title: Differences Between Patients With Type 2 Diabetes Mellitus Interested and Uninterested in the Use of a Patient Platform (e-VitaDM-2/ZODIAC-41).
abstract: The prevalence of type 2 diabetes mellitus (T2DM) is rising in the Netherlands, and health care's workload will increase. e-Health applications may increase patients' participation in their care and could help reducing workload. To explore potential users, differences in patients interested and uninterested in e-Health are characterized. A prospective cohort study was initiated in the Drenthe region of the Netherlands. This study included inviting T2DM patients to use e-Health (the e-Vita platform). Patients were offered access to clinical data, laboratory results, educational modules, and a self-management support program. Data were obtained from health record systems of general practices and questionnaires. Out of 2674 patients, 1378 (51.5%) participated in the study. Of the 1378 patients, 974 (70.7%) were interested in e-Health. Of 974, 405 (41.6%) were registered for e-Health. Interested patients were more often male, were younger, had shorter T2DM duration, and were higher educated. Of 405, 110 (27.2%) used the e-Health. No differences were found between users and nonusers of e-Health. Patients interested in e-Health were more often male, were younger, had shorter T2DM duration, and were more often higher educated. However, even in this interested group, the actual participation rate remained low. Together with characteristics and attitudes of caregivers and T2DM patients, the look and content of the e-Health platform strategies that increase interest and participation need to be developed.
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands y.roelofsen@isala.nl.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Roelofsen
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Hendriks
authors.affiliation: Center for eHealth Research and Disease Management, Department of Psychology, Health and Technology, University of Twente, Enschede, the Netherlands.
authors.forename: Floor
authors.initials: F
authors.lastname: Sieverink
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands.
authors.forename: Gijs W D
authors.initials: GW
authors.lastname: Landman
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands University Medical Center Groningen, Department of General Practice, Groningen, the Netherlands.
authors.forename: Klaas H
authors.initials: KH
authors.lastname: Groenier
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands University of Groningen and University Medical Center Groningen, Department of Internal Medicine, Groningen, the Netherlands.
authors.forename: Henk J G
authors.initials: HJ
authors.lastname: Bilo
authors.affiliation: Diabetes Centre, Isala, Zwolle, the Netherlands University of Groningen and University Medical Center Groningen, Department of Internal Medicine, Groningen, the Netherlands Langerhans Medical Research Group, Zwolle, the Netherlands.
authors.forename: Nanne
authors.initials: N
authors.lastname: Kleefstra
keywords: patient web portal; self-management; type 2 diabetes mellitus; users