Evidence map›Paper›PMID 30534990›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA2019

Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal.

Ruth M Masterson Creber, Lisa V Grossman, Beatriz Ryan, Min Qian, Fernanda C G Polubriaginof, Susan Restaino, Suzanne Bakken, George Hripcsak, David K Vawdrey

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT01970852 (Addressing Hospital Patient Information Needs Using a Personal Health Record Portal), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 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.

NCT01970852 nacompletednot on this map

Addressing Hospital Patient Information Needs Using a Personal Health Record Portal

TypeinterventionalSponsorColumbia UniversityRan2014 to 2018Enrolled426ConditionsInpatientArmsStandard tablet computer, Enhanced tablet computer
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Patient-Reported Outcomes in Cardiovascular Trials.The Canadian journal of cardiology · 2021
    Review
  12. Review
  13. Observational
  14. Empowering physicians with health information technology: An empirical investigation in Chinese hospitals.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Visual analogies, not graphs, increase patients' comprehension of changes in their health status.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  20. Efficient goal attainment and engagement in a care manager system using unstructured notes.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
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

9 authors.

Ruth M Masterson CreberDepartment of Healthcare Policy & Research, Division of Health Informatics, Weill Cornell Medicine, New York, New York, USA.
Lisa V GrossmanDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Beatriz RyanThe Value Institute at NewYork-Presbyterian Hospital, New York, New York, USA.
Min QianDepartment of Biostatistics, Columbia University, New York, New York, USA.
Fernanda C G PolubriaginofDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Susan RestainoColumbia University Medical Center, New York, New York, USA.
Suzanne BakkenDepartment of Biomedical Informatics, School of Nursing, Data Science Institute, Columbia University, New York, New York, USA.
George HripcsakDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
David K VawdreyDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Addressing Hospital Patient Information Needs Using a PHR PortalR01HS021816 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI VAWDREY, DAVID K. · 2013 to 2016
$2.0M
Should we return patient reported outcomes to human subjects participants?-exploring ethical obligationsR00NR016275 · NINR · WEILL MEDICAL COLL OF CORNELL UNIV · PI MASTERSON CREBER, RUTH MARIE · 2018 to 2020
$896k
AHRQ HHS R01 HS021816NINR NIH HHS R00 NR016275NINR NIH HHS T32 NR007969
6 · The paper itself

Abstract

Objective: To determine the effects of an inpatient portal intervention on patient activation, patient satisfaction, patient engagement with health information, and 30-day hospital readmissions. Methods and Materials: From March 2014 to May 2017, we enrolled 426 English- or Spanish-speaking patients from 2 cardiac medical-surgical units at an urban academic medical center. Patients were randomized to 1 of 3 groups: 1) usual care, 2) tablet with general Internet access (tablet-only), and 3) tablet with an inpatient portal. The primary study outcome was patient activation (Patient Activation Measure-13). Secondary outcomes included all-cause readmission within 30 days, patient satisfaction, and patient engagement with health information. Results: There was no evidence of a difference in patient activation among patients assigned to the inpatient portal intervention compared to usual care or the tablet-only group. Patients in the inpatient portal group had lower 30-day hospital readmissions (5.5% vs. 12.9% tablet-only and 13.5% usual care; P = 0.044). There was evidence of a difference in patient engagement with health information between the inpatient portal and tablet-only group, including looking up health information online (89.6% vs. 51.8%; P < 0.001). Healthcare providers reported that patients found the portal useful and that the portal did not negatively impact healthcare delivery. Conclusions: Access to an inpatient portal did not significantly improve patient activation, but it was associated with looking up health information online and with a lower 30-day hospital readmission rate. These results illustrate benefit of providing hospitalized patients with real-time access to their electronic health record data while in the hospital. Trial Registration: ClinicalTrials.gov Identifier: NCT01970852.

Indexed as

InpatientsPatient ParticipationPatient PortalsPatient ReadmissionPatient SatisfactionAdultAgedElectronic Health RecordsFemaleHospitalizationHumansMaleMiddle Aged

Identifiers

PMID30534990
PMCPMC6339515

What OpenQuestion holds

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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.