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Published in: BMC Medical Informatics and Decision Making 1/2022

Open Access 01-12-2022 | Research

Determining the readiness of patients with renal failure to use health information technology

Authors: Raana Younesi Tabas, Leila Ahmadian, Mahnaz Samadbeik, Anahita Arian, Arefeh Ameri

Published in: BMC Medical Informatics and Decision Making | Issue 1/2022

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Abstract

Introduction

Using information technology (IT) for purposes such as patient education and disease prevention and management is effective when patients are ready to use it. The objective of this study was to determine the readiness of patients with renal failure to use health IT.

Methods

This study was performed on all dialysis patients in South Khorasan province (n = 263) using a 28-item questionnaire. The questionnaire consisted of (1) demographic information of participants and (2) questions concerning eight main factors including the need for information, desire to receive information, ability to use computers and the Internet, computers and the Internet anxiety, communication with physicians, using mobile phones and concerns about security and confidentiality of information. Descriptive statistics and Mann–Whitney and Kruskal–Wallis statistical tests were used to analyze the data.

Results

About 15% of the participants stated that they do not want to receive information from the Internet. Anxiety and concern about Internet security and confidentiality were higher in women, married people, people over 60, villagers, and illiterate people (p < 0.05). Married people and people over 60 years had a higher desire to get information (p < 0.05). The rate of computer anxiety and Internet privacy concern was higher than average (p < 0.001). Most patients (34.2%) could only send text messages using mobile phones.

Conclusion

Despite the need of most patients to online health information, they do not use this information due to a lack of skills and experience to use IT. Therefore, the ability of users should be considered when developing IT-based interventions. Due to patients' concerns about Internet privacy, it is required to teach patients how to protect their privacy while using the Internet.
Literature
1.
go back to reference Taylor DM, Fraser SDS, Bradley JA, Bradley C, Draper H, Metcalfe W, Oniscu GC, Tomson CRV, Ravanan R, Roderick PJ; ATTOM investigators. A systematic review of the prevalence and associations of limited health literacy in CKD. Clin J Am Soc Nephrol. 2017;12(7):1070–84 Taylor DM, Fraser SDS, Bradley JA, Bradley C, Draper H, Metcalfe W, Oniscu GC, Tomson CRV, Ravanan R, Roderick PJ; ATTOM investigators. A systematic review of the prevalence and associations of limited health literacy in CKD. Clin J Am Soc Nephrol. 2017;12(7):1070–84
2.
go back to reference Harding K, Mersha TB, Vassalotti JA, Webb FJ, Nicholas SB. Current state and future trends to optimize the care of chronic kidney disease in African Americans. Am J Nephrol. 2017;46(2):176–86.CrossRef Harding K, Mersha TB, Vassalotti JA, Webb FJ, Nicholas SB. Current state and future trends to optimize the care of chronic kidney disease in African Americans. Am J Nephrol. 2017;46(2):176–86.CrossRef
3.
go back to reference Iran Dialysis Consortium. Iranian dialysis clinic 2016. Tehran: Dialysis Consortium of Iran, Public Relations and International Affairs Unit. 2017. Iran Dialysis Consortium. Iranian dialysis clinic 2016. Tehran: Dialysis Consortium of Iran, Public Relations and International Affairs Unit. 2017.
4.
go back to reference Rambod M, Rafii F, Khabaz Shirazi M, Ghodsbin F, Heydari ST. Comparison of the quality of life in elderly with young and middle age chronic renal failure patients. Iran J Ageing. 2011;6(1):0 (in Persian). Rambod M, Rafii F, Khabaz Shirazi M, Ghodsbin F, Heydari ST. Comparison of the quality of life in elderly with young and middle age chronic renal failure patients. Iran J Ageing. 2011;6(1):0 (in Persian).
5.
go back to reference Safdari R, Ghazisaeidi M, Pezeshki A, Mahmoodzadeh B, Nikmaram A. The introduction of electronic medical records for chronic kidney disease as a reliable method for the diagnosis of the disease. J Zanjan Univ Med Sci Health Serv. 2016;24(104):112–20 (in Persian). Safdari R, Ghazisaeidi M, Pezeshki A, Mahmoodzadeh B, Nikmaram A. The introduction of electronic medical records for chronic kidney disease as a reliable method for the diagnosis of the disease. J Zanjan Univ Med Sci Health Serv. 2016;24(104):112–20 (in Persian).
6.
go back to reference Chase HS, Radhakrishnan J, Shirazian S, Rao MK, Vawdrey DK. Under-documentation of chronic kidney disease in the electronic health record in outpatients. J Am Med Inform Assoc. 2010;17(5):588–94.CrossRef Chase HS, Radhakrishnan J, Shirazian S, Rao MK, Vawdrey DK. Under-documentation of chronic kidney disease in the electronic health record in outpatients. J Am Med Inform Assoc. 2010;17(5):588–94.CrossRef
7.
go back to reference Mohammadzadeh N, Safdari R. Chronic heart failure (CHF) management through agent technology. J Payavard Salamat. 2017;11(2):181–8 (in Persian). Mohammadzadeh N, Safdari R. Chronic heart failure (CHF) management through agent technology. J Payavard Salamat. 2017;11(2):181–8 (in Persian).
8.
go back to reference Perotte A, Ranganath R, Hirsch JS, Blei D, Elhadad N. Risk prediction for chronic kidney disease progression using heterogeneous electronic health record data and time series analysis. J Am Med Inform Assoc. 2015;22(4):872–80.CrossRef Perotte A, Ranganath R, Hirsch JS, Blei D, Elhadad N. Risk prediction for chronic kidney disease progression using heterogeneous electronic health record data and time series analysis. J Am Med Inform Assoc. 2015;22(4):872–80.CrossRef
9.
go back to reference Ansari R, Ahmadian L, Sabahi A, Salehi F. A study on information seeking methods of dialysis patients in Kerman in 2015: a short report. J Rafsanjan Univ Med Sci. 2016;15(2):185–92 (in Persian). Ansari R, Ahmadian L, Sabahi A, Salehi F. A study on information seeking methods of dialysis patients in Kerman in 2015: a short report. J Rafsanjan Univ Med Sci. 2016;15(2):185–92 (in Persian).
10.
go back to reference Hamidi H, Moradi R. Using mobile health to improve genetic and heart diseases prediction. J Community Health Res. 2017;6(3):150–64 (in Persian). Hamidi H, Moradi R. Using mobile health to improve genetic and heart diseases prediction. J Community Health Res. 2017;6(3):150–64 (in Persian).
11.
go back to reference Klebe B, Farmer C, Cooley R, de Lusignan S, Middleton R, O’donoghue D, et al. Kidney disease management in UK primary care: guidelines, incentives and information technology. Family Practice. 2007;24(4):330–5.CrossRef Klebe B, Farmer C, Cooley R, de Lusignan S, Middleton R, O’donoghue D, et al. Kidney disease management in UK primary care: guidelines, incentives and information technology. Family Practice. 2007;24(4):330–5.CrossRef
12.
go back to reference Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. J Am Med Inform Assoc. 2009;16(4):480–5.CrossRef Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. J Am Med Inform Assoc. 2009;16(4):480–5.CrossRef
13.
go back to reference Koopman RJ, Petroski GF, Canfield SM, Stuppy JA, Mehr DR. Development of the PRE-HIT instrument: patient readiness to engage in health information technology. BMC Fam Pract. 2014;15(1):18.CrossRef Koopman RJ, Petroski GF, Canfield SM, Stuppy JA, Mehr DR. Development of the PRE-HIT instrument: patient readiness to engage in health information technology. BMC Fam Pract. 2014;15(1):18.CrossRef
14.
go back to reference Goldwater JC, Kwon NJ, Nathanson A, Muckle AE, Brown A, Cornejo K. Open source electronic health records and chronic disease management. J Am Med Inform Assoc JAMIA. 2014;21(e1):e50–4.CrossRef Goldwater JC, Kwon NJ, Nathanson A, Muckle AE, Brown A, Cornejo K. Open source electronic health records and chronic disease management. J Am Med Inform Assoc JAMIA. 2014;21(e1):e50–4.CrossRef
15.
go back to reference Santana S, Lausen B, Bujnowska-Fedak M, Chronaki C, Kummervold PE, Rasmussen J, et al. Online communication between doctors and patients in Europe: status and perspectives. J Med Internet Res. 2010;12(2):e20.CrossRef Santana S, Lausen B, Bujnowska-Fedak M, Chronaki C, Kummervold PE, Rasmussen J, et al. Online communication between doctors and patients in Europe: status and perspectives. J Med Internet Res. 2010;12(2):e20.CrossRef
16.
go back to reference Wallwiener M, Wallwiener CW, Kansy JK, Seeger H, Rajab TK. Impact of electronic messaging on the patient–physician interaction. J Telemed Telecare. 2009;15(5):243–50.CrossRef Wallwiener M, Wallwiener CW, Kansy JK, Seeger H, Rajab TK. Impact of electronic messaging on the patient–physician interaction. J Telemed Telecare. 2009;15(5):243–50.CrossRef
17.
go back to reference Sadoughi F, Ahmadi M, Gouhari MR, Rangraz JF. Attitude of inpatients about information technologies literacy. J Health Adm. 2010;13(40):31–40 (in Persian). Sadoughi F, Ahmadi M, Gouhari MR, Rangraz JF. Attitude of inpatients about information technologies literacy. J Health Adm. 2010;13(40):31–40 (in Persian).
18.
go back to reference Jafary Nodoushan Z, Alipour Nodoushan K, Ahmari Tehran H, Mohammad Salehi N, Shojaei S, Asgaryan A, et al. Search for health-related information in internet by people referred to clinics of training-treatment centers in Qom City, Iran, 2015. QOM Univ Med Sci J. 2016;10(9):61–9 (in Persian). Jafary Nodoushan Z, Alipour Nodoushan K, Ahmari Tehran H, Mohammad Salehi N, Shojaei S, Asgaryan A, et al. Search for health-related information in internet by people referred to clinics of training-treatment centers in Qom City, Iran, 2015. QOM Univ Med Sci J. 2016;10(9):61–9 (in Persian).
19.
go back to reference AlGhamdi KM, Moussa NA. Internet use by the public to search for health-related information. Int J Med Inform. 2012;81(6):363–73.CrossRef AlGhamdi KM, Moussa NA. Internet use by the public to search for health-related information. Int J Med Inform. 2012;81(6):363–73.CrossRef
20.
go back to reference Green JA, Mor MK, Shields AM, Sevick MA, Arnold RM, Palevsky PM, et al. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis. Am J Kidney Dis. 2013;62(1):73–80.CrossRef Green JA, Mor MK, Shields AM, Sevick MA, Arnold RM, Palevsky PM, et al. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis. Am J Kidney Dis. 2013;62(1):73–80.CrossRef
21.
go back to reference Lalazaryan A, Zare-Farashbandi F, Rahimi A, Hasssanzadeh A. The impact of personal factors on diabetic patient’s Health Information Seeking Behavior. J Health Adm (JHA). 2014;17(58):1 (in Persian). Lalazaryan A, Zare-Farashbandi F, Rahimi A, Hasssanzadeh A. The impact of personal factors on diabetic patient’s Health Information Seeking Behavior. J Health Adm (JHA). 2014;17(58):1 (in Persian).
22.
go back to reference Feizabadi M, Gohari H, Sakhaei A, Vasfi M. Internet use for health information search according to technology acceptance model(tam)among women. Sabzevar Univ Med Sci. 2018;24(6):1 (in Persian). Feizabadi M, Gohari H, Sakhaei A, Vasfi M. Internet use for health information search according to technology acceptance model(tam)among women. Sabzevar Univ Med Sci. 2018;24(6):1 (in Persian).
23.
go back to reference Pan S, Jordan-Marsh M. Internet use intention and adoption among Chinese older adults: from the expanded technology acceptance model perspective. Comput Hum Behav. 2010;26(5):1111–9.CrossRef Pan S, Jordan-Marsh M. Internet use intention and adoption among Chinese older adults: from the expanded technology acceptance model perspective. Comput Hum Behav. 2010;26(5):1111–9.CrossRef
24.
go back to reference Bigdeli Z, Azimi M, Zare F. Study of affecting Factors the search for health information on the web by women working in the Khuzestan Water and Power Authority. Libr Inform Sci Q. 2012;15(1):165–84. Bigdeli Z, Azimi M, Zare F. Study of affecting Factors the search for health information on the web by women working in the Khuzestan Water and Power Authority. Libr Inform Sci Q. 2012;15(1):165–84.
25.
go back to reference Gaster B, Knight CL, De Witt DE, Sheffield JV, Assefi NP, Buchwald D. Physicians’ use of and attitudes toward electronic mail for patient communication. J Gen Intern Med. 2003;18(5):385–9.CrossRef Gaster B, Knight CL, De Witt DE, Sheffield JV, Assefi NP, Buchwald D. Physicians’ use of and attitudes toward electronic mail for patient communication. J Gen Intern Med. 2003;18(5):385–9.CrossRef
26.
go back to reference Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ. Perceptions and experiences of heart failure patients and clinicians on the use of mobile phone-based telemonitoring. J Med Internet Res. 2012;14(1):e25.CrossRef Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ. Perceptions and experiences of heart failure patients and clinicians on the use of mobile phone-based telemonitoring. J Med Internet Res. 2012;14(1):e25.CrossRef
27.
go back to reference Ghazisaeedi M, Shahmoradi L, Ranjbar A, Sahraei Z, Tahmasebi F. Designing a mobile-based self-care application for patients with heart failure. J Health Biomed Inform. 2016;3(3):195–204 (in Persian). Ghazisaeedi M, Shahmoradi L, Ranjbar A, Sahraei Z, Tahmasebi F. Designing a mobile-based self-care application for patients with heart failure. J Health Biomed Inform. 2016;3(3):195–204 (in Persian).
28.
go back to reference Khadre A, Sarafzadeh M. Health information seeking on the internet: a review of research studies. Librarian. 2018 (in Persian). Khadre A, Sarafzadeh M. Health information seeking on the internet: a review of research studies. Librarian. 2018 (in Persian).
29.
go back to reference Faghihi M, Astaneh HR. Privacy prerequisite for the development of E-health. Med Ethics J. 2010;4(12):163–88 (in Persian). Faghihi M, Astaneh HR. Privacy prerequisite for the development of E-health. Med Ethics J. 2010;4(12):163–88 (in Persian).
30.
go back to reference Mohammadi M, Dayani Tilaki MS, Larijani B. Patients’ attitudes about privacy and confidentiality in selected hospitals in Tehran. Iran J Med Ethics History Med. 2017;9(6):5–19 (in Persian). Mohammadi M, Dayani Tilaki MS, Larijani B. Patients’ attitudes about privacy and confidentiality in selected hospitals in Tehran. Iran J Med Ethics History Med. 2017;9(6):5–19 (in Persian).
31.
go back to reference Naghdi A, Kiani M. Internet addiction among post-graduate students of Bu Ali Sina University. J Manag Syst. 2010;21(3–4):95–107 (in Persian). Naghdi A, Kiani M. Internet addiction among post-graduate students of Bu Ali Sina University. J Manag Syst. 2010;21(3–4):95–107 (in Persian).
32.
go back to reference Powell J, Inglis N, Ronnie J, Large S. The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. J Med Internet Res. 2011;13(1):e20.CrossRef Powell J, Inglis N, Ronnie J, Large S. The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. J Med Internet Res. 2011;13(1):e20.CrossRef
33.
go back to reference Zarea Gavgani V, Qeisari E, Jafarabadi MA. Health information seeking behavior (HISB): a study of a developing country. Health. 2013;2:1–2013 ((in Persian)). Zarea Gavgani V, Qeisari E, Jafarabadi MA. Health information seeking behavior (HISB): a study of a developing country. Health. 2013;2:1–2013 ((in Persian)).
34.
go back to reference Hay MC, Cadigan RJ, Khanna D, Strathmann C, Lieber E, Altman R, et al. Prepared patients: internet information seeking by new rheumatology patients. Arthritis Care Res. 2008;59(4):575–82.CrossRef Hay MC, Cadigan RJ, Khanna D, Strathmann C, Lieber E, Altman R, et al. Prepared patients: internet information seeking by new rheumatology patients. Arthritis Care Res. 2008;59(4):575–82.CrossRef
35.
go back to reference Riahi A, Hariri N, Nooshinfard F. Study of health Information needs and barriers to access among afghan and Iraqi immigrants in Iran. J N Khorasan Univ. 2015;7(3):597–610 (in Persian). Riahi A, Hariri N, Nooshinfard F. Study of health Information needs and barriers to access among afghan and Iraqi immigrants in Iran. J N Khorasan Univ. 2015;7(3):597–610 (in Persian).
36.
go back to reference Kreps GL, Sparks L. Meeting the health literacy needs of immigrant populations. Patient Educ Couns. 2008;71(3):328–32.CrossRef Kreps GL, Sparks L. Meeting the health literacy needs of immigrant populations. Patient Educ Couns. 2008;71(3):328–32.CrossRef
Metadata
Title
Determining the readiness of patients with renal failure to use health information technology
Authors
Raana Younesi Tabas
Leila Ahmadian
Mahnaz Samadbeik
Anahita Arian
Arefeh Ameri
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2022
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-022-02073-4

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