Trial reportPloS one2012
A cross-sectional study of barriers to personal health record use among patients attending a safety-net clinic.
Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Barriers, Facilitators, and Solutions to Optimal Patient Portal and Personal Health Record Use: A Systematic Review of the Literature.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Pooled it
- Demographic and Psychosocial Characteristics Associated With Use of a Prostate Cancer Survivorship Website: Implications From a Multisite Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Patient-Accessible Electronic Health Records and Information Practices in Mental Health Care Contexts: Scoping Review.Journal of medical Internet research · 2025Article
- Associations between media use, self-efficacy, and health literacy among Chinese rural and urban elderly: A moderated mediation model.Frontiers in public health · 2023Article
- Digital Health Literacy as a Predictor of Awareness, Engagement, and Use of a National Web-Based Personal Health Record: Population-Based Survey Study.Journal of medical Internet research · 2022Article
- Sharing Clinical Notes and Electronic Health Records With People Affected by Mental Health Conditions: Scoping Review.JMIR mental health · 2021Article
- Patient portal use among veterans with depression: Associations with symptom severity and demographic characteristics.Journal of affective disorders · 2020Article
- Is research on patient portals attuned to health equity? A scoping review.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use.Applied clinical informatics · 2019Article
- Patient portal readiness among postpartum patients in a safety net setting.Applied clinical informatics · 2017Article
- Article
- Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers?Perspectives in health information managemen · 2016Article
- Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic.AIDS and behavior · 2015Article
- The usability of electronic personal health record systems for an underserved adult population.Human factors · 2015Article
- Article
- An internal performance assessment of CancerGene Connect: an electronic tool to streamline, measure and improve the genetic counseling process.Journal of genetic counseling · 2014Article
- Consumers' perceptions of patient-accessible electronic medical records.Journal of medical Internet research · 2013Article
- Use of web-based shared medical records among patients with HIV.The American journal of managed care · 2013Observational
- Barriers and Facilitators of Online Patient Portals to Personal Health Records Among Persons Living With HIV: Formative Research.JMIR research protocols · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundPersonal health records (PHR) may improve patients' health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barrier to engagement with web-based health information, as measured by consent to participate in a trial that provided access to personal (PHR) or general (non-PHR) health information portals and by completion of baseline study surveys posted there.
methodsParticipants were individually trained to access and navigate individualized online accounts and to complete study surveys. In response to need, during accrual months 4 to 12 we enhanced participant training to encourage survey completion with the help of staff. Using logistic regression models, we estimated odds ratios for study participation and for survey completion by combined MH/SU status, adjusted for levels of computer competency, on-study training, and demographics.
resultsAmong 2,871 clinic patients, 70% had MH/SU conditions, with depression (38%) and methamphetamine use (17%) most commonly documented. Middle-aged patients and those with a MH/SU condition were over-represented among study participants (N = 338). Survey completion was statistically independent of MH/SU status (OR, 1.85 [95% CI, 0.93-3.66]) but tended to be higher among those with MH/SU conditions. Completion rates were low among beginner computer users, regardless of training level (<50%), but adequate among advanced users (>70%).
conclusionsAmong patients attending a safety-net clinic, MH/SU conditions were not barriers to engagement with web-based health information. Instead, level of computer competency was useful for identifying individuals requiring substantial computer training in order to fully participate in the study. Intensive on-study training was insufficient to enable beginner computer users to complete study surveys.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.