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Appl Clin Inform 2016; 07(02): 573-586
DOI: 10.4338/ACI-2015-12-RA-0180
Research Article
Schattauer GmbH

Users’ attitudes towards personal health records

A cross-sectional pilot study
Peyman Azad Khaneghah
1   Department of Occupational Therapy, University of Alberta, Edmonton, Canada
,
Antonio Miguel-Cruz
1   Department of Occupational Therapy, University of Alberta, Edmonton, Canada
3   School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia
,
Pamela Bentley
2   Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
,
Lili Liu
1   Department of Occupational Therapy, University of Alberta, Edmonton, Canada
,
Eleni Stroulia
4   Department of Computing Science, Faculty of Science, University of Alberta, Edmonton, Canada
,
Martin Ferguson-Pell
2   Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
› Author AffiliationsWe wish to thank all the patients and clinicians who participated in the study and the staff of the Sherwood Park Primary Care Network. This project was funded in part by a research collaboration grant with TELUS Healthcare. Additional funding was provided by the MITACS accelerate program.
Further Information

Publication History

received: 06 January 2016

accepted: 11 April 2016

Publication Date:
16 December 2017 (online)

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Summary

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.

Keywords

Chronic disease - diabetes mellitus - personal health records
 

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