ArticleJournal of the American Medical Informatics Association : JAMIA2019
Impacts of a web-based educational program for veterans who read their mental health notes online.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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
17 citing papers in PubMed.
- Evaluating the efficacy of NoteAid on EHR note comprehension among US Veterans through Amazon Mechanical Turk.International journal of medical informatics · 2023Trial
- Health Care Professionals' Perspectives on Implementing Patient-Accessible Electronic Health Records in Primary Care: Qualitative Study.JMIR medical informatics · 2025Article
- Patient-Accessible Electronic Health Records and Information Practices in Mental Health Care Contexts: Scoping Review.Journal of medical Internet research · 2025Article
- Experiences of Patients With Mental Health Issues Having Web-Based Access to Their Records: National Patient Survey.JMIR mental health · 2024Article
- Generative Language Models and Open Notes: Exploring the Promise and Limitations.JMIR medical education · 2024Article
- Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Patients, clinicians and open notes: information blocking as a case of epistemic injustice.Journal of medical ethics · 2022Article
- Sharing Clinical Notes and Electronic Health Records With People Affected by Mental Health Conditions: Scoping Review.JMIR mental health · 2021Article
- Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation.Journal of general internal medicine · 2021Article
- Mental Health Care Professionals' Appraisal of Patients' Use of Web-Based Access to Their Electronic Health Record: Qualitative Study.Journal of medical Internet research · 2021Article
- COVID-19 and Open Notes: A New Method to Enhance Patient Safety and Trust.JMIR mental health · 2021Article
- Preparing Patients and Clinicians for Open Notes in Mental Health: Qualitative Inquiry of International Experts.JMIR mental health · 2021Article
- Enhancing Patient Activation and Self-Management Activities in Patients With Type 2 Diabetes Using the US Department of Defense Mobile Health Care Environment: Feasibility Study.Journal of medical Internet research · 2020Article
- Whose System is it Anyway? How Clients and Providers Evaluate the Impact of Session EHR Use on Communication in Mental Health Treatment.Community mental health journal · 2020Article
- Delivery of Compassionate Mental Health Care in a Digital Technology-Driven Age: Scoping Review.Journal of medical Internet research · 2020Article
- Doing what matters most.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Easy Access, Difficult Consequences? Providing Psychiatric Patients With Access to Their Health Records Electronically.Frontiers in psychiatry · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study evaluates whether a web-based educational program for patients who read their mental health notes online improves patient-clinician communication and increases patient activation. Methods: The web-based educational program, developed with end-user input, was designed to educate patients on the content of mental health notes, provide guidance on communicating with clinicians about notes, and facilitate patients' safe and purposeful use of their health information. Eligible patients were engaged in mental health treatment (≥1 visit in the prior 6 months) and had logged into the Veterans Health Administration (VHA) patient portal at least twice. Participants completed measures of patient activation, perceived efficacy in healthcare interactions, patient trust in their clinicians, and patient assessment of the therapeutic relationship before and after participating in the program. A total of 247 participants had complete data and engaged with the program for 5 minutes or more, comprising the analytic sample. Multivariate analysis using mixed effects models were used to examine pre-post changes in outcomes. Results: In bivariate analyses, patient activation, perceived efficacy in healthcare interactions, and trust in clinicians increased significantly between pre- and post-training assessments. In fully adjusted models, changes in patient activation [b = 2.71 (1.41, 4.00), P < 0.01] and perceived efficacy in healthcare interactions [b = 1.27 (0.54, 2.01), P < 0.01)] remained significant. Conclusions: Findings suggest that this educational program may help empower mental health patients who read their notes online to be active participants in their care, while also providing information and tools that may facilitate better relationships with their clinicians.
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