scholarly journals ELECTRONIC PERSONAL HEALTH RECORD USE AMONG ELDERLY CANCER SURVIVORS AND NON-CANCER SURVIVORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S325-S325
Author(s):  
Yan Luo
Keyword(s):  
Social Support ◽  
Cancer Survivors ◽  
Health Care Providers ◽  
Personal Health Record ◽  
Behavioral Model ◽  
The Elderly ◽  
Personal Health ◽  
Care Providers ◽  
Health Services Use ◽  
Enabling Factors

Abstract Background Electronic personal health records (ePHRs) are potential tools to improve clinical outcomes through increasing patients’ self-management. Although elderly people, especially elderly cancer survivors, is a growing population who can benefit from ePHRs, little is known about its utilization among the elderly, particularly among those diagnosed with cancer. Objective By applying Anderson’s Behavioral Model of Health Services Use, this study aims to examine and compare the associated factors with ePHRs use among elderly cancer survivors and non-cancer survivors. Methods The data collected from the 2018 Health Information National Trends Survey (HINTS) was analyzed. The level of access to ePHRs among the elderly were assessed. Predictors of ePHRs use among elderly cancer survivors and non-cancer survivors were compared by conducting multiple linear regression. According to Anderson’s Model, predisposing factors, enabling factors, and need factors were included in the statistical model. Results The overall use of ePHRs remained low among 577 participants (mean = .87, SD = 1.72, range from 0 to 4). Non-Cancer survivors reported lower ePHRs use (mean = .83, SD = 1.77, range from 0 to 4). Race/ethnicity, education, regular health care providers, health insurance, social support, and medical conditions were associated with ePHRs use among non-cancer survivors, while age, gender, social support, and self-reported health status were related to ePHRs use among cancer survivors. Conclusion This study suggests additional efforts to increase ePHRs utilization among the elderly, especially the elderly cancer survivors. The predictive findings reported in this study will contribute valuable implications to enhance the ePHRs use.

scholarly journals Use and Effects of Patient Access to Medical Records in General Practice Through a Personal Health Record in the Netherlands: Protocol for a Mixed-Methods Study

10.2196/10193 ◽  
2018 ◽  
Vol 7 (9) ◽  
pp. e10193 ◽  
Author(s):  
Maria MT Vreugdenhil ◽  
Rudolf B Kool ◽  
Kees van Boven ◽  
Willem JJ Assendelft ◽  
Jan AM Kremer
Keyword(s):  
Health Care ◽  
General Practice ◽  
Health Care Providers ◽  
Personal Health Record ◽  
Mixed Methods Study ◽  
Personal Health ◽  
Care Providers ◽  
Group Discussions ◽  
Web Based ◽  
Staff Level

Background In the Dutch health care system, general practitioners hold a central position. They store information from all health care providers who are involved with their patients in their electronic health records. Web-based access to the summary record in general practice through a personal health record (PHR) may increase patients’ insight into their medical conditions and help them to be involved in their care. Objective We describe the protocol that we will use to investigate the utilization of patients’ digital access to the summary of their medical records in general practice through a PHR and its effects on the involvement of patients in their care. Methods We will conduct a multilevel mixed-methods study in which the PHR and Web-based access to the summary record will be offered for 6 months to a random sample of 500 polypharmacy patients, 500 parents of children aged <4 years, and 500 adults who do not belong to the former two groups. At the patient level, a controlled before-after study will be conducted using surveys, and concurrently, qualitative data will be collected from focus group discussions, think-aloud observations, and semistructured interviews. At the general practice staff (GP staff) level, focus group discussions will be conducted at baseline and Q-methodology inquiries at the end of the study period. The primary outcomes at the patient level are barriers and facilitators for using the PHR and summary records and changes in taking an active role in decision making and care management and medication adherence. Outcomes at the GP staff level are attitudes before and opinions after the implementation of the intervention. Patient characteristics and changes in outcomes related to patient involvement during the study period will be compared between the users and nonusers of the intervention using chi-square tests and t tests. A thematic content analysis of the qualitative data will be performed, and the results will be used to interpret quantitative findings. Results Enrollment was completed in May 2017 and the possibility to view GP records through the PHR was implemented in December 2017. Data analysis is currently underway and the first results are expected to be submitted for publication in autumn 2019. Conclusions We expect that the findings of this study will be useful to health care providers and health care organizations that consider introducing the use of PHR and Web-based access to records and to those who have recently started using these. Trial Registration Netherlands Trial Registry NTR6395; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=6395 (Archived by WebCite at http://www.webcitation.org/71nc8jzwM) Registered Report Identifier RR1-10.2196/10193

Predictive Factors of Hospice Use Among Blacks

2011 ◽  
Vol 29 (5) ◽  
pp. 368-374 ◽  
Author(s):  
Norma E. Conner
Keyword(s):  
Health Care Providers ◽  
Religious Affiliation ◽  
Behavioral Model ◽  
Care Providers ◽  
Health Services Use ◽  
Chi Square ◽  
Disease Trajectory ◽  
Hospice Use ◽  
Outpatient Settings ◽  
Differential Ability

The purpose of this prospective, correlational study was to examine the differential ability of demographic variables, beliefs, and values about end-of-life, spirituality, and social relationships to predict hospice use among blacks. The framework for this study was the Behavioral Model of Health Services Use. Data were collected from 104 terminally ill black men and women recruited from 6 inpatient and outpatient settings. Only 34% of the individuals participated in hospice services. Chi-square, sequential, and stepwise logistic regressions revealed that the best predictive model consisted of presence of a caregiver, having a religious affiliation, and male gender. Together these factors predicted 13.7% to 19% of hospice use among blacks. Health care providers can use these findings in planning care for patients early in their disease trajectory.

scholarly journals Designing for the Co-Use of Consumer Health Technology in Self-Management of Adolescent Overweight and Obesity: Mixed Methods Qualitative Study

10.2196/18391 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e18391
Author(s):  
Cynthia M LeRouge ◽  
Hyeyoung Hah ◽  
Gloria J Deckard ◽  
Haoqiang Jiang
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Providers ◽  
Overweight And Obesity ◽  
Self Management ◽  
Consumer Health ◽  
Care Providers ◽  
Enabling Factors ◽  
Support Tool ◽  
Design Requirements

Background Overweight and obesity in adolescents has reached epidemic proportions in the United States. Consumer health technology (CHT) can serve as a behavioral and social support tool for the management of overweight in adolescence. Recognizing CHT as a social support tool during design enables input from multiple stakeholders who engage in shared co-use to reinforce and empower adolescents in their self-management efforts. Objective This study aimed to explore design requirements and enabling factors for the use of CHT as a social support tool for patients (as primary users) and parents and health care providers (as co-users). Our model incorporates key components of the unified theory of acceptance and use of technology (UTAUT) within the framework of the obesity care model (OCM) by recognizing patient self-management as the central process with the influence of their care support network on CHT use and outcomes. Methods This study was part of a larger two-staged usability study combining focus group, semistructured interviews, and usability walkthroughs of CHT mockups from adolescents (BMI in the 85th-99th percentile range), parents, and physicians. In phase 1, 48 adolescents between the ages of 12 and 17 years, 10 of their parents, and 6 health care providers participated in identifying design requirements and enabling factors for the use of a potential CHT. In phase 2, 70 adolescents and 10 health care providers evaluated the CHT mockups and indicated enabling factors and willingness to use the proposed CHT. Results Our qualitative analysis identified adolescents’ intention for the use of CHT in alignment with UTAUT elements of performance expectancy, effort expectancy, and facilitating conditions. Our reconceptualization of social influence identified the expectations and envisioned roles of parents and health care providers as co-users and influencing factors on the co-use of CHT in managing overweight in adolescence. Parents were expected to monitor, to provide guidance and motivation, and to suggest modifications in daily habits, for example, recipes and meals, whereas health care providers were expected to encourage and monitor progress in a clinical setting. These expected roles and co-use patterns were congruent among all 3 stakeholders; the co-use of CHT was desired to be minimally invasive for parents and health care providers and controlled by the adolescents. Conclusions Our study integrates and extends the perspectives of 2 seminal models to explore design features and social influence roles for the successful user-centered design of CHT for weight self-management in adolescents. Although the co-users (ie, adolescents, parents, health care providers) suggested differing features consistent with their roles, role definitions were congruent. All users recognized the adolescent as the primary user with differential, supportive use from parents and health care providers. This multistakeholder approach can guide successful CHT design that reinforces the collective perspective of self-management.

scholarly journals Designing for the Co-Use of Consumer Health Technology in Self-Management of Adolescent Overweight and Obesity: Mixed Methods Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Cynthia M LeRouge ◽  
Hyeyoung Hah ◽  
Gloria J Deckard ◽  
Haoqiang Jiang
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Providers ◽  
Overweight And Obesity ◽  
Self Management ◽  
Consumer Health ◽  
Care Providers ◽  
Enabling Factors ◽  
Support Tool ◽  
Design Requirements

BACKGROUND Overweight and obesity in adolescents has reached epidemic proportions in the United States. Consumer health technology (CHT) can serve as a behavioral and social support tool for the management of overweight in adolescence. Recognizing CHT as a social support tool during design enables input from multiple stakeholders who engage in shared co-use to reinforce and empower adolescents in their self-management efforts. OBJECTIVE This study aimed to explore design requirements and enabling factors for the use of CHT as a social support tool for patients (as primary users) and parents and health care providers (as co-users). Our model incorporates key components of the unified theory of acceptance and use of technology (UTAUT) within the framework of the obesity care model (OCM) by recognizing patient self-management as the central process with the influence of their care support network on CHT use and outcomes. METHODS This study was part of a larger two-staged usability study combining focus group, semistructured interviews, and usability walkthroughs of CHT mockups from adolescents (BMI in the 85th-99th percentile range), parents, and physicians. In phase 1, 48 adolescents between the ages of 12 and 17 years, 10 of their parents, and 6 health care providers participated in identifying design requirements and enabling factors for the use of a potential CHT. In phase 2, 70 adolescents and 10 health care providers evaluated the CHT mockups and indicated enabling factors and willingness to use the proposed CHT. RESULTS Our qualitative analysis identified adolescents’ intention for the use of CHT in alignment with UTAUT elements of performance expectancy, effort expectancy, and facilitating conditions. Our reconceptualization of social influence identified the expectations and envisioned roles of parents and health care providers as co-users and influencing factors on the co-use of CHT in managing overweight in adolescence. Parents were expected to monitor, to provide guidance and motivation, and to suggest modifications in daily habits, for example, recipes and meals, whereas health care providers were expected to encourage and monitor progress in a clinical setting. These expected roles and co-use patterns were congruent among all 3 stakeholders; the co-use of CHT was desired to be minimally invasive for parents and health care providers and controlled by the adolescents. CONCLUSIONS Our study integrates and extends the perspectives of 2 seminal models to explore design features and social influence roles for the successful user-centered design of CHT for weight self-management in adolescents. Although the co-users (ie, adolescents, parents, health care providers) suggested differing features consistent with their roles, role definitions were congruent. All users recognized the adolescent as the primary user with differential, supportive use from parents and health care providers. This multistakeholder approach can guide successful CHT design that reinforces the collective perspective of self-management.

scholarly journals Relationship of Perceived Social Support With the Activities of Daily Living in Older Adults Living in Rural Communities in Iran

Salmand ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. 350-365
Author(s):  
Fatemeh Jokar ◽  
◽  
Abdol Rahim Asadollahi ◽  
ohammad Hossein Kaveh ◽  
Leila Ghahramani ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Rural Communities ◽  
Health Care Providers ◽  
Perceived Social Support ◽  
The Elderly ◽  
Care Providers ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

Objectives: The increasing trend in aging population raises the need to pay attention to the daily activities of the elderly and their social support as an effective factor in promoting their health. This study aims to investigate the correlation of perceived social support and demographic variables with the Activities of Daily Living (ADL) in older adults living in rural communities in Iran. Methods & Materials: This is a descriptive-analytical study with cross-sectional design conducted on 430 elderly people aged ≥60 years living in a rural community in Iran (Bayza county located 45 km away from Shiraz city) who were selected using a convenience sampling method. Procidano & Heller’s Perceived Social Support - Family Scale (PSS-Fa) and the ADL scale for the elderly were used for data collection. The ADL questionnaire’s internal consistency by calculating Cronbach’s alpha coefficient was obtained 0.96. The PSS-Fa with a Cronbach’s alpha coefficient ranging from 0.88 to 0.91 has acceptable internal consistency. The reliability of its Persian version using Cronbach’s alpha coefficient was obtained 87%. Data were analyzed in SPSS V. 25 software using multivariate ANOVA and regression analysis. Results: The mean±SD age of the participants was 69.67±7.067 years. The mean score of PSS-Fa and the ADL scale was reported 16.55± 5.16 and 55.10±3.07, respectively. Perceived social support, education and age had significant effect correlation with the ability to perform ADL in the elderly (P<0.001), while marital status and gender showed no significant correlation (P>0.05). The age factor was inversely correlated with the ability to perform ADL; hence, the independence of older adults decreases with the increase of age. Conclusion: Many demographic variables and social support affect the ability to perform ADL in the elderly. Social support can be used as a social investment to improve the quality of life of the elderly. Therefore, considering that one of the duties of health care providers is to improve the health status of the elderly, it is necessary for health care providers to increase social support and maintain and promote a healthy and active life for them through educational programs and periodic physical examinations.

scholarly journals Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context

2020 ◽  
Vol 6 ◽  
pp. 237796082098178
Author(s):  
Sumana Lama ◽  
Jintana Damkliang ◽  
Luppana Kitrungrote
Keyword(s):  
Social Support ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Providers ◽  
Physical Environment ◽  
Community Integration ◽  
Sampling Technique ◽  
Care Providers ◽  
Related Factors ◽  
High Level

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

scholarly journals Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş
Keyword(s):  
Health Care Providers ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cluster Sampling ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

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