title: Implementing health information technology in a patient-centered manner: patient experiences with an online evidence-based lifestyle intervention.
abstract: The patient-centered care (PCC) model and the use of health information technology (HIT) are major initiatives for improving U.S. healthcare quality and delivery. A lack of published data on patient perceptions of Internet-based care makes patient-centered implementation of HIT challenging. To help ascertain patients' perceptions of an online intervention, patients completing a 1-year web-based lifestyle intervention were asked to complete a semistructured interview. We used qualitative methodology to determine frequency and types of interview responses. Overall satisfaction with program features was coded on a Likert-type scale. High levels of satisfaction were seen with the online lifestyle coaching (80%), self-monitoring tools (57%), and structured lesson features (54%). Moderated chat sessions and online resources were rarely used. Frequently identified helpful aspects were those that allowed for customized care and shared decision-making consistent with the tenets of PCC. Unhelpful program aspects were reported less often. Findings suggest that despite challenges for communicating effectively in an online forum, the personalized support, high-tech data management capabilities, and easily followed evidence-based curricula afforded by HIT may be a means of providing PCC and improving healthcare delivery and quality.
authors.affiliation: Harborview Medical Center, Seattle, Washington, DC, USA. jrlyden@uw.edu
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Lyden
authors.forename: Susan L
authors.initials: SL
authors.lastname: Zickmund
authors.forename: Tina D
authors.initials: TD
authors.lastname: Bhargava
authors.forename: Cindy L
authors.initials: CL
authors.lastname: Bryce
authors.forename: Molly B
authors.initials: MB
authors.lastname: Conroy
authors.forename: Gary S
authors.initials: GS
authors.lastname: Fischer
authors.forename: Rachel
authors.initials: R
authors.lastname: Hess
authors.forename: Laurey R
authors.initials: LR
authors.lastname: Simkin-Silverman
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: McTigue
mesh_terms: D000328:Adult; D003376:Counseling; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D005260:Female; D006293:Health Promotion; D006801:Humans; D020407:Internet; D008019:Life Style; D008297:Male; D008490:Medical Informatics; D008875:Middle Aged; D009765:Obesity; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D016730:Program Development; D036301:Qualitative Research; D014481:United States
keywords: Internet; health promotion; obesity; patient satisfaction; primary health care