Use of Electronic Personal Health Records as a health risk-reduction discussion t

描述(由申请人提供)：迫切需要创新的预防战略，以减少美国新出现的黑人成年人中持续性人类免疫缺陷病毒(HIV)和其他性传播疾病(STD)差异的负担。某些称为电子个人健康记录(PHR)的健康信息技术服务使人们能够远程访问艾滋病毒/性传播疾病检测信息，新出现的黑人成年人可以在降低风险的讨论期间与性伴侣分享这些信息。尽管促进性伴侣自我披露其风险状况具有关键的预防价值，但人们对新兴黑人成年人如何看待艾滋病毒/性传播疾病PHR在与性伴侣讨论降低风险方面的效用知之甚少。在充分了解艾滋病毒/性病个人健康记录作为一种有效减少风险工具的潜力之前，重要的是首先对其使用的认知和后果有一个丰富的背景了解。新兴成年人研究人群由摩根州立大学(MSU)的学生组成，摩根州立大学是一所历史上的黑人大学，位于巴尔的摩市，被指定为马里兰州的城市研究所。为了更好地理解人们对使用HIV/STD PHR的认知和意图，本研究借鉴了行为预测和创新扩散的综合模型理论框架。拟议的研究采用探索性混合方法；这是一个两阶段的研究设计，要求使用定性研究方法(即焦点小组和访谈)对小样本的研究问题进行丰富的探索，然后使用定量研究方法(即在线横断面调查的统计分析)确定定性结果是否可推广到大样本。拟议的形成性研究对公共卫生很重要，原因有很多：(1)研究结果可以为以患者为中心的PHR应用程序的仔细设计提供信息；(2)潜在地改善艾滋病毒/STD预防护理的提供；(2)理解行为的理论结构是战略规划和分配健康促进资源的重要方面；(3)研究结果可能会促使艾滋病毒/STD检测中心评估将患者与HIV/STD PHR卫生服务联系起来的价值；以及(4)地区、州和联邦卫生保健激励计划，以增加卫生信息技术的采用和有意义的使用，也可能发现这项研究非常重要。这项研究无疑将为未来的卫生保健服务和行为健康科学研究HIV/STD PHR和预防提供帮助。

DESCRIPTION (provided by applicant): Innovative prevention strategies are critically needed to reduce the burden of persistent human immunodeficiency virus (HIV) and other sexually transmitted disease (STD) disparities among emerging black adults in the United States. Certain health information technology services called electronic personal health records (PHRs) enable remote access to the HIV/STD testing information which emerging black adults may share with sex partners during risk reduction discussions. Despite the critical preventative value of promoting sex partners to self-disclose their risk status, little is known about how emerging black adults perceive the utility of HIV/STD PHRs in risk reduction discussions with partners. Before understanding the full potential of HIV/STD PHRs to be an effective risk reduction tool it is important to first have a rich contextual understanding of the perceptions and consequences of its utilization. The study population of emerging adults consists of students at Morgan State University (MSU), a historically black university located in Baltimore City and designated as Maryland's urban research institute. To obtain a rich understanding of perceptions and intentions to use HIV/STD PHRs, the proposed research draws upon an Integrative Model of Behavioral Prediction and Diffusion of Innovation theoretical framework. The proposed study employs exploratory mixed-methods; this is a two-phase research design that calls for a rich exploration of research questions with a small sample using qualitative research methods (i.e. focus groups and interviews) and then determining if qualitative findings are generalizable to a large sample using quantitative research methods (i.e. statistical analysis of online cross-sectional surveys). The proposed formative research is important to public health for many reasons: (1) Study results can inform the careful design of patient-centered PHR applications; potentially improving the delivery of HIV/STD preventative care; (2) Understanding theoretical constructs of behavior is an important aspect of strategic planning and allocating resources for health promotions; (3) Study findings may spur HIV/STD testing centers to evaluate the value of linking patients to HIV/STD PHR health services; and (4) Regional, state and federal health care incentive programs for increasing Health IT adoption and meaningful use may also find this study of great importance. This study will undoubtedly lead to future health care services and behavioral health sciences research on HIV/STD PHRs and prevention.