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Measuring Psoriasis Severity at Home
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Developing a personal health record self-efficacy tool.

Kathleen M Nokes1, Jay Verkuilen, Dorothy E Hickey

  • 1Hunter College, CUNY, Hunter-Bellevue School of Nursing, New York, NY 10010, USA. knokes@hunter.cuny.edu

Applied Nursing Research : ANR
|January 22, 2013
PubMed
Summary
This summary is machine-generated.

This study developed a tool to measure personal health record (PHR) self-efficacy, finding individuals more confident with paper-based PHRs. The tool can identify patient preferences for PHR formats.

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Area of Science:

  • Health Informatics
  • Patient Self-Management
  • Psychometrics

Background:

  • Personal Health Records (PHRs) show promise but have limited uptake, particularly in underserved populations.
  • Four key skills for PHR use include information creation, updating, symptom tracking, and provider sharing.
  • Assessing self-efficacy is crucial for understanding and improving PHR adoption.

Purpose of the Study:

  • To develop and preliminarily validate a concise tool for assessing personal health record (PHR) self-efficacy.
  • To identify distinct skills related to PHR utilization.
  • To explore patient preferences for paper-based versus computer-based PHRs.

Main Methods:

  • A convenience sample of 100 community-living persons with HIV/AIDS completed the new PHR self-efficacy tool.
  • The new tool was administered alongside other established self-efficacy measures.
  • Psychometric properties were preliminarily examined through correlational analyses.

Main Results:

  • Preliminary findings suggest higher self-efficacy associated with paper-based PHRs compared to computer-based PHRs.
  • The paper-based subscale correlated significantly with chronic illness and HIV treatment self-efficacy.
  • No significant relationships were found for the computer-based subscale with other measures.

Conclusions:

  • The developed screening tool can identify individuals interested in PHRs and their preferred format (paper vs. computer).
  • Further validation with larger, diverse chronically ill populations is necessary to establish the instrument's psychometric robustness.
  • Understanding self-efficacy differences based on PHR format is key for targeted interventions.