title: Perceptions of predisposing, enabling, and reinforcing factors influencing the use of a continuity of care document in special needs PLWH.
abstract: The provision of personal health information through electronic personal health management tools (EPHMT) has the potential to improve health outcomes. However, little is known about factors that affect EPHMT use in special needs people living with HIV/AIDS (PLWH). The purpose of this study was to describe PLWH perceptions of predisposing, enabling, and reinforcing factors affecting use of one type of EPHMT, a continuity of care document (CCD). Data were collected through focus groups and qualitative interviews with PLWH (n=35), health care providers (N=19) and care site managers (N=5). All participant types identified predisposing barriers to CCD use including literacy, privacy, and technology access and enabling factors to promote CCD use including user support and password simplicity. People living with HIV/AIDS also identified reinforcing factors for recurring CCD use including emergent situations and reducing test redundancy. Results inform methods to promote use of the CCD and other EPHMT by special needs PLWH.
authors.affiliation: Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Odlum
authors.forename: Peter
authors.initials: P
authors.lastname: Gordon
authors.forename: Eli
authors.initials: E
authors.lastname: Camhi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Schnall
authors.forename: Paul
authors.initials: P
authors.lastname: Teixeira
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bakken
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000458:organization & administration / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009519:New York City; D010353:Patient Education as Topic / Q000379:methods / Q000458:organization & administration; D035862:Vulnerable Populations