ArticleJournal of the American Medical Informatics Association : JAMIA2016
Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study.
Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
28 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled it
- Functions and Outcomes of Personal Health Records for Patients with Chronic Diseases: A Systematic Review.Perspectives in health information managemen · 2021Pooled it
- Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.Annals of internal medicine · 2020Pooled it
- Patient Portals Facilitating Engagement With Inpatient Electronic Medical Records: A Systematic Review.Journal of medical Internet research · 2019Pooled it
- Findings from the 2017 Yearbook Section on Health Information Management.Yearbook of medical informatics · 2017Pooled it
- Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study.JMIR formative research · 2025Trial
- Patient Portals as Facilitators of Engagement in Patients With Diabetes and Chronic Heart Disease: Scoping Review of Usage and Usability.Journal of medical Internet research · 2023Article
- Clinical Validity of the PROMIS Healthcare Engagement 8-Item Short Form.Journal of general internal medicine · 2023Article
- Healthcare professionals' knowledge, attitude and its associated factors toward electronic personal health record system in a resource-limited setting: A cross-sectional study.Frontiers in public health · 2023Article
- A Machine-Learning Based Approach for Predicting Older Adults' Adherence to Technology-Based Cognitive Training.Information processing & management · 2022Article
- What Works Best to Engage Participants in Mobile App Interventions and e-Health: A Scoping Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Patient portal engagement and diabetes management among new portal users in the Veterans Health Administration.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Providing Medical Information to Older Adults in a Web-Based Environment: Systematic Review.JMIR aging · 2021Review
- Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study.Journal of medical Internet research · 2020Article
- Engaging Patients in Atrial Fibrillation Management via Digital Health Technology: The Impact of Tailored Messaging.The Journal of innovations in cardiac rhythm management · 2020Article
- Can nurses help improve self-care of patients living with atrial fibrillation? A focus group study exploring patients' disease knowledge gaps.Nursing open · 2020Article
- Involving patients as key stakeholders in the design of cardiovascular implantable electronic device data dashboards: Implications for patient care.Heart rhythm O2 · 2020Article
- Using Patient Portals to Improve Patient Outcomes: Systematic Review.JMIR human factors · 2019Review
- Patient Engagement as Measured by Inpatient Portal Use: Methodology for Log File Analysis.Journal of medical Internet research · 2019Article
- Using Mobile Technology to Provide Personalized Reminiscence for People Living With Dementia and Their Carers: Appraisal of Outcomes From a Quasi-Experimental Study.JMIR mental health · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the impact of tethered personal health record (PHR) use on patient engagement and intermediate health outcomes among patients with coronary artery disease (CAD).
methodsAdult CAD patients (N = 200) were enrolled in this prospective, quasi-experimental observational study. Each patient received a PHR account and training on its use. PHRs were populated with information from patient electronic medical records, hosted by a Health Information Exchange. Intermediate health outcomes including blood pressure, body mass index, and hemoglobin A1c (HbA1c) were evaluated through electronic medical record review or laboratory tests. Trends in patient activation measure® (PAM) were determined through three surveys conducted at baseline, 6 and 12 months. Frequency of PHR use data was collected and used to classify participants into groups for analysis: Low, Active, and Super users.
resultsThere was no statistically significant improvement in patient engagement as measured by PAM scores during the study period. HbA1c levels improved significantly in the Active and Super user groups at 6 months; however, no other health outcome measures improved significantly. Higher PAM scores were associated with lower body mass index and lower HbA1c, but there was no association between changes in PAM scores and changes in health outcomes. Use of the PHR health diary increased significantly following PHR education offered at the 6-month study visit and an elective group refresher course.
conclusionsThe study findings show that PHR use had minimal impact on intermediate health outcomes and no significant impact on patient engagement among CAD patients.
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