Users' Attitudes Towards Personal Health Records: A Cross-Sectional Pilot Study
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Khaneghah, Peyman Azad | 2016
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.
LEER