eHealth literacy and web-based patient portal usage among kidney and liver transplant recipients.

Autor: Maroney K; Division of Transplantation, Department of Surgery, Emory School of Medicine, Atlanta, GA, USA., Curtis LM; Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Opsasnick L; Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Smith KD; Division of Transplantation, Department of Surgery, Emory School of Medicine, Atlanta, GA, USA., Eifler MR; Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Moore A; Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Wedd J; Division of Digestive Diseases, Department of Medicine, Emory University, Atlanta, GA, USA., Wolf MS; Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Patzer RE; Division of Transplantation, Department of Surgery, Emory School of Medicine, Atlanta, GA, USA.
Jazyk: angličtina
Zdroj: Clinical transplantation [Clin Transplant] 2021 Feb; Vol. 35 (2), pp. e14184. Date of Electronic Publication: 2020 Dec 16.
DOI: 10.1111/ctr.14184
Abstrakt: Patient portals promote self-management, but require skills with electronic health information which can be measured by a patient's eHealth literacy. We aimed to describe eHealth literacy among a population of kidney transplant (KT) and liver transplant (LT) recipients and to investigate the relationship between eHealth literacy and Web-based patient portal utilization. We conducted phone surveys (August 2016-March 2017) among 178 KT and 110 LT recipients at two large transplant centers, including the eHealth Literacy Scale (eHEALS) and items assessing routine portal usage. Portal users were defined as routine if usage was every day, weekly, or monthly. The mean eHEALS score was 30.9 (SD: 5.4), and 45.4% routinely used the patient portal more than a few times per month. Routine users had higher eHealth literacy than non-routine users and non-users (31.97 vs. 29.97 vs. 28.20, p < .001). Routine users had higher eHealth literacy scores compared with non-users after adjusting for transplant organ type, age, educational level, employment status, mobile Internet access, and transplant center (OR: 1.10, 95% CI: 1.03-1.17). KT and LT recipients who routinely use patient portals have high eHealth literacy compared with other diseased populations, which should be leveraged by encouraging routine usage to improve post-transplant health and medication adherence.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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