Evidence map›Paper›PMID 30541152›Full record

Trial reportApplied clinical informatics2018

Communicating with Vulnerable Patient Populations: A Randomized Intervention to Teach Inpatients to Use the Electronic Patient Portal.

Jacob N Stein, Jared W Klein, Thomas H Payne, Sara L Jackson, Sue Peacock, Natalia V Oster, Trinell P Carpenter, Joann G Elmore

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
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  20. Is research on patient portals attuned to health equity? A scoping review.Journal of the American Medical Informatics Association : JAMIA · 2019
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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

8 authors.

Jacob N SteinDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Jared W KleinDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Thomas H PayneDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Sara L JacksonDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Sue PeacockDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Natalia V OsterDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Trinell P CarpenterDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, United States.
Joann G ElmoreUniversity of California, Los Angeles, California, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient portals are expanding as a means to engage patients and have evidence for benefit in the outpatient setting. However, few studies have evaluated their use in the inpatient setting, or with vulnerable patient populations.

objectiveThis article assesses an intervention to teach hospitalized vulnerable patients to access their discharge summaries using electronic patient portals.

methodsPatients at a safety net hospital were randomly assigned to portal use education or usual care. Surveys assessed perceptions of discharge paperwork and the electronic portal.

resultsOf the 202 prescreened eligible patients (e.g., deemed mentally competent, spoke English, and had a telephone), only 43% had working emails. Forty-four percent of participants did not remember receiving or reading discharge paperwork. Patients trained in portal use (

conclusionPatients had positive perceptions of portals, and education increased portal use. Lack of email access is a notable barrier to electronic communication with vulnerable patients.

Indexed as

CommunicationElectronic Health RecordsPatient PortalsVulnerable PopulationsAdolescentAdultElectronic MailFemaleFollow-Up StudiesHumansInpatientsMaleMiddle AgedPatient DischargeSurveys and Questionnaires

Identifiers

PMID30541152
PMCPMC6291377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.