Date of Award
Joseph F. Burkard, DNSc, CRNA, Chairperson; Ruth A. Bush, PhD, MPH, FAMIA; Jonathan Mack, PhD, RN, NP
Health Information Technology, Disease Self-management, Task-Technology Fit.
Background: The rapid growth of Health Information Technologies (HITs) provides
patients with greater opportunity to take control over their health. HITs utilization has
been proven to be a critical component of disease self-management and can result in
positive outcomes. Its widespread adoption and utilization is still relatively low among
patients with chronic disease. It is important to understand the factors that may impact
HITs utilization, such as the perceived Task-Technology Fit (TTF). A very limited
number of studies have examined the relationship between HITs utilization and the
perceived fit between task and technology in the context of TTF theory.
Aims/ Purpose: The purpose of this study was to explore the factors that impact patient utilization of HITs for disease self-management. We examined the relationships between patient demographics and their utilization of HITs in relation to disease self-management and TTF.
Methods and Design: A quantitative descriptive correlational research design was used for this data-based study. Data from the most recent Health Information National Trends Survey (HINTS 5, cycle 2) collected in 2018 was used for this study, (N= 3,504).
Results: Sociodemographic disparities still exist among patient groups in terms of HITs
utilization for disease self-management. Patients with lower education attainment and
lower income were less likely to access their online medical records. Also, these study
findings show a significant positive relationship between perceived TTF and patient
utilization of the various HITs. Open communication and discussions with healthcare
provider remain the most frequently reported HIT attribute associated with patient
utilization of HITs for disease self-management.
Implications: Findings of this study may inform a better understanding of TTF factors.
This new knowledge may influence HITs developers to include the patient perspective in
future designs. These study findings may also assist researchers in developing tailored
interventions that are driven by the unique individual patient technological needs for
disease self-management, which in turn, can promote patient safety, improve health
outcomes, and enhance the utilization of such technologies.
Dissertation: Open Access
Digital USD Citation
Altawalbih, Mahmoud Hamzeh, "Patient’s Utilization of Health Information Technologies for Disease Self-Management" (2019). Dissertations. 136.
Available for download on Friday, May 01, 2020