Trial reportJournal of the American Board of Family Medicine : JABFM
A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal.
Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06598436 (Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem), which is not on this map. Cited by 42 papers, 4 of them syntheses that pooled 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.
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.
Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem
Who cites it
42 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of mHealth Interventions for Improving eHealth Literacy Among Patients With Chronic Diseases: Meta-Analysis and Systematic Review.Journal of medical Internet research · 2026Pooled it
- Electronic Personal Health Records for Mobile Populations: A Rapid Systematic Literature Review.International journal of environmental research and public health · 2025Pooled it
- Effectiveness of eHealth literacy interventions: a systematic review and meta-analysis of experimental studies.BMC public health · 2025Pooled it
- Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Differences by Race in Outcomes of an In-Person Training Intervention on Use of an Inpatient Portal: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- Examining the Relationship between Health Literacy, Health Numeracy, and Patient Portal Use.Applied clinical informatics · 2022Trial
- Timely nudges promote patient portal enrollment and sustained engagement: a randomized controlled trial.JAMIA open · 2026Article
- Empowering Older Adults Through Values-Informed Solutions for Technology Adoption: Protocol for a Feasibility and Acceptability Randomized Controlled Pilot Trial.JMIR research protocols · 2026Article
- Identifying Skill and Usability Barriers to Digital Health Tool Use Among Older Adult Patients in US Safety Net Clinics: Mixed Methods Study.JMIR human factors · 2026Article
- Accessing Patient Portals: Some Patients Want a Helping Hand.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Reimagined diabetic care approach: A qualitative study on the acceptability of mhealth interventions in a LMIC.PloS one · 2026Article
- Support Strategies and Interventions for eHealth Inclusion: Scoping Review.Journal of medical Internet research · 2025Article
- A self-report measure of digital skills needed to use digital health tools among older adults-the Skills Measurement and Readiness Training for Digital Health (SMART Digital Health) Scale.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- A Brief Video-Based Intervention to Improve Digital Health Literacy for Individuals With Bipolar Disorder: Intervention Development and Results of a Single-Arm Quantitative Pilot Study.Journal of participatory medicine · 2025Article
- Moving beyond barriers: a mixed-method study to develop evidence-based strategies to improve implementation of PROMs in clinical oncology care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Digital health literacy among people with bipolar disorder in Germany - a cross-sectional survey.Frontiers in psychiatry · 2025Article
- Automatic Enrollment in Patient Portal Systems Mitigates the Digital Divide in Healthcare: An Interrupted Time Series Analysis of an Autoenrollment Workflow Intervention.Journal of medical systems · 2024Article
- Article
- Digital literacy as a new determinant of health: A scoping review.PLOS digital health · 2023Article
- Factors Associated with Reducing Disparities in Electronic Personal Heath Records Use Among Non-Hispanic White and Hispanic Adults.Journal of racial and ethnic health disparities · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundPatient portals are becoming ubiquitous. Previous research has documented substantial barriers, especially among vulnerable patient subgroups such as those with lower socioeconomic status or limited health literacy (LHL). We tested the effectiveness of delivering online, video-based portal training to patients in a safety net setting.
methodsWe created an online video curriculum about accessing the San Francisco Health Network portal, and then randomized 93 English-speaking patients with 1+ chronic diseases to receive 1) an in-person tutorial with a research assistant, or 2) a link to view the videos on their own. We also examined a third, nonrandomized usual care comparison group. The primary outcome was portal log-in (yes/no) 3 to 6 months post-training, assessed via the electronic health record. Secondary outcomes were self-reported attitudes and skills collected via baseline and follow-up surveys.
resultsMean age was 54 years, 51% had LHL, 60% were nonwhite, 52% were female, 45% reported fair/poor health, and 76% reported daily Internet use. At followup, 21% logged into the portal, with no differences by arm (
conclusionsBoth modalities of online training were comparable, and neither mode enabled a majority of vulnerable patients to use portals, especially those with LHL. This suggests that portal training will need to be more intensive or portals need improved usability to meaningfully increase use among diverse patients.
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What OpenQuestion holds
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.