Journal of medical Internet research
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J. Med. Internet Res. · Jan 2009
Challenges to using an electronic personal health record by a low-income elderly population.
Electronic personal health records (PHRs) are increasingly recognized and used as a tool to address various challenges stemming from the scattered and incompatible personal health information that exists in the contemporary US health care system. Although activity around PHR development and deployment has increased in recent years, little has been reported regarding the use and utility of PHRs among low-income and/or elderly populations. ⋯ Our findings suggest that those who can benefit the most from a PHR system may be the least able to use it. Disparities in access to and use of computers, the Internet, and PHRs may exacerbate health care inequality in the future.
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J. Med. Internet Res. · Jan 2009
Randomized Controlled TrialEffectiveness of active-online, an individually tailored physical activity intervention, in a real-life setting: randomized controlled trial.
Effective interventions are needed to reduce the chronic disease epidemic. The Internet has the potential to provide large populations with individual advice at relatively low cost. ⋯ In a real-life setting, Active-online was not more effective than a nontailored website in increasing physical activity levels in volunteers from the general population. Further research may investigate ways of integrating Web-based physical activity interventions in a wider context, for example, primary care or workplace health promotion.