Effective Use of Patient-Centric Health Information Systems: the Influence of Patient Emotions


  • Azadeh Savoli IESEG School of Management
  • Henri Barki HEC Montreal


Emotions, Asthma self-management, Effective use, Health information technologies, Qualitative research.


The present study examined how patients’ emotional responses to a Portal (i.e., a pa- tient-centric health IT designed to help patients self-manage their chronic condition) influ- enced their effective use of the Portal. Based on interview data collected from 34 asthma patients, we identified six categories of emotions that the Portal’s usage evoked in patients who participated in the study. While patients who had negative emotions about the Portal tended to always use it ineffectively, the effectiveness with which patients who had positive emotions used the Portal varied according to their differing perceptions of the Portal. In addition, while all positive emotions were associated with high frequencies of Portal use, this usage was not always effective as it was sometimes not aligned with the Portal’s goal of asthma self-management. These findings suggest that designers and implementers need to pay greater attention to the emotional responses that patient-users can have, and to try to minimize the emergence of negative emotions by designing systems that induce in patients a positive experience and self-image, as well as joy while promoting their effective usage of these systems. 


Anderson, C. L. & Agarwal, R. (2011). “The Digitization of Healthcare: Boundary Risks, Emotion, and Consumer Willingness to Disclose Personal Health Information.” Information Systems Research, 22(3), 469-490.

Ayyagari, R., Grover, V. & Purvis, R. (2011). “Technostress: Technological Antecedents and Implications.” MIS Quarterly, 35(4), 831-858.

Bagozzi, R. P., Gopinath, M. & Nyer, P. U. (1999). “The Role of Emotions in Marketing.” Journal of the Academy of Marketing Science, 27(2), 184-206.

Beaudry, A. & Pinsonneault, A. (2010). “The Other Side of Acceptance: Studying the Direct and Indirect Effects of Emotions on Information Technology Use”. MIS Quarterly, 34(4), 689-710.

Burton-Jones, A. & Grange, C. (2012). “From Use to Effective Use: A Representation Theory Perspective.” Information Systems Research, 24(3), 632–658.

Cenfetelli, R. (2004). “Getting in Touch with our Feelings Towards Technology.” Academy of Management Proceedings (Vol. 2004, No. 1, pp. F1-F6). Academy of Management.

Coleman, M. T. & Newton, K. S. (2005). Supporting Self-management in Patients with Chronic Illness. American Family Physician, 72(8), 1503-1510.

Desmet, P. M. (2012). “Faces of Product Pleasure: 25 Positive Emotions in Human-Product Interactions.” International Journal of Design, 6 (2), 1-29.

Éthier, J., Hadaya, P., Talbot, J. & Cadieux, J. (2006). “B2C web site quality and emotions during online shopping episodes: An empirical study.” Information & Management, 43(5), 627-639.

Fourie, I. (2009). “Learning from research on the information behaviour of healthcare professionals: a review of the literature 2004–2008 with a focus on emotion.” Health Information & Libraries Journal, 26(3), 171-186.

García-Lizana, F. & Sarría-Santamera, A. (2007). “New technologies for chronic disease management and control: a systematic review.” Journal of Telemedicine and Telecare, 13(2), 62-68.

Kotses, H. & Creer, T. L. (2010). “Asthma self-management” Asthma, Health and Society (pp. 117-139): Springer US.

Lambert, S. D. & Loiselle, C. G. (2007). Health information-seeking behavior. Qualitative health research, 17(8), 1006-1019.

Lazarus, R. S. (1991). “Emotion and adaptation”: Oxford University Press.

Mano, H. (1991). “The structure and intensity of emotional experiences: Method and context convergence”. Multivariate Behavioral Research, 26(3), 389-411.

Norman, D. A. (2004). Emotional design: Why we love (or hate) everyday things. Basic Books, N.Y.

Polomano, R. C., Droog, N., Purinton, M. C. P. & Cohen, A. S. (2007). “Social Support Web-Based Resources for Patients with Chronic Pain”. Journal of Pain and Palliative Care Pharmacotherapy, 21(3), 49-55.

Scherer, K. R., Schorr, A. E. & Johnstone, T. E. (2001). Appraisal processes in emotion: Theory, methods, research: Oxford University Press.

Sittig, D. F., Krall, M., Kaalaas-Sittig, J. & Ash, J. S. (2005). Emotional aspects of computer-based provider order entry: a qualitative study. Journal of the American Medical Informatics Association, 12(5), 561-567.

Smith, C. A. & Ellsworth, P. C. (1985). Patterns of cognitive appraisal in emotion. Journal of Personality and Social Psychology, 48(4), 813-838.

Storm, C. & Storm, T. (1987). “A Taxonomic Study of the Vocabulary of Emotions.” Journal of Personality and Social Psychology, 53(4), 805-816.

Todman, J. & Monaghan, E. (1995). “Qualitative Differences in Computer Experience, Computer Anxiety, and Students' use of Computers: A Path Model.” Computers in Human Behavior, 10(4), 529-539.

Tractinsky, N., Katz, A. S. & Ikar, D. (2000). “What is Beautiful is Usable”. Interacting with Computers, 13(2), 127-145.

Turner, J. & Kelly, B. (2000). “Emotional Dimensions of Chronic Disease.” Western Journal of Medicine, 172(2), 124-128.

Watson, D. & Tellegen, A. (1985). “Toward a Consensual Structure of Mood.” Psychological Bulletin, 98(2), 219-235.

Yin, D., Bond, S. & Zhang, H. (2014). “Anxious or angry? Effects of discrete emotions on the perceived helpfulness of online reviews.” MIS Quarterly, 38(2), 539-560.



How to Cite

Savoli, A., & Barki, H. (2016). Effective Use of Patient-Centric Health Information Systems: the Influence of Patient Emotions. Systèmes d’Information Et Management (French Journal of Management Information Systems), 22(1). Retrieved from https://revuesim.org/index.php/sim/article/view/789



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