Tailored, theory-based strategies for engaging lowincome populations with a personal health record

Tammy Toscos; Maria D. Wright; Mindy E. Flanagan; Kislaya Kunjan; Amy Olson-Miller; Bradley N. Doebbeling

Research Article

Tailored, theory-based strategies for engaging lowincome populations with a personal health record

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@ARTICLE{10.4108/eai.13-7-2017.152885,
    author={Tammy Toscos and Maria D. Wright and Mindy E. Flanagan and Kislaya Kunjan and Amy Olson-Miller and Bradley N. Doebbeling},
    title={Tailored, theory-based strategies for engaging lowincome populations with a personal health record},
    journal={EAI Endorsed Transactions on Pervasive Health and Technology},
    volume={3},
    number={10},
    publisher={EAI},
    journal_a={PHAT},
    year={2017},
    month={7},
    keywords={Pervasive health care; patient engagement; health information technology; communication technology; underserved populations; low income populations; personal health record; personal health record.},
    doi={10.4108/eai.13-7-2017.152885}
}

Tammy Toscos
Maria D. Wright
Mindy E. Flanagan
Kislaya Kunjan
Amy Olson-Miller
Bradley N. Doebbeling
Year: 2017
Tailored, theory-based strategies for engaging lowincome populations with a personal health record
PHAT
EAI
DOI: 10.4108/eai.13-7-2017.152885

Tammy Toscos¹^,*, Maria D. Wright², Mindy E. Flanagan², Kislaya Kunjan³, Amy Olson-Miller³, Bradley N. Doebbeling^4,5

1: Parkview Research Center, Parkview Health, Fort Wayne, IN; School of Informatics & Computing, Indiana University Purdue University, Indianapolis, IN
2: Parkview Research Center, Parkview Health, Fort Wayne, IN
3: School of Informatics & Computing, Indiana University Purdue University, Indianapolis, IN
4: School for the Science of Health Care Delivery, College of Health Solutions, Arizona
5: State University, Phoenix, AZ

*Contact email: Tammy.Toscos@parkview.com

Abstract

There remain significant barriers to the use of personal health records (PHRs), which limit potential benefits in underserved patient populations. Novel strategies must be developed to achieve the desired impact of PHRs on patient engagement and health outcomes. This paper describes the health information needs and technology preferences of adults seeking care in Community Health Centers (CHCs), which provide care to low-income, uninsured and underinsured patients. We offer design suggestions emerging from interviews with 43 CHC patients and 49 CHC staff members that explored many themes including: patient barriers to accessing health care, health information needs of patients between clinic visits, patient and clinic staff preferences for technology use, and PHR implementation approaches used in CHCs. Our findings provide a roadmap to greater engagement of patients via PHRs by expanding functionality, providing tailored patient messaging, and incorporating adult learning strategies.

Keywords: Pervasive health care; patient engagement; health information technology; communication technology; underserved populations; low income populations; personal health record; personal health record.

Received: 2016-07-02
Accepted: 2017-01-05
Published: 2017-07-13
Publisher: EAI

: http://dx.doi.org/10.4108/eai.13-7-2017.152885

Copyright © 2017 Tammy Toscos et al., licensed to EAI. This is an open access article distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/3.0/), which permits unlimited use, distribution and reproduction in any medium so long as the original work is properly cited.