Evidence map›Paper›PMID 26171072›Full record

ArticleApplied clinical informatics2015

Testing the Electronic Personal Health Record Acceptance Model by Nurses for Managing Their Own Health: A Cross-sectional Survey.

K Gartrell, A M Trinkoff, C L Storr, M L Wilson, A P Gurses

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. A Novel Conceptual Architecture for Person-Centered Health Records.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

K GartrellNational Institutes of Health/National Library of Medicine/Lister Hill National Center for Biomedical Communications , Bethesda, MD.
A M TrinkoffUniversity of Maryland School of Nursing , Baltimore, MD.
C L StorrUniversity of Maryland School of Nursing , Baltimore, MD.
M L WilsonJohns Hopkins University School of Nursing , Baltimore, MD.
A P GursesArmstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine , Baltimore, MD.
University of Maryland, Baltimore · USJohns Hopkins University · USNational Center for Biotechnology Information · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo our knowledge, no evidence is available on health care professionals' use of electronic personal health records (ePHRs) for their health management. We therefore focused on nurses' personal use of ePHRs using a modified technology acceptance model.

objectivesTo examine (1) the psychometric properties of the ePHR acceptance model, (2) the associations of perceived usefulness, ease of use, data privacy and security protection, and perception of self as health-promoting role models to nurses' own ePHR use, and (3) the moderating influences of age, chronic illness and medication use, and providers' use of electronic health record (EHRs) on the associations between the ePHR acceptance constructs and ePHR use.

methodsA convenience sample of registered nurses, those working in one of 12 hospitals in the Maryland and Washington, DC areas and members of the nursing informatics community (AMIA and HIMSS), were invited to respond to an anonymous online survey; 847 responded. Multiple logistic regression identified associations between the model constructs and ePHR use, and the moderating effect.

resultsOverall, ePHRs were used by 47%. Sufficient reliability for all scales was found. Three constructs were significantly related to nurses' own ePHR use after adjusting for covariates: usefulness, data privacy and security protection, and health-promoting role model. Nurses with providers that used EHRs who perceived a higher level of data privacy and security protection had greater odds of ePHR use than those whose providers did not use EHRs. Older nurses with a higher self-perception as health-promoting role models had greater odds of ePHR use than younger nurses.

conclusionsNurses who use ePHRs for their personal health might promote adoption by the general public by serving as health-promoting role models. They can contribute to improvements in patient education and ePHR design, and serve as crucial resources when working with their individual patients.

Indexed as

Attitude of Health PersonnelHealthSurveys and QuestionnairesAdultAgedAge FactorsChronic DiseaseComputer SecurityConfidentialityCross-Sectional StudiesElectronic Health RecordsFemaleHealth PromotionHumansMaleMiddle Ageddata privacy and securityhealth promotionnursePersonal health recordtechnology acceptance model

Identifiers

PMID26171072
PMCPMC4493327
OpenAlexW1814495296

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.