title: Ophthalmic patients' utilization of technology and social media: an assessment to improve quality of care.
abstract: BACKGROUND
  E-health tools have the potential to improve the quality of care for ophthalmic patients, many of whom have chronic conditions. However, little research has assessed ophthalmic patients' use or acceptance of technological devices and social media platforms for health-related purposes. The present study evaluated utilization of technological devices and social media platforms by eye clinic patients, as well as their willingness to receive health reminders through these technologies.
  
  
  METHODS
  A 31-item paper questionnaire was administered to eye clinic patients (n=843) at an urban, tertiary-care center. Questions focused on technology ownership, comfort levels, frequency of use, and preferences for receiving health reminders. Demographic data were also recorded.
  
  
  RESULTS
  Eye clinic patients most commonly owned cellular phones (90%), landline phones (81%), and computers (80%). Overall, eye clinic patients preferred to receive health reminders through phone calls and e-mail and used these technologies frequently and with a high level of comfort. Less than 3% of patients preferred using social networking to receive health reminders. In addition, age was significantly associated with technology ownership, comfort level, and frequency of use (p<0.05). The majority of patients 18-45 years of age preferred to receive appointment reminders via text message (57%) and e-mail (53%). This age group also used these technologies more frequently and with a higher comfort level (p<0.001).
  
  
  CONCLUSIONS
  These data support the proposal that e-mail and text-messaging e-health tools are likely to be immediately adopted by eye clinic patients and therefore have the greatest potential to improve health outcomes and increase quality of care. Eye clinic patients are interested in these technologies for appointment reminders, general eye and vision health information, asking urgent medical questions, and requesting prescription refills. Future controlled trials could further explore the efficacy of e-health tools for these purposes.
authors.affiliation: 1 Wills Eye Hospital , Philadelphia, Pennsylvania.
authors.forename: Chelsea L
authors.initials: CL
authors.lastname: Aleo
authors.forename: Lisa
authors.initials: L
authors.lastname: Hark
authors.forename: Benjamin
authors.initials: B
authors.lastname: Leiby
authors.forename: Yang
authors.initials: Y
authors.lastname: Dai
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.forename: Patricia
authors.initials: P
authors.lastname: Martinez
authors.forename: Julia A
authors.initials: JA
authors.lastname: Haller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005128:Eye Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008838:Microcomputers / Q000706:statistics & numerical data*; D008875:Middle Aged; D058996:Quality Improvement; D017010:Reminder Systems; D061108:Social Media / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013689:Telephone / Q000706:statistics & numerical data*; D014505:Urban Population
keywords: e-health; mobile health; ophthalmology; technology; telemedicine