The Role of eHealth in Optimizing Preventive Care in the Primary Care Setting

Mariko Carey, Natasha Noble, Elise Mansfield, Amy Waller, Frans Henskens, Rob Sanson-Fisher, Mariko Carey, Natasha Noble, Elise Mansfield, Amy Waller, Frans Henskens, Rob Sanson-Fisher

Abstract

Modifiable health risk behaviors such as smoking, overweight and obesity, risky alcohol consumption, physical inactivity, and poor nutrition contribute to a substantial proportion of the world's morbidity and mortality burden. General practitioners (GPs) play a key role in identifying and managing modifiable health risk behaviors. However, these are often underdetected and undermanaged in the primary care setting. We describe the potential of eHealth to help patients and GPs to overcome some of the barriers to managing health risk behaviors. In particular, we discuss (1) the role of eHealth in facilitating routine collection of patient-reported data on lifestyle risk factors, and (2) the role of eHealth in improving clinical management of identified risk factors through provision of tailored feedback, point-of-care reminders, tailored educational materials, and referral to online self-management programs. Strategies to harness the capacity of the eHealth medium, including the use of dynamic features and tailoring to help end users engage with, understand, and apply information need to be considered and maximized. Finally, the potential challenges in implementing eHealth solutions in the primary care setting are discussed. In conclusion, there is significant potential for innovative eHealth solutions to make a contribution to improving preventive care in the primary care setting. However, attention to issues such as data security and designing eHealth interfaces that maximize engagement from end users will be important to moving this field forward.

Keywords: Internet; eHealth; evidence-based practice; family practice; general practice; prevention.

Conflict of interest statement

Conflicts of Interest: None declared.

References

    1. Lim Stephen S, Vos Theo, Flaxman Abraham D, Danaei Goodarz, Shibuya Kenji, Adair-Rohani Heather, Amann Markus, Anderson H Ross, Andrews Kathryn G, Aryee Martin, Atkinson Charles, Bacchus Loraine J, Bahalim Adil N, Balakrishnan Kalpana, Balmes John, Barker-Collo Suzanne, Baxter Amanda, Bell Michelle L, Blore Jed D, Blyth Fiona, Bonner Carissa, Borges Guilherme, Bourne Rupert, Boussinesq Michel, Brauer Michael, Brooks Peter, Bruce Nigel G, Brunekreef Bert, Bryan-Hancock Claire, Bucello Chiara, Buchbinder Rachelle, Bull Fiona, Burnett Richard T, Byers Tim E, Calabria Bianca, Carapetis Jonathan, Carnahan Emily, Chafe Zoe, Charlson Fiona, Chen Honglei, Chen Jian Shen, Cheng Andrew Tai-Ann, Child Jennifer Christine, Cohen Aaron, Colson K Ellicott, Cowie Benjamin C, Darby Sarah, Darling Susan, Davis Adrian, Degenhardt Louisa, Dentener Frank, Des Jarlais Don C. Devries Karen, Dherani Mukesh, Ding Eric L, Dorsey E Ray, Driscoll Tim, Edmond Karen, Ali Suad Eltahir, Engell Rebecca E, Erwin Patricia J, Fahimi Saman, Falder Gail, Farzadfar Farshad, Ferrari Alize, Finucane Mariel M, Flaxman Seth, Fowkes Francis Gerry R, Freedman Greg, Freeman Michael K, Gakidou Emmanuela, Ghosh Santu, Giovannucci Edward, Gmel Gerhard, Graham Kathryn, Grainger Rebecca, Grant Bridget, Gunnell David, Gutierrez Hialy R, Hall Wayne, Hoek Hans W, Hogan Anthony, Hosgood H Dean, Hoy Damian, Hu Howard, Hubbell Bryan J, Hutchings Sally J, Ibeanusi Sydney E, Jacklyn Gemma L, Jasrasaria Rashmi, Jonas Jost B, Kan Haidong, Kanis John A, Kassebaum Nicholas, Kawakami Norito, Khang Young-Ho, Khatibzadeh Shahab, Khoo Jon-Paul, Kok Cindy, Laden Francine, Lalloo Ratilal, Lan Qing, Lathlean Tim, Leasher Janet L, Leigh James, Li Yang, Lin John Kent, Lipshultz Steven E, London Stephanie, Lozano Rafael, Lu Yuan, Mak Joelle, Malekzadeh Reza, Mallinger Leslie, Marcenes Wagner, March Lyn, Marks Robin, Martin Randall, McGale Paul, McGrath John, Mehta Sumi, Mensah George A, Merriman Tony R, Micha Renata, Michaud Catherine, Mishra Vinod, Mohd Hanafiah Khayriyyah, Mokdad Ali A, Morawska Lidia, Mozaffarian Dariush, Murphy Tasha, Naghavi Mohsen, Neal Bruce, Nelson Paul K, Nolla Joan Miquel, Norman Rosana, Olives Casey, Omer Saad B, Orchard Jessica, Osborne Richard, Ostro Bart, Page Andrew, Pandey Kiran D, Parry Charles D H, Passmore Erin, Patra Jayadeep, Pearce Neil, Pelizzari Pamela M, Petzold Max, Phillips Michael R, Pope Dan, Pope C Arden, Powles John, Rao Mayuree, Razavi Homie, Rehfuess Eva A, Rehm Jürgen T, Ritz Beate, Rivara Frederick P, Roberts Thomas, Robinson Carolyn, Rodriguez-Portales Jose A, Romieu Isabelle, Room Robin, Rosenfeld Lisa C, Roy Ananya, Rushton Lesley, Salomon Joshua A, Sampson Uchechukwu, Sanchez-Riera Lidia, Sanman Ella, Sapkota Amir, Seedat Soraya, Shi Peilin, Shield Kevin, Shivakoti Rupak, Singh Gitanjali M, Sleet David A, Smith Emma, Smith Kirk R, Stapelberg Nicolas J C, Steenland Kyle, Stöckl Heidi, Stovner Lars Jacob, Straif Kurt, Straney Lahn, Thurston George D, Tran Jimmy H, Van Dingenen Rita, van Donkelaar Aaron, Veerman J Lennert, Vijayakumar Lakshmi, Weintraub Robert, Weissman Myrna M, White Richard A, Whiteford Harvey, Wiersma Steven T, Wilkinson James D, Williams Hywel C, Williams Warwick, Wilson Nicholas, Woolf Anthony D, Yip Paul, Zielinski Jan M, Lopez Alan D, Murray Christopher J L, Ezzati Majid, AlMazroa Mohammad A, Memish Ziad A. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2224–60. doi: 10.1016/S0140-6736(12)61766-8.
    1. Lopez Alan D, Mathers Colin D, Ezzati Majid, Jamison Dean T, Murray Christopher J. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006 May 27;367(9524):1747–57. doi: 10.1016/S0140-6736(06)68770-9.
    1. Australian Institute of Health and Welfare . Risk factors contributing to chronic disease. Cat. no. PHE 157. Canberra: AIHW; 2012. [2015-05-12]. .
    1. World Health Organization Fact sheet N°310. [2015-05-12]. The top 10 causes of death
    1. Yach Derek, Hawkes Corinna, Gould C Linn, Hofman Karen J. The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA. 2004 Jun 2;291(21):2616–22. doi: 10.1001/jama.291.21.2616.
    1. DeVol R, Bedroussian A, Charuworn A, Chatterjee A. An Unhealthy America: The Economic Burden of Chronic Disease - Charting a New Course to Save Lives and Increase Productivity and Economic Growth. 2007. [2014-07-28]. .
    1. Beaglehole Robert, Epping-Jordan Joanne, Patel Vikram, Chopra Mickey, Ebrahim Shah, Kidd Michael, Haines Andy. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet. 2008 Sep 13;372(9642):940–9. doi: 10.1016/S0140-6736(08)61404-X.
    1. Balas E A, Weingarten S, Garb C T, Blumenthal D, Boren S A, Brown G D. Improving preventive care by prompting physicians. Arch Intern Med. 2000 Feb 14;160(3):301–8.
    1. Brotons Carlos, Björkelund Celia, Bulc Mateja, Ciurana Ramon, Godycki-Cwirko Maciek, Jurgova Eva, Kloppe Pilar, Lionis Christos, Mierzecki Artur, Piñeiro Rosa, Pullerits Liivia, Sammut Mario R, Sheehan Mary, Tataradze Revaz, Thireos Eleftherios A, Vuchak Jasna. Prevention and health promotion in clinical practice: the views of general practitioners in Europe. Prev Med. 2005 May;40(5):595–601. doi: 10.1016/j.ypmed.2004.07.020.
    1. Mazza Danielle, Shand Lyndel K, Warren Narelle, Keleher Helen, Browning Colette J, Bruce Emma J. General practice and preventive health care: a view through the eyes of community members. Med J Aust. 2011 Aug 15;195(4):180–3.
    1. Elley C Raina, Kerse Ngaire, Arroll Bruce, Robinson Elizabeth. Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. BMJ. 2003 Apr 12;326(7393):793. doi: 10.1136/bmj.326.7393.793.
    1. Greaves Colin J, Sheppard Kate E, Abraham Charles, Hardeman Wendy, Roden Michael, Evans Philip H, Schwarz Peter. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health. 2011;11:119. doi: 10.1186/1471-2458-11-119.
    1. Kaner Eileen, Bland Martin, Cassidy Paul, Coulton Simon, Deluca Paolo, Drummond Colin, Gilvarry Eilish, Godfrey Christine, Heather Nick, Myles Judy, Newbury-Birch Dorothy, Oyefeso Adenekan, Parrott Steve, Perryman Katherine, Phillips Tom, Shenker Don, Shepherd Jonathan. Screening and brief interventions for hazardous and harmful alcohol use in primary care: a cluster randomised controlled trial protocol. BMC Public Health. 2009;9:287. doi: 10.1186/1471-2458-9-287.
    1. Ampt A, Amoroso Cheryl, Harris Mark F, McKenzie Suzanne H, Rose Vanessa K, Taggart Jane R. Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Pract. 2009;10:59. doi: 10.1186/1471-2296-10-59.
    1. Pham Hoangmai H, Schrag Deborah, Hargraves J Lee, Bach Peter B. Delivery of preventive services to older adults by primary care physicians. JAMA. 2005 Jul 27;294(4):473–81. doi: 10.1001/jama.294.4.473.
    1. Duaso Maria Jose, Cheung Philip. Health promotion and lifestyle advice in a general practice: what do patients think? J Adv Nurs. 2002 Sep;39(5):472–9.
    1. Sonntag U, Henkel J, Renneberg B, Bockelbrink A, Braun V, Heintze C. Counseling overweight patients: analysis of preventive encounters in primary care. Int J Qual Health Care. 2010 Dec;22(6):486–92. doi: 10.1093/intqhc/mzq060.
    1. Petrella Robert J, Lattanzio Chastity N, Overend Tom J. Physical activity counseling and prescription among Canadian primary care physicians. Arch Intern Med. 2007 Sep 10;167(16):1774–81. doi: 10.1001/archinte.167.16.1774.
    1. Harris Mark F, Hobbs Coletta, Powell Davies Gawaine, Simpson Sarah, Bernard Diana, Stubbs Anthony. Implementation of a SNAP intervention in two divisions of general practice: a feasibility study. Med J Aust. 2005 Nov 21;183(10 Suppl):S54–8.
    1. Amoroso C, Harris Mark F, Ampt Amando, Laws Rachel A, McKenzie Suzanne, Williams Anna M, Jayasinghe Upali W, Zwar Nicholas A, Powell Davies Gawaine. The 45 year old health check - feasibility and impact on practices and patient behaviour. Aust Fam Physician. 2009 May;38(5):358–62.
    1. Passey Megan, Fanaian Mahnaz, Lyle David, Harris Mark F. Assessment and management of lifestyle risk factors in rural and urban general practices in Australia. Aust J Prim Health. 2010;16(1):81–6.
    1. Dennis Sarah, Williams Anna, Taggart Jane, Newall Anthony, Denney-Wilson Elizabeth, Zwar Nicholas, Shortus Tim, Harris Mark F. Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis. BMC Fam Pract. 2012;13:44. doi: 10.1186/1471-2296-13-44.
    1. Yarnall Kimberly S H, Pollak Kathryn I, Østbye Truls, Krause Katrina M, Michener J Lloyd. Primary care: is there enough time for prevention? Am J Public Health. 2003 Apr;93(4):635–41.
    1. Eysenbach G. What is e-health? J Med Internet Res. 2001;3(2):E20. doi: 10.2196/jmir.3.2.e20.
    1. Atienza A A, Hesse Bradford W, Baker Timothy B, Abrams David B, Rimer Barbara K, Croyle Robert T, Volckmann Lindsey N. Critical issues in eHealth research. Am J Prev Med. 2007 May;32(5 Suppl):S71–4. doi: 10.1016/j.amepre.2007.02.013.
    1. Pagliari C, Sloan David, Gregor Peter, Sullivan Frank, Detmer Don, Kahan James P, Oortwijn Wija, MacGillivray Steve. What is eHealth (4): a scoping exercise to map the field. J Med Internet Res. 2005;7(1):e9. doi: 10.2196/jmir.7.1.e9.
    1. Black A D, Car Josip, Pagliari Claudia, Anandan Chantelle, Cresswell Kathrin, Bokun Tomislav, McKinstry Brian, Procter Rob, Majeed Azeem, Sheikh Aziz. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi: 10.1371/journal.pmed.1000387.
    1. Paul Christine L, Carey Mariko, Yoong Sze Lin, D'Este Catherine, Makeham Meredith, Henskens Frans. Access to chronic disease care in general practice: the acceptability of implementing systematic waiting-room screening using computer-based patient-reported risk status. Br J Gen Pract. 2013 Sep;63(614):e620–6. doi: 10.3399/bjgp13X671605.
    1. Hess Rachel, Santucci Aimee, McTigue Kathleen, Fischer Gary, Kapoor Wishwa. Patient difficulty using tablet computers to screen in primary care. J Gen Intern Med. 2008 Apr;23(4):476–80. doi: 10.1007/s11606-007-0500-1.
    1. Goodyear-Smith Felicity, Warren Jim, Bojic Minja, Chong Angela. eCHAT for lifestyle and mental health screening in primary care. Ann Fam Med. 2013;11(5):460–6. doi: 10.1370/afm.1512.
    1. Rogausch Anja, Sigle Jörg, Seibert Anna, Thüring Sabine, Kochen Michael M, Himmel Wolfgang. Feasibility and acceptance of electronic quality of life assessment in general practice: an implementation study. Health Qual Life Outcomes. 2009;7:51. doi: 10.1186/1477-7525-7-51.
    1. Potiriadis Maria, Chondros Patty, Gilchrist Gail, Hegarty Kelsey, Blashki Grant, Gunn Jane M. How do Australian patients rate their general practitioner? A descriptive study using the General Practice Assessment Questionnaire. Med J Aust. 2008 Aug 18;189(4):215–9.
    1. Knox Stephanie A, Harrison Christopher M, Britt Helena C, Henderson Joan V. Estimating prevalence of common chronic morbidities in Australia. Med J Aust. 2008 Jul 21;189(2):66–70.
    1. Connor Gorber Sarah, Schofield-Hurwitz Sean, Hardt Jill, Levasseur Geneviève, Tremblay Mark. The accuracy of self-reported smoking: a systematic review of the relationship between self-reported and cotinine-assessed smoking status. Nicotine Tob Res. 2009 Jan;11(1):12–24. doi: 10.1093/ntr/ntn010.
    1. Del Boca Frances K, Darkes Jack. The validity of self-reports of alcohol consumption: state of the science and challenges for research. Addiction. 2003 Dec;98 Suppl 2:1–12.
    1. Sanson-Fisher R, Webb G, Reid A. Appendix 2 of Chapter 11: The role of the medical practitioner as an agent for disease prevention. Canberra: Australian Government Publishing Service; 1986.
    1. Lustria Mia Liza A, Cortese Juliann, Noar Seth M, Glueckauf Robert L. Computer-tailored health interventions delivered over the Web: review and analysis of key components. Patient Educ Couns. 2009 Feb;74(2):156–73. doi: 10.1016/j.pec.2008.08.023.
    1. Shojania Kaveh G, Jennings Alison, Mayhew Alain, Ramsay Craig, Eccles Martin, Grimshaw Jeremy. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010 Mar 23;182(5):E216–25. doi: 10.1503/cmaj.090578.
    1. Graetz Ilana, Reed Mary, Shortell Stephen M, Rundall Thomas G, Bellows Jim, Hsu John. The next step towards making use meaningful: electronic information exchange and care coordination across clinicians and delivery sites. Med Care. 2014 Dec;52(12):1037–41. doi: 10.1097/MLR.0000000000000245.
    1. Epstein Ronald M, Street Richard L. The values and value of patient-centered care. Ann Fam Med. 2011;9(2):100–3. doi: 10.1370/afm.1239.
    1. Funnell Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research. Fam Pract. 2010 Jun;27 Suppl 1:i17–22. doi: 10.1093/fampra/cmp027.
    1. Campbell M K, Tessaro I, DeVellis B, Benedict S, Kelsey K, Belton L, Henriquez-Roldan C. Tailoring and targeting a worksite health promotion program to address multiple health behaviors among blue-collar women. Am J Health Promot. 2000;14(5):306–13.
    1. Prochaska J, DiClemente C C, Norcross J C. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102–14.
    1. Dorr David, Bonner Laura M, Cohen Amy N, Shoai Rebecca S, Perrin Ruth, Chaney Edmund, Young Alexander S. Informatics systems to promote improved care for chronic illness: a literature review. J Am Med Inform Assoc. 2007;14(2):156–63. doi: 10.1197/jamia.M2255.
    1. Halbert R J, Leung K M, Nichol J M, Legorreta A P. Effect of multiple patient reminders in improving diabetic retinopathy screening. A randomized trial. Diabetes Care. 1999 May;22(5):752–5.
    1. Jacobson Vann Julie C, Szilagyi Peter. Patient reminder and patient recall systems to improve immunization rates. Cochrane Database Syst Rev. 2005;(3):CD003941. doi: 10.1002/14651858.CD003941.pub2.
    1. Shea S, DuMouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996;3(6):399–409.
    1. Grimshaw J, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, Grilli R, Harvey E, Oxman A, O'Brien M A. Changing provider behavior: an overview of systematic reviews of interventions. Med Care. 2001 Aug;39(8 Suppl 2):II2–45.
    1. Arditi Chantal, Rège-Walther Myriam, Wyatt Jeremy C, Durieux Pierre, Burnand Bernard. Computer-generated reminders delivered on paper to healthcare professionals; effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2012;12:CD001175. doi: 10.1002/14651858.CD001175.pub3.
    1. Prochaska J, Diclemente C. Towards a comprehensive model of change. In: Miller W, Heather N, editors. Treating addictive behaviours: Processes of change. New York: Plenum; 1986.
    1. Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther. 2001 Oct;26(5):331–42.
    1. Silagy C, Muir J, Coulter A, Thorogood M, Roe L. Cardiovascular risk and attitudes to lifestyle: what do patients think? BMJ. 1993 Jun 19;306(6893):1657–60.
    1. Wardle J, Waller J, Brunswick N, Jarvis M J. Awareness of risk factors for cancer among British adults. Public Health. 2001 May;115(3):173–4. doi: 10.1038/sj/ph/1900752.
    1. Breslow R A, Sorkin J D, Frey C M, Kessler L G. Americans' knowledge of cancer risk and survival. Prev Med. 1997;26(2):170–7. doi: 10.1006/pmed.1996.0136.
    1. Wieland L S, Falzon Louise, Sciamanna Chris N, Trudeau Kimberlee J, Brodney Suzanne, Schwartz Joseph E, Davidson Karina W. Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people. Cochrane Database Syst Rev. 2012;8:CD007675. doi: 10.1002/14651858.CD007675.pub2.
    1. Bailey J V, Murray Elizabeth, Rait Greta, Mercer Catherine H, Morris Richard W, Peacock Richard, Cassell Jackie, Nazareth Irwin. Interactive computer-based interventions for sexual health promotion. Cochrane Database Syst Rev. 2010;(9):CD006483. doi: 10.1002/14651858.CD006483.pub2.
    1. Foster C, Richards Justin, Thorogood Margaret, Hillsdon Melvyn. Remote and web 2.0 interventions for promoting physical activity. Cochrane Database Syst Rev. 2013 Sep 30;9:CD010395. doi: 10.1002/14651858.CD010395.pub2.
    1. Civljak M, Stead Lindsay F, Hartmann-Boyce Jamie, Sheikh Aziz, Car Josip. Internet-based interventions for smoking cessation. Cochrane Database Syst Rev. 2013;7:CD007078. doi: 10.1002/14651858.CD007078.pub4.
    1. National Breast Cancer Centre. National Cancer Control Initiative . Clinical Practice Guidelines for the psychosocial care of adults with cancer. Camperdown, NSW: National Breast Cancer Centre; 2003. [2015-05-12]. .
    1. Jenkins V, Fallowfield L, Saul J. Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer. 2001 Jan 5;84(1):48–51. doi: 10.1054/bjoc.2000.1573.
    1. McPherson C J, Higginson I J, Hearn J. Effective methods of giving information in cancer: a systematic literature review of randomized controlled trials. J Public Health Med. 2001 Sep;23(3):227–34.
    1. Grol Richard, Grimshaw Jeremy. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003 Oct 11;362(9391):1225–30. doi: 10.1016/S0140-6736(03)14546-1.
    1. Panelli Ruth, Gallagher Lou, Kearns Robin. Access to rural health services: research as community action and policy critique. Soc Sci Med. 2006 Mar;62(5):1103–14. doi: 10.1016/j.socscimed.2005.07.018.
    1. Girgis A, Sanson-Fisher R W. Breaking bad news. 1: Current best advice for clinicians. Behav Med. 1998;24(2):53–9. doi: 10.1080/08964289809596381.
    1. Ley P, Bradshaw P W, Eaves D, Walker C M. A method for increasing patients' recall of information presented by doctors. Psychol Med. 1973 May;3(2):217–20.
    1. Fallowfield Lesley, Jenkins Valerie. Communicating sad, bad, and difficult news in medicine. Lancet. 2004 Jan 24;363(9405):312–9. doi: 10.1016/S0140-6736(03)15392-5.
    1. National Health and Medical Research Council General Guidelines for Medical Practitioners on Providing Information to Patients. 2004. [2015-05-12]. .
    1. The World Bank Group Internet Users (per 100 people) 2014. [2015-05-12]. .
    1. Bonevski B, Ireland M, Sanson-Fisher R, Campbell E. Do general practice patients find computer health risk surveys acceptable? A comparison with pen-and-paper method. Health Promot J Aust. 1997;7:100–106.
    1. Shakeshaft A P, Bowman J A, Sanson-Fisher R W. Computers in community-based drug and alcohol clinical settings: are they acceptable to respondents? Drug Alcohol Depend. 1998 Apr 1;50(2):177–80.
    1. Newell S, Girgis A, Sanson-Fisher R, Stewart J. Are Touchscreen Computer Surveys Acceptable to Medical Oncology Patients? Journal of Psychosocial Oncology. 1997 Oct 02;15(2):37–46. doi: 10.1300/J077v15n02_03.
    1. Noble Natasha E, Paul Christine L, Carey Mariko L, Sanson-Fisher Robert W, Blunden Stephen V, Stewart Jessica M, Conigrave Katherine M. A cross-sectional survey assessing the acceptability and feasibility of self-report electronic data collection about health risks from patients attending an Aboriginal Community Controlled Health Service. BMC Med Inform Decis Mak. 2014;14:34. doi: 10.1186/1472-6947-14-34.
    1. Bryant Jamie, Bonevski Billie, Paul Christine, Lecathelinais Christophe. Assessing smoking status in disadvantaged populations: is computer administered self report an accurate and acceptable measure? BMC Med Res Methodol. 2011;11:153. doi: 10.1186/1471-2288-11-153.
    1. Olphert Wendy, Damodaran Leela. Older people and digital disengagement: a fourth digital divide? Gerontology. 2013;59(6):564–70. doi: 10.1159/000353630.
    1. Kruse RL, Koopman Richelle J, Wakefield Bonnie J, Wakefield Douglas S, Keplinger Lynn E, Canfield Shannon M, Mehr David R. Internet use by primary care patients: where is the digital divide? Fam Med. 2012 May;44(5):342–7.
    1. Choi Namkee G, Dinitto Diana M. The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. J Med Internet Res. 2013;15(5):e93. doi: 10.2196/jmir.2645.
    1. Lustria Mia Liza A, Smith Scott Alan, Hinnant Charles C. Exploring digital divides: an examination of eHealth technology use in health information seeking, communication and personal health information management in the USA. Health Informatics J. 2011 Sep;17(3):224–43. doi: 10.1177/1460458211414843.
    1. Zach Lisl, Dalrymple Prudence W, Rogers Michelle L, Williver-Farr Heather. Assessing internet access and use in a medically underserved population: implications for providing enhanced health information services. Health Info Libr J. 2012 Mar;29(1):61–71. doi: 10.1111/j.1471-1842.2011.00971.x.
    1. Demiris G, Charness Neil, Krupinski Elizabeth, Ben-Arieh David, Washington Karla, Wu John, Farberow Bonne. The role of human factors in telehealth. Telemed J E Health. 2010 May;16(4):446–53. doi: 10.1089/tmj.2009.0114.
    1. Or Calvin K L, Valdez Rupa S, Casper Gail R, Carayon Pascale, Burke Laura J, Brennan Patricia Flatley, Karsh Ben-Tzion. Human factors and ergonomics in home care: Current concerns and future considerations for health information technology. Work. 2009;33(2):201–9. doi: 10.3233/WOR-2009-0867.
    1. McDonald C J, Hammond W E. Standard formats for electronic transfer of clinical data. Ann Intern Med. 1989 Mar 1;110(5):333–5.
    1. Health Level Seven International. [2015-05-14].
    1. Medical Objects. 2014. [2015-05-14]. Secure Messaging
    1. Brindle P, Beswick A, Fahey T, Ebrahim S. Accuracy and impact of risk assessment in the primary prevention of cardiovascular disease: a systematic review. Heart. 2006 Dec;92(12):1752–9. doi: 10.1136/hrt.2006.087932.

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