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Coronary artery patient's empowerment through a user-centered design of an electronic personal health record: A

Baran Bayati1, Maryam Ahmadi1, Abbas Sheikhtaheri1

  • 1Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Journal of Education and Health Promotion
|August 21, 2026
PubMed

Insights

Electronic personal health records (e-PHRs) can help patients manage coronary artery disease (CAD). User requirements for e-PHRs must be identified and incorporated during development for effective CAD self-management.

Area of Science:

  • Cardiology
  • Health Informatics
  • Patient-Centered Care

Background:

  • Coronary artery disease (CAD) is a leading cause of cardiovascular morbidity.
  • Electronic personal health records (e-PHRs) offer potential for CAD complication prevention and management.
  • Tailoring e-PHRs to patient needs is crucial for effective self-management.

Purpose of the Study:

  • To identify user-centered requirements for electronic personal health records (e-PHRs) designed for patients with coronary artery disease (CAD).
  • To understand the perspectives of patients and cardiologists on essential e-PHR features for CAD management.

Main Methods:

  • Qualitative study employing semi-structured interviews with 25 CAD patients and cardiologists in 2024.
  • Digital recording and verbatim transcription of interview data.
  • Framework analysis using MAXQDA software for data interpretation.

Main Results:

  • Emergence of four key themes, nine subthemes, and 25 categories from data analysis.
  • Identified essential e-PHR content, functional, and nonfunctional requirements.
  • Defined critical conditions for successful e-PHR implementation in CAD patient care.

Conclusions:

  • e-PHR development should prioritize long-term usability and patient engagement for effective CAD self-management.
  • Involving end-users throughout the system development lifecycle is essential to align e-PHRs with user needs.
  • Future e-PHR iterations should focus on demonstrable benefits for patients managing CAD trends.
Abstract

Keywords:
Coronary artery diseasehealth recordpersonalqualitative researchuser-centered design

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