Evidence map›Paper›PMID 31533717›Full record

ArticleBMC medical informatics and decision making2019

Characteristics of older adults using patient web portals to view their DXA results.

Stephanie Edmonds, Yiyue Lou, Brandi Robinson, Peter Cram, Douglas W Roblin, Nicole C Wright, Kenneth Saag, Fredric D Wolinsky

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Stephanie EdmondsCarver College of Medicine, Department of Internal Medicine, University of Iowa, 200 Newton Rd. 5231 WL, Iowa City, IA, 52242, USA. stephanie-edmonds@uiowa.edu.ORCID 0000-0002-7307-8023
Yiyue LouCollege of Public Health, Department of Biostatistics, University of Iowa, Iowa City, IA, USA.
Brandi RobinsonKaiser Permanente, Center for Clinical and Outcomes Research, Atlanta, GA, USA.
Peter CramCollege of Medicine, Department of Internal Medicine, University of Toronto, Toronto, Canada.
Douglas W RoblinMid-Atlantic Permanente Research Institute, Rockville, MD, USA.
Nicole C WrightSchool of Public Health, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, UK.
Kenneth SaagSchool of Medicine, Department of Rheumatology, University of Alabama at Birmingham, Birmingham, AL, UK.
Fredric D WolinskyCarver College of Medicine, Department of Internal Medicine, University of Iowa, 200 Newton Rd. 5231 WL, Iowa City, IA, 52242, USA.

Funding

A Patient Activation Intervention to Enhance Bone HealthR01AG033035 · NIA · UNIVERSITY OF IOWA · PI WOLINSKY, FREDRIC D · 2010 to 2014
$7.0M
Mid-Career Investigator Award (for Kenneth G. Saag, MD, MSc)K24AR052361 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2005 to 2014
$1.7M
Building Musculoskeletal Outcomes Research at the University of IowaK24AR062133 · NIAMS · UNIVERSITY OF IOWA · PI CRAM, PETER M · 2012 to 2016
$594k
NIAMS NIH HHS K24 AR052361NIAMS NIH HHS K24 AR062133NIA NIH HHS R01 AG033035
6 · The paper itself

Abstract

backgroundSharing test results with patients via patient web portals is a new trend in healthcare. No research has been done examining patient web portal use with bone density test results. The objective of our study was to identify patient characteristics associated with the use of patient web portals to view their bone density test results.

methodsA secondary analysis of data from a pragmatic randomized controlled trial of 7749 participants ≥50 years old that had presented for a dual energy X-ray absorptiometry (DXA) bone density test. Patients were interviewed at enrollment and 12 weeks later. Multivariable logistic regression identified patient characteristics that differentiated those who used the web portal from those who did not.

resultsOur sample included 4669 patients at the two (University of Iowa [UI], and Kaiser Permanente of Georgia [KPGA]) clinical sites that had patient web portals. Of these patients, 3399 (72.8%) reported knowing their test results 12 weeks post-DXA, with 649 (13.9%) reporting that they viewed their DXA results using the web portal. Web portal users were more likely to be from UI than KPGA, and were younger, more educated, had higher health literacy, had osteopenia, and had the same sex as their referring physician (all p < 0.05).

conclusionOnly 19.1% of the 3399 patients who knew their DXA results used the available patient web portals to find out about them. Web portal users differed from non-users on several characteristics. This suggests that simply making patient web portals available for use may not be sufficient to appreciably enhance patient awareness of their test results. Based on these findings, a better understanding of the reasons why older, less educated, and less activated patients do not access their test results through patient web portals is needed.

Indexed as

Absorptiometry, PhotonInformation Seeking BehaviorPatient PortalsAgedBone DensityFemaleGeorgiaHealth LiteracyHumansInterviews as TopicMaleMiddle AgedPatient ParticipationQualitative Research

Identifiers

PMID31533717
PMCPMC6751667

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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.