Evaluating the Effect of Web-Based Iranian Diabetic Personal Health Record App on Self-Care Status and Clinical Indicators: Randomized Controlled Trial

Azizi, Amirabbas; Aboutorabi, Roshanak; Khorasani, Zahra Mazloum; Afzal-Aghaea, Monavar; Tabesh, Hamed; Tara, Mahmoud

doi:10.2196/medinform.6433

Cited by 15 publications

(9 citation statements)

References 46 publications

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“…2 Care is still suboptimal despite the fact that firm evidence exists about the optimal treatment of diabetes during the past decade. 3 Many patients with type 2 diabetes mellitus (T2DM) have difficulties reaching optimal blood glucose control. Nearly 50% of patients with diabetes have HbA1c levels above the recommended targets, 4 which has risen to 75% in Iran.…”

Section: Introductionmentioning

confidence: 99%

Patients’ perceptions of patient–provider communication and diabetes care: A systematic review of quantitative and qualitative studies

2018

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Objectives To explore the association between patients' perceptions of communication quality with their provider and a range of patients' outcomes in T2DM. Also, to identify barriers and facilitators to effective communication from the patients' perspective. Methods English and Persian papers published from 2000 to 2017 were searched in Web of Science, Pubmed, Scopus, Embase and SID, IranMedex, and MAGIRAN databases using appropriate search terms. Twenty-two studies complied the inclusion criteria. Each study was assessed for the focus of the study, study design (cross-sectional or qualitative study), population, outcome measures, patients' outcomes, and methodological quality. Results The quality of most studies was moderate to high based on the JBI Critical Appraisal Checklists. Higher perceived quality of provider-patient communication in patients with T2DM was associated with improved self-management, adherence to diabetes care and greater well-being, perceived personal control, self-efficacy, and less diabetes distress. Factors that patients with T2DM perceived as important factors in facilitating or hampering effective communication were more related to the provision of emotional support. Discussion The limited evidence shows patient-perceived communication quality is a significant modifiable approach for improving a range of outcomes in patients with T2DM. Due to socio-cultural differences, further high-quality research is needed for deciding the best communication style in various societies.

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Section: Introductionmentioning

confidence: 99%

Patients’ perceptions of patient–provider communication and diabetes care: A systematic review of quantitative and qualitative studies

2018

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“…In spite of numerous benefits suggested for consumers’ utilizing PHR systems [ 9 - 14 ], research has shown that such systems are not yet widely adopted or well known to consumers [ 9 , 10 , 15 - 23 ]. Bearing in mind the potential benefits of PHRs to consumers and their potential interest in these systems [ 11 , 24 , 25 ]—and that similar to any other type of information system (IS), adoption is a prerequisite for realizing the potential benefits of PHR systems [ 26 ]—research is needed to understand how to enhance adoption rates for PHR systems.…”

Section: Introductionmentioning

confidence: 99%

Consumer Adoption of Personal Health Record Systems: A Self-Determination Theory Perspective

Assadi¹,

Hassanein²

2017

J Med Internet Res

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BackgroundPersonal Health Records (PHR) systems provide individuals with access and control over their health information and consequently can support individuals in becoming active participants, rather than passive recipients, in their own care process. In spite of numerous benefits suggested for consumers’ utilizing PHR systems, research has shown that such systems are not yet widely adopted or well known to consumers. Bearing in mind the potential benefits of PHRs to consumers and their potential interest in these systems—and that similar to any other type of information system, adoption is a prerequisite for realizing the potential benefits of PHR systems—research is needed to understand how to enhance the adoption rates for PHR systems.ObjectiveThis research seeks to understand how individuals’ intentions to adopt PHR systems are affected by their self-determination in managing their own health—the extent of their ability to take an active role in managing their own health. As such, this research aims to develop and empirically validate a theoretical model that explains PHR systems adoption by the general public through the integration of theories from the information systems and psychology literatures.MethodsThis research employs a cross-sectional survey method targeted at the Canadian general public without any prior experience in using PHR systems. A partial least squares approach to structural equation modeling was used to validate the proposed research model of this study (N=159).ResultsIndividuals with higher levels of ability to manage their own health (self-determination) are more likely to adopt PHR systems since they have more positive perceptions regarding the use of such systems. Further, such self-determination is fueled by autonomy support from consumers’ physicians as well as the consumers’ personality trait of autonomy orientation.ConclusionsThis study advances our theoretical understanding of PHR systems adoption. It also contributes to practice by providing insightful implications for designing, promoting, and facilitating the use of PHR systems among consumers.

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“…The largest group (n=34) consists of descriptive studies, both qualitative and quantitative [ 21 , 32 - 35 , 37 - 43 , 45 , 47 - 51 , 53 , 55 , 56 , 58 , 59 , 62 , 63 , 65 , 69 - 73 , 75 - 77 ]. The other 2 groups contain pre-post-test comparative studies [ 21 , 40 , 60 , 61 , 70 , 71 , 75 , 76 ] and studies comparing intervention and control groups [ 30 , 31 , 36 , 44 , 46 , 47 , 52 , 54 , 57 , 64 , 66 - 68 , 74 ]. The results of 7 mixed methods studies were divided and categorized according to the groups they best matched with [ 21 , 40 , 47 , 70 , 71 , 75 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, the population demographics varied; most studies included a broad range of patients (eg, patients in hospitals [ 30 , 34 , 60 , 72 , 76 ] or in primary care [ 21 , 32 , 42 - 46 , 48 , 49 , 54 , 57 , 58 , 63 ]). Other studies focused on specific patient groups, like cancer patients [ 30 , 37 , 50 , 59 , 62 , 75 ], cardiac patients [ 40 , 66 , 74 ], chronically ill patients [ 31 , 64 , 71 ], HIV-positive patients [ 36 , 57 ], psychiatric patients [ 35 , 39 , 70 ], gynecologic patients [ 67 , 68 , 73 ], and veterans [ 35 , 36 , 39 , 55 , 56 , 69 , 77 ]. Ten studies investigated experiences of both patients and their care providers [ 21 , 32 , 34 , 40 , 51 , 57 , 58 , 60 , 70 , 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…Apart from record-access, the most common functionalities of the PAEHRs were “electronic messaging” [ 33 , 36 , 37 , 40 , 51 , 55 , 56 , 64 - 66 , 68 - 70 , 72 , 74 , 76 ] and the possibility to add or edit health information [ 31 , 34 , 54 - 56 , 58 , 62 , 65 , 70 , 72 , 74 , 75 ]. Six studies investigated a so-called active PAEHR that sent patients “personalized health messages” [ 31 , 34 , 58 , 63 , 67 , 68 ].…”

Section: Resultsmentioning

confidence: 99%

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How the Use of a Patient-Accessible Health Record Contributes to Patient-Centered Care: Scoping Review

Benjamins¹,

Haveman‐Nies²,

Gunnink³

et al. 2021

J Med Internet Res

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Background Worldwide, patient-centered care is becoming a widely used concept in medical practice, getting more and more attention because of its proven ability to improve quality of care and reduce costs. Although several studies show that patient-accessible electronic health records (PAEHRs) influence certain aspects of patient-centered care, the possible contribution of PAEHR implementation to patient-centered care as a comprehensive concept has not, to our knowledge, been structurally evaluated to date. Objective The objective of this study is to review whether and how the use of PAEHRs contributes to patient-centered care both in general and among specific population groups. Methods We followed PRISMA Extension for Scoping Reviews reporting guidelines. We identified literature in 5 databases, using the terms “patient-accessible medical records,” “patient experiences,” and “professional experiences” as key concepts. A total of 49 articles were included and analyzed with a charting code list containing 10 elements of patient-centered care. Results Studies were diverse in design, country of origin, functionalities of the investigated PAEHR, and target population. Participants in all studies were adults. Most studies reported positive influence of PAEHR use on patient-centered care; patient accessible health records were appreciated for their opportunity to empower patients, inform patients about their health, and involve patients in their own care. There were mixed results for the extent to which PAEHRs affected the relation between patients and clinicians. Professionals and patients in mental health care held opposing views concerning the impact of transparency, where professionals appeared more worried about potential negative impact of PAEHRs on the patient-clinician relationship. Their worries seemed to be influenced by a reluctant attitude toward patient-centered care. Disadvantaged groups appeared to have less access to and make less use of patient-accessible records than the average population but experienced more benefits than the average population when they actually used PAEHRs. Conclusions The review indicates that PAEHRs bear the potential to positively contribute to patient-centered care. However, concerns from professionals about the impact of transparency on the patient-clinician relationship as well as the importance of a patient-centered attitude need to be addressed. Potentially significant benefits for disadvantaged groups will be achieved only through easily accessible and user-friendly PAEHRs.

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Evaluating the Effect of Web-Based Iranian Diabetic Personal Health Record App on Self-Care Status and Clinical Indicators: Randomized Controlled Trial

Cited by 15 publications

References 46 publications

Patients’ perceptions of patient–provider communication and diabetes care: A systematic review of quantitative and qualitative studies

Patients’ perceptions of patient–provider communication and diabetes care: A systematic review of quantitative and qualitative studies

Consumer Adoption of Personal Health Record Systems: A Self-Determination Theory Perspective

How the Use of a Patient-Accessible Health Record Contributes to Patient-Centered Care: Scoping Review

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