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

M. van Vugt, M. de Wit, Floor Sieverink, Y. Roelofsen, S.H. Hendriks, H.J.G. Bilo, F.J. Snoek

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Abstract

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.
Original languageEnglish
Article number5027356
Pages (from-to)5027356-
Number of pages9
JournalJournal of diabetes research
Volume2016
Issue number5027356
DOIs
Publication statusPublished - 2016

Keywords

  • METIS-316245
  • IR-100053

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    van Vugt, M., de Wit, M., Sieverink, F., Roelofsen, Y., Hendriks, S. H., Bilo, H. J. G., & Snoek, F. J. (2016). 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. Journal of diabetes research, 2016(5027356), 5027356-. [5027356]. https://doi.org/10.1155/2016/5027356