The online version of this article (doi:10.1186/s12875-017-0615-3) contains supplementary material, which is available to authorized users.
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.
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.
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.
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.
Additional file 1: Questionnaire NPCD: Items of the questionnaire for NPCD panel members. (DOCX 15 kb)12875_2017_615_MOESM1_ESM.docx
Additional file 2: Chronic diseases: Most common chronic diseases per disease category. (DOCX 16 kb)12875_2017_615_MOESM2_ESM.docx
Additional file 3: Patient characteristics: Patients’ characteristics per disease type. (DOCX 19 kb)12875_2017_615_MOESM3_ESM.docx
Additional file 4: Results expert panel: Results of the expert panel of disease controllability per disease category. (DOCX 17 kb)12875_2017_615_MOESM4_ESM.docx
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