title: Increasing Consumer Engagement by Tailoring a Public Reporting Website on the Quality of Diabetes Care: A Qualitative Study.
abstract: The majority of health care utilization decisions in the United States are made by persons with multiple chronic conditions. Existing public reports of health system quality do not distinguish care for these persons and are often not used by the consumers they aim to reach.
  
  
  
  Our goal was to determine if tailoring quality reports to persons with diabetes mellitus and co-occurring chronic conditions would increase user engagement with a website that publicly reports the quality of diabetes care.
  
  
  
  We adapted an existing consumer-focused public reporting website using adult learning theory to display diabetes quality reports tailored to the user's chronic condition profile. We conducted in-depth cognitive interviews with 20 individuals who either had diabetes and/or cared for someone with diabetes to assess the website. Interviews were audiotaped and transcribed, then analyzed using thematic content analysis.
  
  
  
  Three themes emerged that suggested increased engagement from tailoring the site to a user's chronic conditions: ability to interact, relevance, and feeling empowered to act.
  
  
  
  We conclude that tailoring can be used to improve public reporting sites for individuals with chronic conditions, ultimately allowing consumers to make more informed health care decisions.
authors.affiliation: Health Innovation Program, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.|Department of Population Health Sciences, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.|Department of Family Medicine and Community Health, University of Wisconsin, School of Medicine and Public Health-Madison, Madison, WI, United States.
authors.forename: Maureen A
authors.identifier: 0000-0003-4370-000X
authors.initials: MA
authors.lastname: Smith
authors.affiliation: Health Innovation Program, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.|Department of Population Health Sciences, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.
authors.forename: Lauren
authors.identifier: 0000-0002-2390-7698
authors.initials: L
authors.lastname: Bednarz
authors.affiliation: Health Innovation Program, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.|Department of Population Health Sciences, School of Medicine and Public Health-Madison, University of Wisconsin, Madison, WI, United States.
authors.forename: Peter A
authors.identifier: 0000-0002-1581-1530
authors.initials: PA
authors.lastname: Nordby
authors.affiliation: Department of Health Informatics, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI, United States.|Aurora Research Institute, Aurora Health Care, Milwaukee, WI, United States.
authors.forename: Jennifer
authors.identifier: 0000-0001-8619-2055
authors.initials: J
authors.lastname: Fink
authors.affiliation: Center for Clinical Epidemiology, Marshfield Clinic Research Foundation, Marshfield, WI, United States.
authors.forename: Robert T
authors.identifier: 0000-0002-3656-6757
authors.initials: RT
authors.lastname: Greenlee
authors.affiliation: Department of Educational Psychology, University of Wisconsin-Madison, Madison, WI, United States.
authors.forename: Daniel
authors.identifier: 0000-0001-7593-4439
authors.initials: D
authors.lastname: Bolt
authors.affiliation: Department of Family and Community Medicine, University of California, Davis, Sacramento, CA, United States.
authors.forename: Elizabeth M
authors.identifier: 0000-0002-7312-6494
authors.initials: EM
authors.lastname: Magnan
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D036301:Qualitative Research; D011787:Quality of Health Care; D014481:United States
keywords: chronic conditions; diabetes; patient engagement; public reports