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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

BMC Family Practice 1/2017

Self-monitoring of health data by patients with a chronic disease: does disease controllability matter?

Zeitschrift:
BMC Family Practice > Ausgabe 1/2017
Autoren:
Martine W. J. Huygens, Ilse C. S. Swinkels, Judith D. de Jong, Monique J. W. M. Heijmans, Roland D. Friele, Onno C. P. van Schayck, Luc P. de Witte
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12875-017-0615-3) contains supplementary material, which is available to authorized users.

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.
Zusatzmaterial
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
Literatur
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