Journal article
Personal Health Record Use and Its Association with Antiretroviral Adherence: Survey and Medical Record Data from 1871 US Veterans Infected with HIV
AIDS and behavior, Vol.17(9), pp.3091-3100
11/2013
DOI: 10.1007/s10461-012-0399-3
PMID: 23334359
Abstract
Patient electronic personal health record (PHR) use has been associated with improved patient outcomes in diabetes and depression care. Little is known about the effect of PHR use on HIV care processes and outcomes. We evaluated whether there was an association between patient PHR use and antiretroviral adherence. Data came from the Veterans Aging Cohort Study and included cross-sectional survey and medical record data from 1871 HIV+ veterans. Our adherence measure was an antiretroviral medication possession ratio, dichotomized at 0.90, and based on pharmacy refill data. In our sample 44 % did not use the internet, 14 % used internet but not for health, 27 % used internet for health but not the PHR, and 14 % used the PHR. In multivariable analysis PHR use was associated with ≥90 % adherence after controlling for socio-demographic variables. Findings provide support for longitudinal studies and studies that identify which PHR functions (e.g. online medication refills, viewing lab results, secure messaging with providers) are most closely associated with medication adherence.
Details
- Title: Subtitle
- Personal Health Record Use and Its Association with Antiretroviral Adherence: Survey and Medical Record Data from 1871 US Veterans Infected with HIV
- Creators
- D Keith McInnes - Boston University School of Public Health Boston MA USAStephanie Shimada - Boston University School of Public Health Boston MA USASowmya Rao - Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester MA USAAnn Quill - VA QUERI Program and VA New England Healthcare System, Bedford VA Medical Center 200 Springs Road, Building 70 Bedford MA 01730 USAMona Duggal - Yale University School of Medicine New Haven CT USAAllen Gifford - Boston University Schools of Medicine and Public Health Boston MA USACynthia Brandt - VA Connecticut Healthcare System West Haven CT USAThomas Houston - Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester MA USAMichael Ohl - University of Iowa Hospitals and Clinics Iowa City IA USAKirsha Gordon - VA Connecticut Healthcare System West Haven CT USAKristin Mattocks - VA Central Western Massachusetts Healthcare System Leeds MA USALewis Kazis - Boston University School of Public Health Boston MA USAAmy Justice - VA Connecticut Healthcare System West Haven CT USA
- Resource Type
- Journal article
- Publication Details
- AIDS and behavior, Vol.17(9), pp.3091-3100
- Publisher
- Springer US
- DOI
- 10.1007/s10461-012-0399-3
- PMID
- 23334359
- ISSN
- 1090-7165
- eISSN
- 1573-3254
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Psychiatry; Internal Medicine
- Record Identifier
- 9984094570402771
Metrics
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