Evidence map›Paper›PMID 31518285›Full record

ArticleJMIR aging2019

A National Assessment of Access to Technology Among Nursing Home Residents: A Secondary Analysis.

Kimberly Ryan Powell, Gregory Lynn Alexander, Richard Madsen, Chelsea Deroche

Abstract read
In one paragraph

Article in JMIR aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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  5. Article
  6. Health Data Sharing in US Nursing Homes: A Mixed Methods Study.Journal of the American Medical Directors Association · 2021
    Article
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  8. Article
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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

4 authors.

Kimberly Ryan PowellCollege of Nursing, University of Tennessee, Knoxville, Knoxville, TN, United States.ORCID http://orcid.org/0000-0002-6144-1438
Gregory Lynn AlexanderSinclair School of Nursing, University of Missouri, Columbia, Columbia, MO, United States.ORCID http://orcid.org/0000-0003-4500-8797
Richard MadsenSinclair School of Nursing, University of Missouri, Columbia, Columbia, MO, United States.ORCID http://orcid.org/0000-0002-7025-4642
Chelsea DerocheSinclair School of Nursing, University of Missouri, Columbia, Columbia, MO, United States.ORCID http://orcid.org/0000-0002-8860-6095

Funding

A National Report of Nursing Home Quality Measures and Information TechnologyR01HS022497 · AHRQ · UNIVERSITY OF MISSOURI-COLUMBIA · PI ALEXANDER, GREGORY L. · 2013 to 2021
$2.7M
AHRQ HHS R01 HS022497
6 · The paper itself

Abstract

backgroundAccording to the National Center for Health Statistics, there are over 1.7 million nursing home residents in the United States. Nursing home residents and their family members have unique needs and stand to benefit from using technology empowering them to be more informed and engaged health care consumers. Although there is growing evidence for benefits of patient-facing technologies like electronic patient portals on patient engagement in acute and outpatient settings, little is known about use of this technology in nursing homes.

objectiveThe purpose of this study was to report findings from a secondary analysis of data from a national nursing home study of information technology (IT) adoption, called IT sophistication. We describe the extent to which nursing homes (n=815) allow residents or their representatives to access technology including electronic health records, patient portals, and health information-exchange systems as well as the ability of the residents or representatives to self-report data directly into the electronic health record.

methodsWe used descriptive statistics and regression techniques to explore relationships between information technology adoption (IT sophistication) and residents' or their representatives' access to technology. Covariates of location, bed size, and ownership were added to the model to understand their potential influence on the relationship between IT sophistication and resident access to technology.

resultsFindings revealed that resident access to technology was a significant predictor of the nursing home IT sophistication (P<.001). The inclusion of covariates-nursing home location, bed size, and ownership-with their interactions produced a nonsignificant effect in the model. Residents' or their representatives' use of electronic health records and personal health records were both significant predictors of overall IT sophistication (P<.001).

conclusionsAs nursing homes continue to progress in technological capabilities, it is important to understand how increasing IT sophistication can be leveraged to create opportunities to engage residents in their care. Understanding the impact of health information technology on outcomes and which technologies make a difference will help nursing home administrators make more informed decisions about adoption and implementation.

Indexed as

health information technologynursing homespatient accesspatient engagementpatient portalspersonal health recordsperson-centered care

Identifiers

PMID31518285
PMCPMC6714997

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.