Self-efficacy Through Digital Care Plan Participation.

Area of Science:

• Digital Health
• Health Informatics
• Patient Self-Management

Background:

• Self-care is crucial for individual health and wellness.
• Facilitated self-care integrates technology into clinical activities like patient education and biometric tracking.
• Digital interactive care plans represent an advancement in healthcare delivery.

Purpose of the Study:

• To evaluate if participation in a digital interactive care plan correlates with increased perceived self-efficacy.
• To measure changes in self-efficacy using the Shortened Perceived Medical Condition Self-management Scale.
• To assess the impact of digital health solutions on patient self-management capabilities.

Main Methods:

• Retrospective study design.
• Inclusion of adult patients enrolled in 15 interactive care plans (October 2021 - December 2022).
• Analysis of Shortened Perceived Medical Condition Self-management Scale scores from baseline to end-of-care plan.

Main Results:

• High rates of non-completion for the self-management scale (48.7% at baseline, 73.5% at end-of-care).
• Among completers (n=848), 52.2% showed no change in self-efficacy.
• Similar proportions reported increased (25.6%) and decreased (21.9%) self-efficacy.

Conclusions:

• Low completion rates limited the study's ability to answer research questions and generalize findings.
• Patient engagement is critical for understanding health outcomes in digital health implementations.
• Further research is needed to optimize digital health tools for improved patient self-efficacy and outcomes.