Factors associated with the use of the internet and a continuity of care document (CCD): A special needs population of persons living with HIV/AIDS in New York City

Background: Healthy People 2020 identified the need for improved interactive Health Communication and Health IT. Attainment of this goal includes Objectives: 1. Increase access to the Internet, which is essential for obtaining health information and health promotion efforts. 2. Increase in the use electronic personal health management tools, essential for keeping track of personal health information. A comprehensive perspective on predictors of the access to and use of EPHMTs in special needs populations such as PLWH must be identified for objective accomplishment. Methods: PLWH (n=230) enrolled in the SelectHealth Medicaid plan were recruited to complete a survey that assessed predictors of health outcomes. A subset (N=25) that used the SelectHealth CCD completed a survey that gathered perceptions of system usefulness and ease. Focus groups with PLWH (n=35), providers (n=19) and interviews with care site managers (n=5) were conducted to identify factors to CCD use. Results / Outcomes: PLWH that were younger, higher educated, with good perceptions of their health were more likely to use the Internet. PLWH that were higher educated, had higher perceptions of provider respect and greater disclosure stigma spent more time on the Internet. The CCD was thought to be highly useful and moderately easy to use. Users believe CCD assisted in managing healthcare needs, enhancing care. Conclusions: Identified differences between Internet use revealed the need for population-specific strategies. Overcoming barriers to CCD use must include computer training and Internet access. Effective ways to facilitate CCD use should be addressed in the context of care-related difficulties.