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

الملخص EN

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.