A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic
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Mendeley | Further Information

{"title"=>"A cross-sectional study of barriers to personal health record use among patients attending a safety-net clinic", "type"=>"journal", "authors"=>[{"first_name"=>"Joan F.", "last_name"=>"Hilton", "scopus_author_id"=>"7201843777"}, {"first_name"=>"Lynsey", "last_name"=>"Barkoff", "scopus_author_id"=>"55022694100"}, {"first_name"=>"Olivia", "last_name"=>"Chang", "scopus_author_id"=>"55021975900"}, {"first_name"=>"Lindsay", "last_name"=>"Halperin", "scopus_author_id"=>"55021760100"}, {"first_name"=>"Neda", "last_name"=>"Ratanawongsa", "scopus_author_id"=>"12763155000"}, {"first_name"=>"Urmimala", "last_name"=>"Sarkar", "scopus_author_id"=>"14049041000"}, {"first_name"=>"Yan", "last_name"=>"Leykin", "scopus_author_id"=>"16401973900"}, {"first_name"=>"Ricardo F.", "last_name"=>"Muñoz", "scopus_author_id"=>"7202035926"}, {"first_name"=>"David H.", "last_name"=>"Thom", "scopus_author_id"=>"7006301567"}, {"first_name"=>"James S.", "last_name"=>"Kahn", "scopus_author_id"=>"35406031400"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"364311928", "sgr"=>"84857428803", "issn"=>"19326203", "pmid"=>"22363761", "scopus"=>"2-s2.0-84857428803", "doi"=>"10.1371/journal.pone.0031888", "isbn"=>"1932-6203"}, "id"=>"986e95f3-0fdc-34f9-ae8e-8ff772a7811a", "abstract"=>"BACKGROUND: Personal health records (PHR) may improve patients' health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barrier to engagement with web-based health information, as measured by consent to participate in a trial that provided access to personal (PHR) or general (non-PHR) health information portals and by completion of baseline study surveys posted there. METHODS: Participants were individually trained to access and navigate individualized online accounts and to complete study surveys. In response to need, during accrual months 4 to 12 we enhanced participant training to encourage survey completion with the help of staff. Using logistic regression models, we estimated odds ratios for study participation and for survey completion by combined MH/SU status, adjusted for levels of computer competency, on-study training, and demographics. RESULTS: Among 2,871 clinic patients, 70% had MH/SU conditions, with depression (38%) and methamphetamine use (17%) most commonly documented. Middle-aged patients and those with a MH/SU condition were over-represented among study participants (N = 338). Survey completion was statistically independent of MH/SU status (OR, 1.85 [95% CI, 0.93-3.66]) but tended to be higher among those with MH/SU conditions. Completion rates were low among beginner computer users, regardless of training level (<50%), but adequate among advanced users (>70%). CONCLUSIONS: Among patients attending a safety-net clinic, MH/SU conditions were not barriers to engagement with web-based health information. Instead, level of computer competency was useful for identifying individuals requiring substantial computer training in order to fully participate in the study. Intensive on-study training was insufficient to enable beginner computer users to complete study surveys.", "link"=>"http://www.mendeley.com/research/crosssectional-study-barriers-personal-health-record-among-patients-attending-safetynet-clinic", "reader_count"=>36, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Librarian"=>1, "Student > Doctoral Student"=>3, "Researcher"=>8, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>9, "Other"=>1, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Librarian"=>1, "Student > Doctoral Student"=>3, "Researcher"=>8, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>9, "Other"=>1, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>1, "Unspecified"=>2, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>8, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>1, "Business, Management and Accounting"=>2, "Sports and Recreations"=>1, "Psychology"=>3, "Social Sciences"=>6, "Computer Science"=>7}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>8}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>6}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>7}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"United States"=>2, "United Kingdom"=>2, "Germany"=>1}, "group_count"=>7}

Scopus | Further Information

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Relative Metric

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