Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, 7491, Norway.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
BMC Health Serv Res. 2023 Aug 9;23(1):841. doi: 10.1186/s12913-023-09823-8.
Adolescents in mental health care may benefit from using patient portals to access personalised information about their health and treatment. While no studies have considered the interest in using patient portals among adolescents in mental health care, factors such as patient activation, self-reported health, depressive symptoms, diagnosis, healthcare utilisation, and eHealth literacy have been found to be associated with interest in and use of patient portals in other patient groups. Therefore, the aim was to explore the associations between interest in using patient portals and patient activation, self-reported health, depressive symptoms, diagnosis, healthcare utilisation and eHealth literacy among adolescents in specialist mental health care.
A cross-sectional study among adolescents between 12 and 18 years of age receiving or having received treatment at four different specialist child and adolescent mental healthcare services across Norway. The adolescents´ answers to the questionnaire were linked to data on their healthcare utilisation and ICD-10 diagnoses from the Norwegian Patient Registry. The data were analysed using descriptive statistics and bivariate tests.
The 53 adolescents who participated, had a mean age of 15 years and 68% of them identified as female. Two out of three (64%) were interested in using patient portals. Most of the factors were not associated with interest in using patient portals. However, adolescents with mental and behavioural disorders (F diagnoses, 75% interested) were more interested in using patient portals compared to those with symptoms and signs involving cognition, perception, emotional state, and behaviour (R diagnoses, 31% interested).
Except for mental health diagnosis, this study did not identify any specific factors likely to impact patient portal interest among adolescents in specialist mental health care.
心理健康护理中的青少年可能会受益于使用患者门户来获取有关其健康和治疗的个性化信息。虽然没有研究考虑过心理健康护理中的青少年使用患者门户的兴趣，但患者激活、自我报告的健康状况、抑郁症状、诊断、医疗保健利用和电子健康素养等因素已被发现与其他患者群体对患者门户的兴趣和使用相关。因此，本研究旨在探讨在专科心理健康护理中的青少年中，使用患者门户的兴趣与患者激活、自我报告的健康状况、抑郁症状、诊断、医疗保健利用和电子健康素养之间的关联。
这是一项横断面研究，在挪威四个不同的专科儿童和青少年心理健康保健服务机构接受或接受过治疗的 12 至 18 岁的青少年中进行。青少年对问卷的回答与来自挪威患者登记处的他们的医疗保健利用和 ICD-10 诊断数据相关联。使用描述性统计和双变量检验分析数据。
53 名参与的青少年的平均年龄为 15 岁，其中 68%为女性。三分之二（64%）的青少年对使用患者门户感兴趣。大多数因素与使用患者门户的兴趣无关。然而，与有认知、感知、情绪状态和行为症状和体征的青少年（R 诊断，31%感兴趣）相比，有精神和行为障碍（F 诊断，75%感兴趣）的青少年对使用患者门户更感兴趣。
除了心理健康诊断，本研究未发现任何可能影响专科心理健康护理中的青少年使用患者门户兴趣的特定因素。
