title: Engaging Patients in Online Self-Care Technologies for Chronic Disease Management.
abstract: A common perception is that the use of Internet-based self-care systems is best suited for a younger, tech-proficient population, and that these systems will increase the burden on patients with complex chronic conditions. The study stratified patients with diabetes into three regimens of use of an Internet-based diabetes self-care portal. Results show that patients were more likely to adhere to a diurnal regimen than a variable regimen, and older patients, over the age of 60, were more adherent than younger patients, regardless of regimen. This suggests that common misconceptions should be reconsidered when prescribing Internet-based interventions for patients with chronic illness.
authors.affiliation: Biomedical a biomedical engineer and healthcare system specialist. A former member of the Personal Health Information Technology team at the Centre for Global eHealth Innovation, Peter is now Interoperability Lead with the Clinical Systems Integration team at Canada Health Infoway.
authors.forename: Peter
authors.initials: P
authors.lastname: Picton
authors.affiliation: Senior Director of Transformational Education and Academic Advancement at the Centre for Addiction and Mental Health in Toronto, Ontario, and an Associate Professor in the Department of Psychiatry and the Institute of Health Policy, Management and Evaluation at the University of Toronto.
authors.forename: David
authors.initials: D
authors.lastname: Wiljer
authors.affiliation: Assistant Professor in the Institute of Health Policy, Management and Evaluation and the Department of Psychiatry at the University of Toronto, and also a Program Manager at Cancer Care Ontario, in Toronto, Ontario.
authors.forename: Sara
authors.initials: S
authors.lastname: Urowitz
authors.affiliation: Leads the Centre for Global eHealth Innovation and Techna Institute, University Health Network, and is an Associate Professor for the Institute of Health Policy, Management and Evaluation and the Institute of Biomaterials and Biomedical Engineering, Faculty of Medicine, University of Toronto, in Toronto, Ontario.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Cafazzo
mesh_terms: D000328:Adult; D000367:Age Factors; D002908:Chronic Disease / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009864:Ontario; D010349:Patient Compliance; D012648:Self Care / Q000379:methods*; D017216:Telemedicine