Evidence map›Paper›PMID 29444536›Full record

ArticleApplied clinical informatics2018

Optimizing the User Experience: Identifying Opportunities to Improve Use of an Inpatient Portal.

Daniel M Walker, Terri Menser, Po-Yin Yen, Ann Scheck McAlearney

Abstract read
In one paragraph

Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Helping Patients Be Better Patients: A Qualitative Study of Perceptions About Inpatient Portal Use.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
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  12. Exploring the Digital Divide: Age and Race Disparities in Use of an Inpatient Portal.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
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  13. Improving Acceptance of Inpatient Portals: Patients' and Care Team Members' Perspectives.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daniel M Walker
Terri Menser
Po-Yin Yen
Ann Scheck McAlearney

Funding

The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)P30HS024379 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2015
$4.0M
High Tech and High Touch (HT2): Transforming patient engagement through portal technology at the bedsideR01HS024091 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2018
$967k
Portals in Inpatient Care (PIC): Evaluating the Usability, Use and Patient Experience Associated with Patient Portal Technology at the BedsideR21HS024349 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2015
$299k
AHRQ HHS P30 HS024379AHRQ HHS R01 HS024091AHRQ HHS R21 HS024349
6 · The paper itself

Abstract

backgroundPatient portals specifically designed for the inpatient setting have significant potential to improve patient care. However, little is known about how the users of this technology, the patients, may interact with the inpatient portals. As a result, hospitals have limited ability to design approaches that support patient use of the portal.

objectivesThis study aims to evaluate the user experience associated with an inpatient portal.

methodsWe used a Think-Aloud protocol to study user interactions with a commercially available inpatient portal-MyChart Bedside (MCB). Study participants included 19 English-speaking adults over the age of 18 years. In one-on-one sessions, participants narrated their experience using the MCB application and completing eight specific tasks. Recordings were transcribed and coded into three dimensions of the user experience: physical, cognitive, and sociobehavioral.

resultsOur analysis of the physical experience highlighted the navigational errors and technical challenges associated with the use of MCB. We also found that issues associated with the cognitive experience included comprehension problems that spurred anxiety and uncertainty. Analysis of the sociobehavioral experience suggested that users have different learning styles and preferences for learning including self-guided, handouts, and in-person training.

conclusionInpatient portals may be an effective tool to improve the patient experience in the hospital. Moreover, making this technology available to inpatients may help to foster ongoing use of technology across the care continuum. However, deriving the benefits from the technology requires appropriate support. We identified multiple opportunities for hospital management to intervene. In particular, teaching patients to use the application by making a variety of instructional materials available could help to reduce several identified barriers to use. Additionally, hospitals should be prepared to manage patient anxiety and increased questioning arising from the availability of information in the inpatient portal application.

Indexed as

InpatientsAdultBehaviorCognitionFemaleHumansMaleMiddle AgedPatient Portals

Identifiers

PMID29444536
PMCPMC5843764

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.