Nahm Eun-Shim, Zhu Shijun, Bellantoni Michele, Keldsen Linda, Russomanno Vince, Rietschel Matt, Majid Tabassum, Son HyoJin, Smith Leslie
Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland.
Division of Geriatric Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Telemed J E Health. 2019 Oct;25(10):940-951. doi: 10.1089/tmj.2018.0184. Epub 2018 Nov 15.
Introduction:The high prevalence of chronic illnesses is a serious public health problem in the United States, and more than 70 million older adults have at least one chronic illness. Patient portals (PPs) have an excellent potential to assist older adults in managing chronic illnesses; however, older adults' PP adoption rates have been low. Lack of support for older adults using PPs remains a critical gap in most implementation processes. The main aim of this study was to assess the impact of an older adult friendly Theory-based Patient portal e-Learning Program (T-PeP) on PP knowledge, selected health outcomes (health decision-making self-efficacy [SE] and health communication), PP SE and use, and e-health literacy in older adults.
Materials and Methods:N
Results:{'i': ['n', 'p', 'p'], '#text': 'The average age of participants was 70.0\u2009±\u20098.5 years, and 78.3% (\u2009=\u2009213) were white. At 3 weeks, the intervention group showed significantly greater improvement than the control group in all outcomes except PP use. At 4 months, the intervention effects decreased, but PP SE remained significant (\u2009=\u20090.015), and the intervention group showed higher frequency of PP use than the control group (\u2009=\u20090.029).'}
Conclusion:The study findings showed that the T-PeP was effective in improving selected health and PP usage outcomes. Further studies are needed to test the long-term effects of T-PeP using more diverse samples.
慢性病的高患病率是美国一个严重的公共卫生问题，超过7000万老年人至少患有一种慢性病。患者门户网站（PPs）在协助老年人管理慢性病方面具有巨大潜力；然而，老年人对PPs的采用率一直很低。在大多数实施过程中，缺乏对使用PPs的老年人的支持仍然是一个关键差距。本研究的主要目的是评估基于理论的老年友好型患者门户网站电子学习项目（T-PeP）对老年人的PP知识、选定的健康结果（健康决策自我效能感[SE]和健康沟通）、PP SE和使用情况以及电子健康素养的影响。
N
参与者的平均年龄为70.0±8.5岁，78.3%（n = 213）为白人。在3周时，干预组在除PP使用外的所有结果方面均比对照组有显著更大的改善。在4个月时，干预效果有所下降，但PP SE仍然显著（P = 0.015），并且干预组的PP使用频率高于对照组（P = 0.029）。
研究结果表明，T-PeP在改善选定的健康和PP使用结果方面是有效的。需要进一步的研究来使用更多样化的样本测试T-PeP的长期效果。
