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The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers
BACKGROUND: In the era of precision medicine, it is critical for health communication efforts to prioritize personal health record (PHR) adoption. OBJECTIVE: The objective of this study was to describe the characteristics of patients with heart disease that choose to adopt a PHR. METHODS: A total of...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367119/ https://www.ncbi.nlm.nih.gov/pubmed/34309574 http://dx.doi.org/10.2196/19191 |
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author | Clarke, Martina A Fruhling, Ann L Lyden, Elizabeth L Tarrell, Alvin E Bernard, Tamara L Windle, John R |
author_facet | Clarke, Martina A Fruhling, Ann L Lyden, Elizabeth L Tarrell, Alvin E Bernard, Tamara L Windle, John R |
author_sort | Clarke, Martina A |
collection | PubMed |
description | BACKGROUND: In the era of precision medicine, it is critical for health communication efforts to prioritize personal health record (PHR) adoption. OBJECTIVE: The objective of this study was to describe the characteristics of patients with heart disease that choose to adopt a PHR. METHODS: A total of 79 patients with chronic cardiovascular disease participated in this study: 48 PHR users and 31 nonusers. They completed 5 surveys related to their choice to use or not use the PHR: demographics, patient activation, medication adherence, health literacy, and computer self-efficacy (CSE). RESULTS: There was a significant difference between users and nonusers in the sociodemographic measure education (P=.04). There was no significant difference between users and nonusers in other sociodemographic measures: age (P=.20), sex (P=.35), ethnicity (P=.43), race (P=.42), and employment (P=.63). There was a significant difference between PHR users and PHR nonusers in CSE (P=.006). CONCLUSIONS: In this study, we demonstrate that sociodemographic characteristics were not an important factor in patients’ use of their PHR, except for education. This study had a small sample size and may not have been large enough to detect differences between groups. Our results did demonstrate that there is a difference between PHR users and nonusers related to their CSE. This work suggests that incorporating CSE into the design of PHRs is critical. The design of patient-facing tools must take into account patients’ preferences and abilities when developing effective user-friendly health information technologies. |
format | Online Article Text |
id | pubmed-8367119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-83671192021-08-24 The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers Clarke, Martina A Fruhling, Ann L Lyden, Elizabeth L Tarrell, Alvin E Bernard, Tamara L Windle, John R JMIR Hum Factors Original Paper BACKGROUND: In the era of precision medicine, it is critical for health communication efforts to prioritize personal health record (PHR) adoption. OBJECTIVE: The objective of this study was to describe the characteristics of patients with heart disease that choose to adopt a PHR. METHODS: A total of 79 patients with chronic cardiovascular disease participated in this study: 48 PHR users and 31 nonusers. They completed 5 surveys related to their choice to use or not use the PHR: demographics, patient activation, medication adherence, health literacy, and computer self-efficacy (CSE). RESULTS: There was a significant difference between users and nonusers in the sociodemographic measure education (P=.04). There was no significant difference between users and nonusers in other sociodemographic measures: age (P=.20), sex (P=.35), ethnicity (P=.43), race (P=.42), and employment (P=.63). There was a significant difference between PHR users and PHR nonusers in CSE (P=.006). CONCLUSIONS: In this study, we demonstrate that sociodemographic characteristics were not an important factor in patients’ use of their PHR, except for education. This study had a small sample size and may not have been large enough to detect differences between groups. Our results did demonstrate that there is a difference between PHR users and nonusers related to their CSE. This work suggests that incorporating CSE into the design of PHRs is critical. The design of patient-facing tools must take into account patients’ preferences and abilities when developing effective user-friendly health information technologies. JMIR Publications 2021-07-26 /pmc/articles/PMC8367119/ /pubmed/34309574 http://dx.doi.org/10.2196/19191 Text en ©Martina A Clarke, Ann L Fruhling, Elizabeth L Lyden, Alvin E Tarrell, Tamara L Bernard, John R Windle. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 26.07.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on https://humanfactors.jmir.org, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Clarke, Martina A Fruhling, Ann L Lyden, Elizabeth L Tarrell, Alvin E Bernard, Tamara L Windle, John R The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title | The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title_full | The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title_fullStr | The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title_full_unstemmed | The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title_short | The Role of Computer Skills in Personal Health Record Adoption Among Patients With Heart Disease: Multidimensional Evaluation of Users Versus Nonusers |
title_sort | role of computer skills in personal health record adoption among patients with heart disease: multidimensional evaluation of users versus nonusers |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367119/ https://www.ncbi.nlm.nih.gov/pubmed/34309574 http://dx.doi.org/10.2196/19191 |
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