Table 6.
Mediation modelsa.
|
|
bpb | β | SE | 95% CI | P valuec | |||||
| Dependent variable: Psychological health (Model 1) | ||||||||||
|
|
PAEHRd→PCCe (a1 path) | 0.131 | .125 | .042 | .048 to .214 | .002 | ||||
|
|
PAEHR→Health self-efficacy (a2 path) | 0.022 | .021 | .055 | –.078 to .137 | .59 | ||||
|
|
PCC→Health self-efficacy (l1 path) | 0.270 | .269 | .052 | .258 to .461 | <.001 | ||||
|
|
PCC→Psychological health (b1 path) | 0.217 | .186 | .046 | .127 to .306 | <.001 | ||||
|
|
Health self-efficacy→Psychological health (b2 path) | 0.181 | .156 | .034 | .068 to .202 | <.001 | ||||
|
|
PAEHR→Psychological health (direct effect, d path) | –0.016 | –.013 | .046 | –.108 to .075 | .73 | ||||
|
|
PAEHR→Psychological health (total effect, c path) | 0.023 | .018 | .048 | –.072 to .117 | .64 | ||||
|
|
PAEHR→PCC→ Psychological health (indirect effect, a1xb1) | 0.029 | .023 | .012 | .009 to .054 | N/Af | ||||
|
|
PAEHR→PCC→ Health self-efficacy→Psychological health (indirect effect, a1xb2xl1) | 0.006 | .005 | .003 | .002 to .014 | N/A | ||||
|
|
PAEHR→Health self-efficacy→Psychological health (indirect effect, a2xb2) | 0.004 | <.001 | .008 | –.012 to .020 | N/A | ||||
| Dependent variable: Physical health (Model 2) | ||||||||||
|
|
PAEHR→PCC (a1 path) | 0.131 | .125 | .042 | .048 to .214 | .002 | ||||
|
|
PAEHR→Health self-efficacy (a2 path) | 0.022 | .021 | .055 | –.078 to .137 | .59 | ||||
|
|
PCC→Health self-efficacy (l1 path) | 0.270 | .269 | .052 | .258 to .461 | <.001 | ||||
|
|
PCC→Physical health (b1 path) | 0.013 | .010 | .070 | –.120 to .154 | .81 | ||||
|
|
Health self-efficacy→Physical health (b2 path) | 0.168 | .126 | .052 | .066 to .270 | .001 | ||||
|
|
PAEHR→Physical health (direct effect, d path) | –0.032 | –.023 | .071 | –.183 to .096 | .55 | ||||
|
|
PAEHR→Physical health (total effect, c path) | –0.021 | –.015 | .071 | –.168 to .112 | .69 | ||||
|
|
PAEHR→PCC→Physical health (indirect effect, a1→b1) | 0.002 | .001 | .011 | –.020 to .024 | N/A | ||||
|
|
PAEHR→PCC→Health self-efficacy→Physical health (indirect effect, a1→b2→l1) | 0.006 | .004 | .004 | .002 to .018 | NA | ||||
|
|
PAEHR→Health self-efficacy→Physical health (indirect effect, a2→b2) | 0.004 | .003 | .010 | –.015 to .026 | N/A | ||||
aa1, a2, b1, b2, and l1 in this table indicate the pathways between patient-accessible electronic health record portal use and health outcomes and the effects.
bRegression coefficient generated by min-max normalization as percentage coefficient.
cP values are not computed for bootstrapped indirect effects.
dPAEHR: patient-accessible electronic health record.
ePCC: patient-centered communication.
fN/A: not applicable.