Trial reportJournal of the American Medical Informatics Association : JAMIA
Personal health records: a randomized trial of effects on elder medication safety.
Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02012712 (Personal Health Records and Elder Medication Use Quality), which is not on this map. Cited by 38 papers, 12 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.
Personal Health Records and Elder Medication Use Quality
Who cites it
38 citing papers in PubMed, 12 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Pooled it
- Interventions to enhance in-home taking medication among older adults with multimorbidity/polypharmacy: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review.BMJ open · 2023Pooled it
- Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.BMJ quality & safety · 2020Pooled it
- Routine Health Information System (RHIS) improvements for strengthened health system management.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for involving older patients with multi-morbidity in decision-making during primary care consultations.The Cochrane database of systematic reviews · 2019Pooled it
- Pooled it
- Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- The Use and Effects of Electronic Health Tools for Patient Self-Monitoring and Reporting of Outcomes Following Medication Use: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Personal Health Records: A Systematic Literature Review.Journal of medical Internet research · 2017Pooled it
- Engaging hospital patients in the medication reconciliation process using tablet computers.Journal of the American Medical Informatics Association : JAMIA · 2018Trial
- Patient Participation in Monitoring Potential Adverse Drug Events.Applied clinical informatics · 2025Observational
- Personal Health Record Software for Neuroendocrine Tumors: Patient-Centered Design Approach.JMIR human factors · 2025Article
- Lessons learned from the pre-implementation phase of a patient navigation intervention to increase patient portal enrollment in Federally Qualified Health Centers.Frontiers in health services · 2025Article
- Improved Medication Adherence of an Elderly Diabetic Patient at a Dwelling Home Using a Pill Dispenser and Personal Health Records.Healthcare (Basel, Switzerland) · 2024Article
- Patients Managing Their Medical Data in Personal Electronic Health Records: Scoping Review.Journal of medical Internet research · 2022Article
- The Impact of Patient Access to Their Electronic Health Record on Medication Management Safety: A Narrative Review.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022Review
- Prevalence and Factors Associated with Patient-Requested Corrections to the Medical Record through Use of a Patient Portal: Findings from a National Survey.Applied clinical informatics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo examine the impact of a personal health record (PHR) on medication-use safety among older adults.
backgroundOnline PHRs have potential as tools to manage health information. We know little about how to make PHRs accessible for older adults and what effects this will have.
methodsA PHR was designed and pretested with older adults and tested in a 6-month randomized controlled trial. After completing mailed baseline questionnaires, eligible computer users aged 65 and over were randomized 3:1 to be given access to a PHR (n=802) or serve as a standard care control group (n=273). Follow-up questionnaires measured change from baseline medication use, medication reconciliation behaviors, and medication management problems.
resultsOlder adults were interested in keeping track of their health and medication information. A majority (55.2%) logged into the PHR and used it, but only 16.1% used it frequently. At follow-up, those randomized to the PHR group were significantly less likely to use multiple non-steroidal anti-inflammatory drugs-the most common warning generated by the system (viewed by 23% of participants). Compared with low/non-users, high users reported significantly more changes in medication use and improved medication reconciliation behaviors, and recognized significantly more side effects, but there was no difference in use of inappropriate medications or adherence measures.
conclusionsPHRs can engage older adults for better medication self-management; however, features that motivate continued use will be needed. Longer-term studies of continued users will be required to evaluate the impact of these changes in behavior on patient health outcomes.
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What OpenQuestion holds
Registered trials
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.