uptake and effects of the e-vita personal health record with self-management support and coaching, for type 2 diabetes patients treated in primary care
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ID: 151689
2016
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Abstract
We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of a personal health record. Patients were followed up for 6 months. Uptake and usage were monitored using log data. Outcomes were self-reported diabetes self-care, diabetes-related distress, and emotional wellbeing. Patients’ health status was collected from their medical chart. 132 patients agreed to participate in the study of which less than half (46.1%) did not return to the personal health record after 1st login. Only 5 patients used the self-management support program within the personal health record, 3 of whom asked a coach for feedback. Low use of the personal health record was registered. No statistical significant differences on any of the outcome measures were found between baseline and 6 month follow-up. This study showed minimal impact of implementing a personal health record including self-management support in primary diabetes care. Successful adoption of web-based platforms, as ongoing patient centered care, is hard to achieve without additional strategies aimed at enhancing patient motivation and engaging professionals.
| Reference Key |
vugt2016journaluptake
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|---|---|
| Authors | ;M. van Vugt;M. de Wit;F. Sieverink;Y. Roelofsen;S. H. Hendriks;H. J. G. Bilo;F. J. Snoek |
| Journal | applied computer science |
| Year | 2016 |
| DOI |
10.1155/2016/5027356
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| URL | |
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