petroski, Gregory F Canfield, Shannon M Stuppy, Julie A Mehr, David R BMC Fam Pract Research Article BACKGROUND: Technology-based aids for lifestyle change are becoming more prevalent for chronic conditions. Important “digital divides” remain, as well as concerns about privacy, data security, and lack of motivation. Researchers need a way to characterize participants’ readiness to use health technologies. To address this need, we created an instrument to measure patient readiness to engage with health technologies among adult patients with chronic conditions. METHODS: Initial focus groups to determine domains, followed by item development and refinement, and exploratory factor analysis to determine final items and factor structure. The development sample included 200 patients with chronic conditions from 6 family medicine clinics. From 98 potential items, 53 best candidate items were examined using exploratory factor analysis. Pearson’s Correlation for Test/Retest reliability at 3 months. RESULTS: The final instrument had 28 items that sorted into 8 factors with associated Cronbach’s alpha: 1) Health Information Need (0.84), 2) Computer/Internet Experience (0.87), 3) Computer Anxiety (0.82), 4) Preferred Mode of Interaction (0.73), 5) Relationship with Doctor (0.65), 6) Cell Phone Expertise (0.75), 7) Internet Privacy (0.71), and 8) No News is Good News (0.57). Test-retest reliability for the 8 subscales ranged from (0.60 to 0.85). CONCLUSION: The Patient Readiness to Engage in Health Internet Technology (PRE-HIT) instrument has good psychometric properties and will be an aid to researchers investigating technology-based health interventions. Future work will examine predictive validity. BioMed Central 2014-01-28 /pmc/articles/PMC3916695/ /pubmed/24472182 http://dx.doi.org/10.1186/1471-2296-15-18 Text en Copyright © 2014 Koopman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Koopman, Richelle J
Petroski, Gregory F
Canfield, Shannon M
Stuppy, Julie A
Mehr, David R
Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title_full Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title_fullStr Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title_full_unstemmed Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title_short Development of the PRE-HIT instrument: patient readiness to engage in health information technology
title_sort development of the pre-hit instrument: patient readiness to engage in health information technology
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916695/
https://www.ncbi.nlm.nih.gov/pubmed/24472182
http://dx.doi.org/10.1186/1471-2296-15-18
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