Journal
CIN-COMPUTERS INFORMATICS NURSING
Volume 39, Issue 6, Pages 298-305Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/CIN.0000000000000682
Keywords
Diabetes; Distress; Patient portal; Personal health record; Psychosocial; Self-management
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The study found that personal health records have a positive impact on improving self-care behaviors and physiological outcomes for diabetes patients, but the impact on diabetes distress remains inconclusive. Additionally, research revealed a lack of evidence on patient specific factors influencing the intention to use a personal health record for managing type 2 diabetes mellitus.
More than 30 million persons in the United States have diagnosed or undiagnosed diabetes. Persons with chronic types of diabetes must learn self-management principles and techniques and perform self-care behaviors to reduce the risk of diabetes-related complications. An electronic personal health record is one type of technology commonly used to support diabetes self-management. This integrative review examines research on how personal health records incorporate or address the American Association of Diabetes Educators self-care behaviors, diabetes-related psychosocial concerns, and the diabetes-related clinical quality-of-care measures of hemoglobin A(1c), low-density lipoprotein cholesterol, and blood pressure. In the majority of studies reviewed, participants showed improvement in the self-care behavior or physiological outcome examined. Findings were inconclusive about the impact of personal health record use on diabetes distress. Results also revealed a lack evidence of patient specific factors influencing intention to use a personal health record for management of type 2 diabetes mellitus. Despite evidence that personal health record use improves diabetes self-management, they are underutilized. Implications for practice include understanding what influences intention to use a personal health record. Further research is also needed to determine the impact of personal health record use on diabetes distress.
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