TY  - JOUR
AU  - Yousef, Consuela Cheriece
AU  - Salgado, Teresa M
AU  - Farooq, Ali
AU  - Burnett, Keisha
AU  - McClelland, Laura E
AU  - Thomas, Abin
AU  - Alenazi, Ahmed O
AU  - Abu Esba, Laila Carolina
AU  - AlAzmi, Aeshah
AU  - Alhameed, Abrar Fahad
AU  - Hattan, Ahmed
AU  - Elgadi, Sumaya
AU  - Almekhloof, Saleh
AU  - AlShammary, Mohammed A
AU  - Alanezi, Nazzal Abdullah
AU  - Alhamdan, Hani Solaiman
AU  - Khoshhal, Sahal
AU  - DeShazo, Jonathan P
PY  - 2021
DA  - 2021/8/17
TI  - Predicting Patients’ Intention to Use a Personal Health Record Using an Adapted Unified Theory of Acceptance and Use of Technology Model: Secondary Data Analysis
JO  - JMIR Med Inform
SP  - e30214
VL  - 9
IS  - 8
KW  - personal health record
KW  - patient portal
KW  - eHealth
KW  - Middle East
KW  - Saudi Arabia
KW  - Unified Theory of Acceptance and Use of Technology
KW  - prediction
KW  - intention
KW  - electronic health record
KW  - acceptance
KW  - model
KW  - framework
KW  - secondary analysis
AB  - Background: With the rise in the use of information and communication technologies in health care, patients have been encouraged to use eHealth tools such as personal health records (PHRs) for better health and well-being services. PHRs support patient-centered care and patient engagement. To support the achievement of the Kingdom of Saudi Arabia’s Vision 2030 ambitions, the National Transformation program provides a framework to use PHRs in meeting the 3-fold aim for health care—increased access, reduced cost, and improved quality of care—and to provide patient- and person-centered care. However, there has been limited research on PHR uptake within the country. Objective: Using the Unified Theory of Acceptance and Use of Technology (UTAUT) as the theoretical framework, this study aims at identifying predictors of patient intention to utilize the Ministry of National Guard-Health Affairs PHR (MNGHA Care) app. Methods: Using secondary data from a cross-sectional survey, data measuring the intention to use the MNGHA Care app, along with its predictors, were collected from among adults (n=324) visiting Ministry of National Guard-Health Affairs facilities in Riyadh, Jeddah, Dammam, Madinah, Al Ahsa, and Qassim. The relationship of predictors (main theory constructs) and moderators (age, gender, and experience with health apps) with the dependent variable (intention to use MNGHA Care) was tested using hierarchical multiple regression. Results: Of the eligible population, a total of 261 adult patients were included in the analysis. They had a mean age of 35.07 (SD 9.61) years, 50.6 % were male (n=132), 45.2% had university-level education (n=118), and 53.3% had at least 1 chronic medical condition (n=139). The model explained 48.9% of the variance in behavioral intention to use the PHR (P=.38). Performance expectancy, effort expectancy, and positive attitude were significantly associated with behavioral intention to use the PHR (P<.05). Prior experience with health apps moderated the relationship between social influence and behavioral intention to use the PHR (P=.04). Conclusions: This study contributes to the existing literature on PHR adoption broadly as well as in the context of the Kingdom of Saudi Arabia. Understanding which factors are associated with patient adoption of PHRs can guide future development and support the country’s aim of transforming the health care system. Similar to previous studies on PHR adoption, performance expectancy, effort expectancy, and positive attitude are important factors, and practical consideration should be given to support these areas. 
SN  - 2291-9694
UR  - https://medinform.jmir.org/2021/8/e30214
UR  - https://doi.org/10.2196/30214
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34304150
DO  - 10.2196/30214
ID  - info:doi/10.2196/30214
ER  -