The Effect of Education on Portal Personal Health Record Use.

The purpose of this study was to examine the rate of portal personal health record (PHR) use among chronically ill older adults to evaluate the effectiveness of an educational intervention in improving PHR adoption, and to identify patients' thoughts about the PHR. The quasi-experimental study was p...

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Publicado en:Online Journal of Nursing Informatics Vol. 20; no. 2; pp. 9 - 10
Autor principal: Casey, Imke
Formato: pictorial research systematic review Journal Article
Publicado: HIMSS Foundation Summer2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2016
      vid: 20
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      pub: HIMSS Foundation
      place: Kittanning, Pennsylvania
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        atl: The Effect of Education on Portal Personal Health Record Use.
      aug:
        au: Casey, Imke
      sug:
        subj:
          Electronic Health Records Education
          Medical Records, Personal Education
          Primary Health Care
          Chronic Disease In Old Age
          Access to Information Education
          Human
          Quasi-Experimental Studies
          Florida
          Patient Attitudes
          Surveys
          Prospective Studies
          Self Care
          Chronic Disease Epidemiology
          United States
          Prevalence
          Systematic Review
          CINAHL Database
          PubMed
          Power Analysis
          Sample Size
          Effect Size
          Descriptive Statistics
          Middle Age
          Aged
          Aged, 80 and Over
          Questionnaires
          Pretest-Posttest Design
          Center for Epidemiological Studies Depression Scale
          Scales
          Summated Rating Scaling
          Male
          Female
          Adult
          Attitude to Computers
          One-Way Analysis of Variance
          Wilcoxon Signed Rank Test
          T-Tests
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Adult: 19-44 years
          Male
          Female
      ab: The purpose of this study was to examine the rate of portal personal health record (PHR) use among chronically ill older adults to evaluate the effectiveness of an educational intervention in improving PHR adoption, and to identify patients' thoughts about the PHR. The quasi-experimental study was performed at a primary care group practice in central Florida. Participants were recruited during provider appointments. Fifty participants completed the Background and Computer Questionnaire (DBQ) and received the educational intervention followed by a four-week follow-up phone survey. To evaluate the effectiveness of the educational intervention, the study pair matched participants, to form a non-participant control group. Participants' computer use comfort level increased significantly four weeks after the PHR educational intervention (Z = -1.668, p < 0.005). In addition, the amount of PHR use by the participant group (M = 1.08) was significantly higher, compared to the pair-matched control group (M = 0.16), U = 735.5, p = 0.001. Analysis of the qualitative component indicated that patients are willing to use the PHR if their laboratory results are up-to-date and available for review. Hands-on computer instructions are an effective method to increase PHR use among chronically ill adult primary care practice patients. Computer training and education promote and improve people's overall computer use comfort levels. Patients feel that the PHR is a valuable tool if their data are current and accessible.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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