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Users' Attitudes Towards Personal Health Records: A Cross-Sectional Pilot Study

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Khaneghah, Peyman Azad
Cruz, Antonio Miguel
Bentley, Pamela
Liu, Lili
Stroulia, Eleni
Ferguson-Pell, Martin
Abstract (Spanish)
.Antecedentes: la prevención y el manejo de las enfermedades crónicas es una prioridad para muchos profesionales de la salud. sistemas Se han sugerido registros personales de salud para facilitar la implementación de la atención crónica. programas Sin embargo, la actitud de los pacientes hacia los registros personales de salud (PHR, por sus siglas en inglés) puede afectar significativamente las tasas de adopción y el uso de los PHR. Objetivos: evaluar la actitud de los pacientes con diabetes tipo II hacia el uso de un PHR para el manejo de su condición. Métodos: Utilizamos un estudio piloto exploratorio transversal. Cincuenta y cuatro (54) pacientes usaron un PHR para monitorear y registrar sus niveles de glucosa en sangre, dieta y actividades durante 30 días, y comunicarse con sus médicos. Al final del estudio, los pacientes respondieron a una encuesta basada en tres constructos tomados de diferentes marcos de aceptación de tecnología: ventaja relativa, adecuación al trabajo y utilidad percibida. Se formó un modelo predictivo multivariado utilizando la técnica de mínimos cuadrados parciales (PLS) y se determinó el efecto de cada constructo en la actitud de los pacientes hacia el uso del sistema. evaluado. Los pacientes también participaron en una entrevista semiestructurada. Resultados: Encontramos una correlación positiva significativa entre el ajuste al trabajo y la actitud (JF → ATT = +0,318, p<0,01). No hubo evidencia estadística de ningún efecto moderador o mediador de otros constructos principales o cualquiera de los factores de confusión (es decir, edad, género, tiempo después del diagnóstico) sobre la actitud. Conclusión: La actitud de los pacientes hacia el uso de PHR en el manejo de su diabetes fue positiva. Su actitud estuvo influenciada principalmente por la medida en que el sistema los ayudó a mejorar realizar actividades y autogestionar su condición.
Abstract (English)
Background: Prevention and management of chronic conditions is a priority for many healthcare systems. Personal health records have been suggested to facilitate implementation of chronic care programs. However, patients’ attitude towards personal health records (PHRs) can significantly affect the adoption rates and use of PHRs. Objectives: to evaluate the attitude of patients with Type II diabetes towards using a PHR to manage their condition. Methods: We used a cross-sectional exploratory pilot study. Fifty-four (54) patients used a PHR to monitor and record their blood glucose levels, diet, and activities for 30 days, and to communicate with their clinicians. At the end of the study, patients responded to a survey based on three constructs borrowed from different technology acceptance frameworks: relative advantage, job fit, and perceived usefulness. A multivariate predictive model was formed using partial least squaring technique (PLS) and the effect of each construct on the patients’ attitude towards system use was evaluated. Patients also participated in a semi-structured interview. Results: We found a significant positive correlation between job fit and attitude (JF → ATT = +0.318, p<0.01). There was no statistical evidence of any moderating or mediating effect of other main constructs or any of the confounding factors (i.e., age, gender, time after diagnosed) on attitude. Conclusion: The attitude of patients towards using PHR in management of their diabetes was positive. Their attitude was mainly influenced by the extent to which the system helped them better perform activities and self-manage their condition.
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14 páginas
URI: https://repositorio.escuelaing.edu.co/handle/001/1580
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