Details

Autor(en) / Beteiligte

• Jackman, Kevon-Mark

Titel

Exploring a role for electronic personal health record services as sexual health discussion tools: A mixed-methods study among young black adults

Ort / Verlag

ProQuest Dissertations & Theses

Erscheinungsjahr

2016

Quelle

ProQuest Dissertations & Theses A&I

Beschreibungen/Notizen

• Young Black adults continue to share a largely disproportionate burden of STD rates. The eSHINE Study is a two-phase sequential mixed-methods study among students at a historically Black university exploring perceptions on facilitating STD risk conversations with partners using electronic personal health records (PHRs). A grounded theory study on 35 students explored perceptions on incorporating electronic personal health records (PHRs) into contextualized risk-discussion practices. An online survey instrument was developed to measure the distribution of and relationships between emergent themes and codes in a cross-sectional study on 354 students. PHRs were perceived to impact three aspects of risk discussions: (1) awareness and valuation, (2) ability, and (3) assurance. Approximately 62.8% of survey respondents reported no risk discussion practices and 46.5% with inconsistent risk discussion practices believed PHR accessibility personally enables healthy risk communication practices with partners. Intentional beliefs for receiving electronic STD results (OR=14.7; p<0.001), beliefs that PHRs improve self-efficacy for facilitating initial and check-in discussions with partners (OR=2.33; 95% CI = 1.05, 5.14 and OR=4.00; 95% CI = 1.61, 9.94), and device memory space concerns (OR=0.41 95% CI = 0.21, 0.79) were significant predictors of perceived adoption of PHRs in discussion practices. Findings suggest that young Black adults perceive PHRs as useful discussion tools and consider healthcare providers as a primary gateway for accessing comprehensive patient portal services. PHR awareness and access must be addressed in order to further explore its effectiveness in improving partner communication and disease prevention.