Evidence map›Paper›PMID 30595147›Full record

ArticleJournal of pain and symptom management2019

Design and Implementation of Patient Portal-Based Advance Care Planning Tools.

Hillary D Lum, Adreanne Brungardt, Sarah R Jordan, Phoutdavone Phimphasone-Brady, Lisa M Schilling, Chen-Tan Lin, Jean S Kutner

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% of its field
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, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Applying Machine Learning Techniques to Implementation Science.Online journal of public health informatics · 2024
    Article
  6. Article
  7. Article
  8. Use of the patient portal among older adults with diagnosed dementia and their care partners.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Observational
  9. Article
  10. Article
  11. Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Patient Perspectives on Advance Care Planning via a Patient Portal.The American journal of hospice & palliative care · 2019
    Article
  19. Article
  20. Use of an Ambulatory Patient Portal for Advance Care Planning Engagement.Journal of the American Board of Family Medicine : JABFM
    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

7 authors at 3 institutions in 1 country.

Hillary D LumRocky Mountain Regional VA Geriatric Research Education and Clinical Center, Denver, Colorado, USA; Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: Hillary.lum@ucdenver.edu.
Adreanne BrungardtDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Sarah R JordanDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Phoutdavone Phimphasone-BradyDepartment of Family Medicine, Adult and Child Consortium for Health Outcomes and Delivery Science (ACCORDS), University of Colorado School of Medicine, Aurora, Colorado, USA.
Lisa M SchillingDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA; Data Science to Patient Value Program, University of Colorado School of Medicine, Aurora, Colorado, USA.
Chen-Tan LinDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jean S KutnerDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA; Data Science to Patient Value Program, University of Colorado School of Medicine, Aurora, Colorado, USA.
University of Colorado Denver · USGeriatric Research Education and Clinical Center · USOutcomes Research Consortium · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Refining an Advance Care Planning Group Visit intervention – a novel intervention to engage older adults in advance care planningK76AG054782 · NIA · UNIVERSITY OF COLORADO DENVER · PI LUM, HILLARY · 2016 to 2019
$864k
NCRR NIH HHS UL1 RR025780NIA NIH HHS K76 AG054782
6 · The paper itself

Abstract

backgroundElectronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA). MEASURES: MDPOA documentation and System Usability Scale were assessed.

interventionStakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives. OUTCOMES: A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable. CONCLUSIONS/LESSONS LEARNED: Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal.

Indexed as

Advance Care PlanningElectronic Health RecordsPatient PortalsAdolescentAdultAgedAged, 80 and overFemaleHumansInternetMaleMiddle AgedPatient Acceptance of Health CarePatient Education as TopicQuality ImprovementSoftware DesignAdvance care planningadvance directiveelectronic health recordhealth information technologypatient portalsurrogate decision maker

Identifiers

PMID30595147
PMCPMC6314208
OpenAlexW2898466305

What OpenQuestion holds

Textmetadata
LicenceTDM
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.