TY - JOUR
T1 - Evaluating psychometric determinants of willingness to adopt sexual health patient portal services among black college students
T2 - A mixed-methods approach
AU - Jackman, Kevon Mark P.
AU - Hightow-Weidman, Lisa
AU - Poteat, Tonia
AU - Wirtz, Andrea L.
AU - Kane, Jeremy C.
AU - Baral, Stefan D.
N1 - Publisher Copyright:
© 2019 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Objectives: To describe, using mixed-methods, perceptions of access to sexually transmitted infection test results via electronic personal health record (PHR) and correlates of willingness to adopt its use. Participants: Students at a mid-Atlantic historically black college. Methods: Focus-groups and interviews were conducted to explore themes on sexual health-related PHR-use (N = 35). Codes were operationalized into survey measures assessing beliefs in a cross-sectional sample (N = 354). Exploratory factor analysis identified latent factors among survey items. Multiple logistic regression models measured correlates of adoption willingness. Results: Three qualitative themes emerged on relative advantages, barriers, and functionality of PHRs. 57.6% of survey participants were willing to use PHRs for sexual health services. Reliable latent factors, centering on PHR convenience and functionality, were positively associated with adoption willingness. Conclusions: Data highlights interest among black college-age youth in adopting PHRs for comprehensive sexual health-related services. Adoption may be boosted with tailored designs responsive to expressed service needs.
AB - Objectives: To describe, using mixed-methods, perceptions of access to sexually transmitted infection test results via electronic personal health record (PHR) and correlates of willingness to adopt its use. Participants: Students at a mid-Atlantic historically black college. Methods: Focus-groups and interviews were conducted to explore themes on sexual health-related PHR-use (N = 35). Codes were operationalized into survey measures assessing beliefs in a cross-sectional sample (N = 354). Exploratory factor analysis identified latent factors among survey items. Multiple logistic regression models measured correlates of adoption willingness. Results: Three qualitative themes emerged on relative advantages, barriers, and functionality of PHRs. 57.6% of survey participants were willing to use PHRs for sexual health services. Reliable latent factors, centering on PHR convenience and functionality, were positively associated with adoption willingness. Conclusions: Data highlights interest among black college-age youth in adopting PHRs for comprehensive sexual health-related services. Adoption may be boosted with tailored designs responsive to expressed service needs.
KW - HIV/STIs
KW - Health IT
KW - Health disparities
KW - minority youth
KW - patient portal adoption
UR - http://www.scopus.com/inward/record.url?scp=85074985686&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074985686&partnerID=8YFLogxK
U2 - 10.1080/07448481.2019.1660352
DO - 10.1080/07448481.2019.1660352
M3 - Article
C2 - 31710578
AN - SCOPUS:85074985686
SN - 0744-8481
VL - 69
SP - 190
EP - 197
JO - Journal of American College Health
JF - Journal of American College Health
IS - 2
ER -