Article Figures & Data
Figures
- Figure 1
- Relationship between knowledge and practice A) before using the health passport (r=0.299, p<0.001) and B) after using the health passport (r=0.466, p<0.001).
Tables
Characteristics n (%) Age (mean±SD) 63.83±8.98 Gender Male 516 (50.5) Female 505 (49.5) Age 50-59 341 (33.5) 60-69 422 (41.5) ≥70 255 (25.0) Region Jazan 395 (38.5) Al-Ahsa 172 (16.8) Qassim 130 (12.7) Asir 254 (24.8) Norther border 75 (7.3) Education level Illiterate 483 (47.6) Elementary 251 (24.8) Middle/high 214 (21.1) University 66 (6.5) Occupation (current work status) Employee 41 (9.4) Free work 13 (3.0) House wife 76 (17.4) Retired 176 (40.2) Unemployed 132 (30.1) Presence of caregiver at home? No 122 (12.2) Yes 882 (87.8) Type of caregiver (family member)? No 16 (1.8) Yes 866 (98.2) Values are presented as numbers and percentages (%).
SD: standard deviation
- Table 2
- Assessment of older participants experience during the use of the health passport.
Items n (%) Duration of having health passport <2 months 167 (28.6) 2-3 months 320 (54.8) 4-5 months 51 (8.7) ≥6 months 46 (7.9) Did (the doctor-nurse) help you understand the passport content? No 19 (1.9) Yes 1001 (98.1) Did you use the health passport when you needed medical service in the past 3 months? No 341 (33.5) Yes 678 (66.5) If yes, did you use it? Irregular 249 (33.3) Regular 499 (66.7) Is the time it takes to fill in your passport information for each visit: Unsuitable 187 (18.5) Suitable 825 (81.5) Did you read the health information in the passport or did one of your companions read it? No 169 (16.6) Yes 850 (83.4) If yes, Is the health information provided in the passport clear and understandable? No 59 (6.5) Yes 842 (93.5) Did you do screening tests for detection of any chronic disease? No 169 (17.0) Yes 823 (83.0) Are you motivated to continue using the health passport regularly? No 188 (18.8) Yes 814 (81.2) What is your impression of using the health passport? Not useful 61 (6.2) Somewhat 212 (21.5) Useful 392 (39.7) Very useful 323 (32.7) Do you advise others to use the health passport? No 92 (9.5) Yes 875 (90.5) Items Doctor Nurse Educator P-value Has the medical team committed to using the health passport for the elderly? No 22 (7.6) 22 (7.4) 1 (2.8) 0.564 Yes 266 (92.4) 276 (92.6) 35 (97.2) Is the time taken to use the health pass for the elderly at each visit? Suitable? 201 (69.8) 198 (67.3) 29 (78.4) 0.371 Long (not suitable)? 87 (30.2) 96 (32.7) 8 (21.6) In your opinion, when is the right time to submit a health passport First visit 196 (68.1) 226 (76.4) 23 (63.9) 0.182 Second 64 (22.2) 47 (15.9) 9 (25.0) After second 28 (9.7) 23 (7.8) 4 (11.1) Did the health passport help in overcoming communication problems between the elderly and the health team? No 12 (4.1) 10 (3.3) 2 (5.4) 0.773 Yes 278 (95.9) 289 (96.7) 35 (94.6) Is the content of the health passport clear and understandable? No 50 (17.2) 65 (21.6) 8 (21.6) 0.379 Yes 241 (82.8) 236 (78.4) 29 (78.4) Did the elderly health passport facilitate communication with patients and their families regarding daily treatment plans? No 52 (17.9) 64 (21.4) 6 (16.2) 0.487 Yes 239 (82.1) 235 (78.6) 31 (83.8) Did the elderly health passport facilitate communication with patients and their families regarding future treatment plans? No 61 (21.1) 64 (21.3) 6 (16.2) 0.767 Yes 228 (78.9) 236 (78.7) 31 (83.8) In general, has the health passport been used regularly by patients? No 136 (47.2) 151 (51.2) 12 (34.3) 0.145 Yes 152 (52.8) 144 (48.8) 23 (65.7) How do you evaluate the commitment of the elderly to use the passport <50 104 (37.3) 122 (44.3) 8 (27.6) 0.218 50 105 (37.6) 86 (31.3) 9 (31.0) >50 70 (25.1) 67 (24.4) 12 (41.4) Did using the health passport help in saving time and effort? No 70 (24.4) 92 (30.7) 5 (13.5) 0.039* Yes 217 (75.6) 208 (69.3) 32 (86.5) Is it necessary to continue activating and using the health passport for the elderly? No 43 (15.1) 69 (23.3) 4 (10.8) 0.018* Yes 241 (84.9) 227 (76.7) 33 (89.2) Region Jazan 123 (42.0) 150 (49.7) 16 (43.2) <0.001* Al-Ahsa 7 (2.4) 3 (1.0) 3 (8.1) Qassim 51 (17.4) 16 (5.3) Asir 63 (21.5) 90 (29.8) 17 (45.9) Northern border 49 (16.7) 43 (14.2) 1 (2.7) Values are presented as number and percentages (%).
- Table 4
- Mean total score for attitude, knowledge, and practice before and after using the health passport.
Dimension Before After P-value Mean±SD Attitude (out of 5) 3.54±1.71 4.05±1.63 <0.001 Knowledge (out of 2) 1.12±0.90 1.61±0.84 <0.001 Practice (out of 3) 1.36±1.14 2.21±1.05 <0.001 Overall (out of 10) 6.05±2.61 7.87±2.86 <0.001 - Table 5
- Mean overall score for attitude, knowledge, and practice by demographic characteristics of the participants.
Characteristics Before After P-value Mean±SD Gender Male 6.25±2.61 7.99±2.76 <0.001* Female 5.85±2.59 7.66±3.03 <0.001* Age 50-59 6.23±2.55 8.05±2.82 <0.001* 60-69 6.02±2.69 7.85±2.76 <0.001* ≥70 5.85±2.53 7.59±3.08 <0.001* Region Jazan 5.77±2.61 7.95±2.74 <0.001* Al-Ahsa 6.24±2.82 7.24±3.43 0.001 Qassim 6.12±2.61 7.65±2.95 <0.001* Asir 6.26±2.42 7.88±2.91 <0.001* Northern border 6.27±2.68 8.57±2.08 <0.001* Education level Illiterate 5.40±2.56 7.51±3.09 <0.001* Elementary 6.34±2.53 7.97±2.73 <0.001* Middle/high 6.73±2.60 8.13±2.69 <0.001* University 7.38±2.03 8.53±2.52 0.002* Current work Employee 6.41±2.12 8.61±2.65 <0.001* Free work 5.85±2.58 8.70±2.31 0.017 House wife 6.37±2.43 7.53±2.84 0.009 Retired 7.01±2.32 8.23±2.53 <0.001* Unemployed 6.00±2.48 7.68±3.04 <0.001* Questions Scale mean if item deleted Scale variance if item deleted Corrected item-total correlation Cronbach’s alpha if item deleted Do you think the health passport will facilitate discussion of your health condition with your doctor? 11.44 14.62 0.42 0.75 Do you think the health passport will facilitate discussion of your health condition with your family? 11.46 14.41 0.47 0.75 Will the use of the health passport facilitate the planning process for future health care? 11.44 14.71 0.39 0.75 Do you think the health passport will raise your health information when using it? 11.43 15.10 0.28 0.76 Are you motivated to use the health passport? 11.21 15.74 0.21 0.76 Do you know the comprehensive examination for the elderly 11.36 15.23 0.27 0.76 Do you consider a comprehensive examination for the elderly 11.15 15.99 0.22 0.76 Do you engage in any physical activity regularly? 11.61 15.07 0.26 0.76 Do you know the ingredients for a healthy dish? 11.50 14.85 0.33 0.76 Do you make sure to eat healthy food every day? 11.51 14.98 0.29 0.76 Have you made an early detection of any of the following diseases during the past year? Hypertension 11.15 15.48 0.26 0.76 Diabetes mellitus 11.15 15.11 0.35 0.76 Opta 11.45 14.95 0.32 0.76 Hearing 11.68 14.97 0.29 0.76 Breast cancer 11.67 15.51 0.06 0.79 Colon 11.98 15.55 0.21 0.76 Depression 11.77 14.40 0.44 0.75 Urinary incontinence 11.77 14.05 0.51 0.74 Memory 11.70 13.82 0.56 0.74 Falls 11.69 13.97 0.51 0.74 Questions Scale mean if item deleted Scale variance if item deleted Corrected item-total correlation Cronbach’s alpha if item deleted Did the passport help you to raise your health information? 13.83 16.58 0.35 0.79 Did the health passport facilitate discuss your health condition with the your doctor? 13.83 16.39 0.43 0.79 Did the health passport facilitate discuss your health condition with the your family? 13.85 16.11 0.49 0.78 Did the health passport facilitate the planning process for future health care? 13.84 16.23 0.46 0.78 Did the health passport motivate you to conduct early detection of any chronic diseases? 13.81 16.41 0.45 0.79 Do you know the comprehensive examination for the elderly 13.79 17.02 0.23 0.79 Do you consider a comprehensive examination for the elderly 13.72 17.30 -0.03 0.82 Did the passport motivate you to engage in regular physical activity? 13.90 16.32 0.35 0.79 Do you know the ingredients for a healthy dish? 13.94 16.48 0.27 0.79 Did the passport motivate you to eat healthy food every day? 13.94 16.63 0.22 0.80 Have you had an early detection of any chronic diseases in the past three months? Hypertension 13.74 16.22 0.36 0.79 Diabetes mellitus 13.72 16.25 0.34 0.79 Hearing 14.13 15.55 0.41 0.78 Opta 14.03 15.66 0.42 0.78 Breast cancer 14.32 15.42 0.34 0.79 Colon cancer 14.49 15.44 0.29 0.80 Depression 14.25 15.14 0.53 0.78 Urinary incontinence 14.26 14.94 0.57 0.77 Memory 14.21 14.95 0.57 0.77 Falls 14.20 14.76 0.61 0.77 Questions Scale mean if item deleted Scale variance if item deleted Corrected item-total correlation Cronbach’s alpha if item deleted Has the medical team committed to using the health passport for the elderly? 7.350 6.111 0.251 0.819 Is the content of the health passport clear and understandable? 7.319 6.192 0.274 0.818 Did the health passport help in overcoming communication problems between the elderly and the health team? 7.464 5.233 0.627 0.783 Did the elderly health passport facilitate communication with patients and their families regarding daily treatment plans? 7.460 5.159 0.680 0.777 Did the elderly health passport facilitate communication with patients and their families regarding future treatment plans? 7.482 5.131 0.660 0.778 In general, has the health passport been used regularly by patients? 7.752 5.053 0.529 0.793 How to evaluate the commitment of the elderly to use the passport 6.420 4.171 0.507 0.828 Did using the health passport help in saving time and effort? 7.542 4.980 0.672 0.774 Is it necessary to continue activating and using the health passport for the elderly? 7.460 5.207 0.650 0.780
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