TY - JOUR
T1 - The acceptance and use of the e-Health instrument 'The personal health check' in four Dutch municipalities
T2 - Lessons learned
AU - Rombouts, M.
AU - Raaijmakers, L. G. M.
AU - Kuunders, T. J. M.
AU - Van Steijn-martens, R.
AU - De Vuijst, T.
AU - Van Donkersgoed, H.
AU - Van De Goor, L. A. M.
N1 - This study was funded by ZonMw, the Netherlands Organization for Health Research and Development (grant number: 531001208).
PY - 2022
Y1 - 2022
N2 - This pilot study assessed the acceptance and use of the e-Health instrument “the Personal Health Check” (PHC) among clients and professionals in primary care settings. By filling in the online PHC instrument, participants were provided insights into their health and lifestyle. When results revealed an increased health risk, participants were advised to undertake additional lab tests measuring blood pressure and haemaglobin levels. Based on the online questionnaire and optional lab tests, participants then received a report that included individually-tailored feedback from the e-Health application about personal health risks and suggestions for health interventions. The PHC was implemented in 2016 in four Dutch municipalities that determined which neighbourhood(s) the PHC targeted and how participants were invited. The Unified Theory of Acceptance and Use of Technology was used as a theoretical framework to address our research questions. Methods used to assess acceptance were: PHC instrument data, data from additional questionnaires completed by PHC participants, focus groups with PHC participants and professionals in primary care, and telephone interviews with non-responders to the invitation to participate in the online PHC. Of the 21,735 invited, 12% participated. Our results showed that participants and professionals in this pilot were predominantly positive about the PHC. Participants reported that they made an effort to apply the PHC lifestyle advice they received. Almost all had the knowledge and resources needed to use the PHC online instrument. Invitations from general practitioners almost doubled participation relative to invitations from the sponsoring municipalities. The overall low response rate, however, suggests that the PHC is unsuitable as a foundation on which to develop local public health policy.
AB - This pilot study assessed the acceptance and use of the e-Health instrument “the Personal Health Check” (PHC) among clients and professionals in primary care settings. By filling in the online PHC instrument, participants were provided insights into their health and lifestyle. When results revealed an increased health risk, participants were advised to undertake additional lab tests measuring blood pressure and haemaglobin levels. Based on the online questionnaire and optional lab tests, participants then received a report that included individually-tailored feedback from the e-Health application about personal health risks and suggestions for health interventions. The PHC was implemented in 2016 in four Dutch municipalities that determined which neighbourhood(s) the PHC targeted and how participants were invited. The Unified Theory of Acceptance and Use of Technology was used as a theoretical framework to address our research questions. Methods used to assess acceptance were: PHC instrument data, data from additional questionnaires completed by PHC participants, focus groups with PHC participants and professionals in primary care, and telephone interviews with non-responders to the invitation to participate in the online PHC. Of the 21,735 invited, 12% participated. Our results showed that participants and professionals in this pilot were predominantly positive about the PHC. Participants reported that they made an effort to apply the PHC lifestyle advice they received. Almost all had the knowledge and resources needed to use the PHC online instrument. Invitations from general practitioners almost doubled participation relative to invitations from the sponsoring municipalities. The overall low response rate, however, suggests that the PHC is unsuitable as a foundation on which to develop local public health policy.
KW - CARDIOVASCULAR-DISEASE
KW - CARE
KW - Community approach
KW - Healthy lifestyle
KW - INFORMATION-TECHNOLOGY
KW - INTERVENTIONS
KW - Prevention
KW - Primary care
KW - RISK-ASSESSMENT
KW - UNIFIED THEORY
KW - e-Health
UR - http://www.scopus.com/inward/record.url?scp=85118310826&partnerID=8YFLogxK
U2 - 10.1007/s10935-021-00651-2
DO - 10.1007/s10935-021-00651-2
M3 - Article
C2 - 34714455
SN - 2731-5533
VL - 43
SP - 25
EP - 48
JO - Journal of Prevention
JF - Journal of Prevention
IS - 1
ER -