title: Understanding patients' health and technology attitudes for tailoring self-management interventions.
abstract: Healthcare providers are moving towards tailoring self-management interventions to include the communication technologies patients use in daily life. Accurate understanding of patients' attitudes towards both technology and involvement in managing chronic conditions will be critical for informing effective self-management strategies. The tailoring of these interventions, however, could be undermined by providers' implicit biases based on patient age, race, and education level that have been shown to negatively affect care. To inform the design and tailoring of self-management interventions, we elicited attitudes toward technology use and participation in care of 40 participants in a maximum variation sample. The analysis revealed three participant clusters-"Proactive Techies," "Indie Self-Managers," and "Remind Me! Non-Techies"-that represent varying attitudes toward health behaviors and technologies that were independent of race, education level, and age. Our approach provides insight into how people prioritize important values related to health participation and technology.
authors.affiliation: University of Washington, Seattle, WA;
authors.forename: Katie
authors.initials: K
authors.lastname: O'Leary
authors.affiliation: University of Washington, Seattle, WA;
authors.forename: Lisa
authors.initials: L
authors.lastname: Vizer
authors.affiliation: University of Washington, Seattle, WA;
authors.forename: Jordan
authors.initials: J
authors.lastname: Eschler
authors.affiliation: Group Health Research Institute, Seattle, WA.
authors.forename: James
authors.initials: J
authors.lastname: Ralston
authors.affiliation: University of Washington, Seattle, WA;
authors.forename: Wanda
authors.initials: W
authors.lastname: Pratt
mesh_terms: D001290:Attitude; D001292:Attitude to Computers; D001294:Attitude to Health; D002908:Chronic Disease; D003197:Computer Literacy; D015438:Health Behavior; D006801:Humans; D012648:Self Care; D000073278:Self-Management