Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Mar 18, 2019
Date Accepted: Mar 25, 2020
Factors predicting willingness of patients prescribed medications for lifestyle-related diseases to use personal health records (PHRs)
ABSTRACT
Background:
Personal health records (PHRs) is a system that lets individuals utilize their own health information to maintain and improve quality of life. Using PHRs is expected to support self-management in patients with lifestyle-related diseases.
Objective:
The aim of this study was to identify predictors of the willingness to use PHR in patients who are prescribed medications for lifestyle-related diseases.
Methods:
We recruited pharmacy patrons aged 20 years or older who had received at least one medication indicated for hypertension, dyslipidemia or diabetes. Participants answered self-administered questionnaires regarding their previous diseases, awareness of health care, experience of using PHRs, willingness to use PHRs and barriers to using them. Data were analyzed using multivariate logistic regression models.
Results:
Of the 3708 subjects meeting eligibility criteria, 2307 replies (62.22%) were collected. While only 174 (7.54 %) had previous PHR experience, 853 (36.97%) expressed willingness to use PHRs. In the multivariate analysis, “considering exercise to be important for health management (Odds ratio (OR)=1.57, 95% CI 1.12-2.21; P=.01),” and “obtaining medical information from books/magazines or internet” (OR=1.23, 95% CI 0.96-1.59; P=.10; OR=1.45, 95% CI 1.13-1.87; P=.004) were newly identified predictors. These were in addition to known predictors such as male gender, being employed, owning information terminals, and previous PHR experience.
Conclusions:
Patients who have an active/positive attitude towards health seem to be more willing to use PHRs. Investigating willingness should contribute to the development of more useful PHRs for self-management in patients prescribed medications for lifestyle-related diseases.
Citation
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Copyright
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