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

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

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...

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Bibliographic Details
Published in:Journal of diabetes research Vol. 2016; no. 2016; pp. 1 - 9
Main Authors: Snoek, Frank J., Hendriks, S. H., Roelofsen, Y., Sieverink, F., de Wit, Maartje, van Vugt, M., Bilo, Henk J. G.
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Publishing Corporation 01-01-2016
Hindawi Limited
Subjects:
Activities of daily living
Aged
Attitude to Computers
Blood pressure
Coaching
Consent
Decision making
Diabetes
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - therapy
Empowerment
Feedback, Psychological
Female
Health Records, Personal
Health Status
Humans
Male
Mental Health
Middle Aged
Motivation
Netherlands
Objectives
Patient Acceptance of Health Care
Patient compliance
Patient Participation
Patient-Centered Care
Personal health
Primary care
Primary Health Care
Self Care
Studies
Time Factors
Treatment Outcome
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Summary: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.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Feature-3
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Academic Editor: Giancarlo Mauri
ISSN:2314-6745
2314-6753
DOI:10.1155/2016/5027356