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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Main Authors: M. van Vugt, M. de Wit, F. Sieverink, Y. Roelofsen, S. H. Hendriks, H. J. G. Bilo, F. J. Snoek
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/5027356
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author M. van Vugt
M. de Wit
F. Sieverink
Y. Roelofsen
S. H. Hendriks
H. J. G. Bilo
F. J. Snoek
author_facet M. van Vugt
M. de Wit
F. Sieverink
Y. Roelofsen
S. H. Hendriks
H. J. G. Bilo
F. J. Snoek
author_sort M. van Vugt
collection DOAJ
description 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.
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spelling doaj-art-df59e23334c84aa680cb2942e651a6a82025-08-20T03:26:25ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/50273565027356Uptake and Effects of the e-Vita Personal Health Record with Self-Management Support and Coaching, for Type 2 Diabetes Patients Treated in Primary CareM. van Vugt0M. de Wit1F. Sieverink2Y. Roelofsen3S. H. Hendriks4H. J. G. Bilo5F. J. Snoek6Department of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, NetherlandsDepartment of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, NetherlandsCentre for eHealth and Wellbeing Research, University of Twente, 7522 NB Enschede, NetherlandsDiabetes Centre, Isala, 8025 AB Zwolle, NetherlandsDiabetes Centre, Isala, 8025 AB Zwolle, NetherlandsDiabetes Centre, Isala, 8025 AB Zwolle, NetherlandsDepartment of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, NetherlandsWe 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.http://dx.doi.org/10.1155/2016/5027356
spellingShingle M. van Vugt
M. de Wit
F. Sieverink
Y. Roelofsen
S. H. Hendriks
H. J. G. Bilo
F. J. Snoek
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
Journal of Diabetes Research
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url http://dx.doi.org/10.1155/2016/5027356
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