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Persuasive design features within a consumer-focused eHealth intervention integrated with the electronic health record: A mixed methods study of effectiveness and acceptability
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 6, p e0218447 (2019)
- Publication Year :
- 2018
-
Abstract
- IntroductioneHealth strategies targeting health-related behaviour often incorporate persuasive software design. To further engage patients with their overall health management, consumer-facing web portals may be integrated with data from one or more care providers. This study aimed to explore effectiveness for healthier behaviour of persuasive design characteristics within a web application integrated with the primary health care electronic record; also patient and general practitioner (GP) preferences for future integrated records.MethodsMixed methods study within the Consumer Navigation of Electronic Cardiovascular Tools randomised controlled trial. Participants were patients with moderate-high risk of cardiovascular disease, and their GPs. Survey and web analytic data were analysed with descriptive statistics. Interview and focus group transcripts were recorded, transcribed, coded and analysed for themes.ResultsSurveys (n = 397) received from patients indicated improved medication adherence (31.8%); improved mental health and well-being (40%); higher physical activity (47%); and healthier eating (61%). Users of the interactive features reported benefiting from personalised cardiovascular disease risk score (73%); goal tracking (69%); risk factor self-monitoring (52%) and receipt of motivational health tips (54%). Focus group and interview participants (n = 55) described customisations that would increase portal appeal and relevance, including more provider interaction. Of the GP survey respondents (n = 38), 74% reported increased patient attendance and engagement with their care. For future integrated portals, 94% of GPs were in favour and key themes among interviewees (n = 17) related to design optimisation, impact on workflow and data security.ConclusionIntervention features reflecting the persuasive design categories of Primary Task support, Dialogue support and System Credibility support facilitated healthier lifestyle behaviour. Patients valued customisable functions and greater patient-provider interactivity. GPs identified system challenges but saw advantages for patients and the health care relationship. Future studies could further elucidate the persuasive design principles that are at play and which may promote adoption of EHR-integrated consumer portals.
- Subjects :
- 020205 medical informatics
Epidemiology
Health Behavior
Social Sciences
02 engineering and technology
Surveys
Cardiovascular Medicine
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Health care
0202 electrical engineering, electronic engineering, information engineering
Medicine and Health Sciences
Electronic Health Records
Psychology
Public and Occupational Health
030212 general & internal medicine
Health Systems Strengthening
Multidisciplinary
Attendance
Heart
Focus Groups
Telemedicine
3. Good health
Health
Cardiovascular Diseases
Research Design
Medicine
Anatomy
Behavioral and Social Aspects of Health
Research Article
Patients
Science
R1 Medicine (General)
Persuasive Communication
610 Medicine & health
Research and Analysis Methods
03 medical and health sciences
eHealth
Humans
Medical education
Behavior
Survey Research
Health Care Policy
Health management system
Descriptive statistics
Primary Health Care
business.industry
Biology and Life Sciences
Mental health
Focus group
Health Care
Medical Risk Factors
Cardiovascular Anatomy
business
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....efb5d41173f935a55c19c17cfc0417be