573 © Schattauer 2016 Users’ attitudes towards personal health records A cross-sectional pilot study Peyman Azad Khaneghah 1 ; Antonio Miguel-Cruz 1,3 ; Pamela Bentley 2 ; Lili Liu 1 ; Eleni Stroulia 4 ; Martin Ferguson-Pell 2 1 Department of Occupational Therapy, University of Alberta, Edmonton, Canada; 2 Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada; 3 School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia; 4 Department of Computing Science, Faculty of Science, University of Alberta, Edmonton, Canada Keywords Chronic disease, diabetes mellitus, personal health records Summary Background: Prevention and management of chronic conditions is a priority for many healthcare systems. Personal health records have been suggested to facilitate implementation of chronic care programs. However, patients’ attitude towards personal health records (PHRs) can significantly af- fect the adoption rates and use of PHRs. Objectives: to evaluate the attitude of patients with Type II diabetes towards using a PHR to man- age their condition. Methods: We used a cross-sectional exploratory pilot study. Fifty-four (54) patients used a PHR to monitor and record their blood glucose levels, diet, and activities for 30 days, and to communicate with their clinicians. At the end of the study, patients responded to a survey based on three con- structs borrowed from different technology acceptance frameworks: relative advantage, job fit, and perceived usefulness. A multivariate predictive model was formed using partial least squaring tech- nique (PLS) and the effect of each construct on the patients’ attitude towards system use was evaluated. Patients also participated in a semi-structured interview. Results: We found a significant positive correlation between job fit and attitude (JF → ATT = +0.318, p<0.01). There was no statistical evidence of any moderating or mediating effect of other main constructs or any of the confounding factors (i.e., age, gender, time after diagnosed) on atti- tude. Conclusion: The attitude of patients towards using PHR in management of their diabetes was posi- tive. Their attitude was mainly influenced by the extent to which the system helped them better perform activities and self-manage their condition. Correspondence to: Martin Ferguson-Pell, Faculty of Rehabilitation medicine, University of Alberta, 2–545 Edmonton Clinic Health Academy, Edmonton, Alberta, Canada, T6G 1C9, Telephone: 1–780–492–4383 Email: Martin.ferguson-pell@ualberta.ca Appl Clin Inform 2016; 7: 573–586 http://dx.doi.org/10.4338/ACI-2015-12-RA-0180 received: January 6, 2016 accepted: April 11, 2016 published: June 22, 2016 Citation: Azad Khaneghah P, Miguel-Cruz A, Bentley P, Liu L, Stroulia E, Ferguson-Pell M. Users’ attitudes to- wards personal health records: A cross-sectional pilot study Appl Clin Inform 2016; 7: 573–586 http://dx.doi.org/10.4338/ACI-2015-12-RA-0180 Research Article P Azad Khaneghah et al.: Users’ attitudes towards PHR