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.
abstract: 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.
authors.affiliation: Department of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van Vugt
authors.affiliation: Department of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: de Wit
authors.affiliation: Centre for eHealth and Wellbeing Research, University of Twente, 7522 NB Enschede, Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Sieverink
authors.affiliation: Diabetes Centre, Isala, 8025 AB Zwolle, Netherlands.
authors.forename: Y
authors.initials: Y
authors.lastname: Roelofsen
authors.affiliation: Diabetes Centre, Isala, 8025 AB Zwolle, Netherlands.
authors.forename: S H
authors.initials: SH
authors.lastname: Hendriks
authors.affiliation: Diabetes Centre, Isala, 8025 AB Zwolle, Netherlands; Department of Internal Medicine, University of Groningen and University Medical Center Groningen, 9713 GZ Groningen, Netherlands.
authors.forename: H J G
authors.initials: HJ
authors.lastname: Bilo
authors.affiliation: Department of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; Department of Medical Psychology, Academic Medical Center, 1105 AZ Amsterdam, Netherlands.
authors.forename: F J
authors.initials: FJ
authors.lastname: Snoek
mesh_terms: D000368:Aged; D001292:Attitude to Computers; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy*; D030141:Feedback, Psychological; D005260:Female; D055991:Health Records, Personal; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009042:Motivation; D009426:Netherlands; D010342:Patient Acceptance of Health Care; D010358:Patient Participation; D018802:Patient-Centered Care; D011320:Primary Health Care; D012648:Self Care; D013997:Time Factors; D016896:Treatment Outcome