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- Title
Self-monitoring of health data by patients with a chronic disease: does disease controllability matter?
- Authors
Huygens, Martine W. J.; Swinkels, Ilse C. S.; de Jong, Judith D.; Heijmans, Monique J. W. M.; Friele, Roland D.; van Schayck, Onno C. P.; de Witte, Luc P.
- Abstract
Background: There is a growing emphasis on self-monitoring applications that allow patients to measure their own physical health parameters. A prerequisite for achieving positive effects is patients' willingness to self-monitor. The controllability of disease types, patients' perceived self-efficacy and health problems could play an essential role in this. The purpose of this study is to investigate the relationship between patients' willingness to self-monitor and a range of disease and patient specific variables including controllability of disease type, patients' perceived self-efficacy and health problems. Methods: Data regarding 627 participants with 17 chronic somatic disease types from a Dutch panel of people with chronic diseases have been used for this cross-sectional study. Perceived self-efficacy was assessed using the general self-efficacy scale, perceived health problems using the Physical Health Composite Score (PCS). Participants indicated their willingness to self-monitor. An expert panel assessed for 17 chronic disease types the extent to which patients can independently keep their disease in control. Logistic regression analyses were conducted. Results: Patients' willingness to self-monitor differs greatly among disease types: patients with diabetes (71.0%), asthma (59.6%) and hypertension (59.1%) were most willing to self-monitor. In contrast, patients with rheumatism (40.0%), migraine (41.2%) and other neurological disorders (42.9%) were less willing to self-monitor. It seems that there might be a relationship between disease controllability scores and patients' willingness to self-monitor. No evidence is found of a relationship between general self-efficacy and PCS scores, and patients' willingness to self-monitor. Conclusions: This study provides the first evidence that patients' willingness to self-monitor might be associated with disease controllability. Further research should investigate this association more deeply and should focus on how disease controllability influences willingness to self-monitor. In addition, since willingness to self-monitor differed greatly among patient groups, it should be taken into account that not all patient groups are willing to self-monitor.
- Subjects
NETHERLANDS; DISEASE exacerbation; ASTHMA; CHRONIC diseases; CONFIDENCE intervals; STATISTICAL correlation; DIABETES; HYPERTENSION; MIGRAINE; NEUROLOGICAL disorders; PATIENT monitoring; PROBABILITY theory; QUESTIONNAIRES; RESEARCH funding; RHEUMATISM; HEALTH self-care; SELF-efficacy; LOGISTIC regression analysis; CROSS-sectional method; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics; ODDS ratio; PREVENTION
- Publication
BMC Family Practice, 2017, Vol 18, p1
- ISSN
1471-2296
- Publication type
Article
- DOI
10.1186/s12875-017-0615-3