Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study

dc.contributor.authorToscos, Tammy
dc.contributor.authorDaley, Carly
dc.contributor.authorHeral, Lisa
dc.contributor.authorDoshi, Riddhi
dc.contributor.authorChen, Yu-Chieh
dc.contributor.authorEckert, George J.
dc.contributor.authorPlant, Robert L.
dc.contributor.authorMirro, Michael J.
dc.contributor.departmentBiostatistics, School of Public Healthen_US
dc.date.accessioned2022-05-10T13:55:38Z
dc.date.available2022-05-10T13:55:38Z
dc.date.issued2016-01
dc.description.abstractObjectives: To determine the impact of tethered personal health record (PHR) use on patient engagement and intermediate health outcomes among patients with coronary artery disease (CAD). Methods: Adult CAD patients (N = 200) were enrolled in this prospective, quasi-experimental observational study. Each patient received a PHR account and training on its use. PHRs were populated with information from patient electronic medical records, hosted by a Health Information Exchange. Intermediate health outcomes including blood pressure, body mass index, and hemoglobin A1c (HbA1c) were evaluated through electronic medical record review or laboratory tests. Trends in patient activation measure® (PAM) were determined through three surveys conducted at baseline, 6 and 12 months. Frequency of PHR use data was collected and used to classify participants into groups for analysis: Low, Active, and Super users. Results: There was no statistically significant improvement in patient engagement as measured by PAM scores during the study period. HbA1c levels improved significantly in the Active and Super user groups at 6 months; however, no other health outcome measures improved significantly. Higher PAM scores were associated with lower body mass index and lower HbA1c, but there was no association between changes in PAM scores and changes in health outcomes. Use of the PHR health diary increased significantly following PHR education offered at the 6-month study visit and an elective group refresher course. Conclusions: The study findings show that PHR use had minimal impact on intermediate health outcomes and no significant impact on patient engagement among CAD patients.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationToscos T, Daley C, Heral L, et al. Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study. J Am Med Inform Assoc. 2016;23(1):119-128. doi:10.1093/jamia/ocv164en_US
dc.identifier.urihttps://hdl.handle.net/1805/28901
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.relation.isversionof10.1093/jamia/ocv164en_US
dc.relation.journalJournal of the American Medical Informatics Associationen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectPersonal health recordsen_US
dc.subjectPatient portalen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectHealth outcomesen_US
dc.subjectPatient engagementen_US
dc.titleImpact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental studyen_US
dc.typeArticleen_US
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814924/en_US
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