Evidence map›Paper›PMID 31934868›Full record

ArticleJournal of medical Internet research2020

Patient Recommendations to Improve the Implementation of and Engagement With Portals in Acute Care: Hospital-Based Qualitative Study.

S Ryan Greysen, Yimdriuska Magan, Jamie Rosenthal, Ronald Jacolbia, Andrew D Auerbach, James D Harrison

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT00102401 nacompletednot on this map

Comparing the Effects of an Internet-Based to an Established Dyspnea Self-Management Program on Dyspnea, Exercise Behavior, and Pulmonary Exacerbations in Patients With COPD

TypeinterventionalSponsorRobert Wood Johnson FoundationRan2003 to 2007Enrolled50ConditionsChronic Obstructive Pulmonary DiseaseArmsInternet-based Dyspnea Self-Management Program, Face-to-face Dyspnea Self-Management Program
NCT01970852 nacompletednot on this map

Addressing Hospital Patient Information Needs Using a Personal Health Record Portal

TypeinterventionalSponsorColumbia UniversityRan2014 to 2018Enrolled426ConditionsInpatientArmsStandard tablet computer, Enhanced tablet computer
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Designing Inpatient Portals to Support Patient Agency and Dynamic Hospital Experiences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    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

6 authors.

S Ryan GreysenSection of Hospital Medicine, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0002-0123-0831
Yimdriuska MaganSchool of Medicine, University of California, Davis, Davis, CA, United States.ORCID 0000-0002-6633-683X
Jamie RosenthalSchool of Medicine, Boston University, Boston, MA, United States.ORCID 0000-0002-6009-0226
Ronald JacolbiaSchool of Nursing, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0003-4205-8051
Andrew D AuerbachDivision of Hospital Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0001-8057-2006
James D HarrisonDivision of Hospital Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0002-7761-7039

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Functional, Cognitive, and Social Vulnerabilities and Hospital ReadmissionK23AG045338 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GREYSEN, SCOTT RYAN · 2013 to 2017
$800k
NIA NIH HHS K23 AG045338NIA NIH HHS P30 AG021342
6 · The paper itself

Abstract

backgroundThe inclusion of patient portals into electronic health records in the inpatient setting lags behind progress in the outpatient setting.

objectiveThe aim of this study was to understand patient perceptions of using a portal during an episode of acute care and explore patient-perceived barriers and facilitators to portal use during hospitalization.

methodsWe utilized a mixed methods approach to explore patient experiences in using the portal during hospitalization. All patients received a tablet with a brief tutorial, pre- and postuse surveys, and completed in-person semistructured interviews. Qualitative data were coded using thematic analysis to iteratively develop 18 codes that were integrated into 3 themes framed as patient recommendations to hospitals to improve engagement with the portal during acute care. Themes from these qualitative data guided our approach to the analysis of quantitative data.

resultsWe enrolled 97 participants: 53 (53/97, 55%) women, 44 (44/97, 45%) nonwhite with an average age of 48 years (19-81 years), and the average length of hospitalization was 6.4 days. A total of 47 participants (47/97, 48%) had an active portal account, 59 participants (59/97, 61%) owned a smartphone, and 79 participants (79/97, 81%) accessed the internet daily. In total, 3 overarching themes emerged from the qualitative analysis of interviews with these patients during their hospital stay: (1) hospitals should provide both access to a device and bring-your-own-device platform to access the portal; (2) hospitals should provide an orientation both on how to use the device and how to use the portal; and (3) hospitals should ensure portal content is up to date and easy to understand.

conclusionsPatients independently and consistently identified basic needs for device and portal access, education, and usability. Hospitals should prioritize these areas to enable successful implementation of inpatient portals to promote greater patient engagement during acute care.

trial registrationClinicalTrials.gov NCT00102401; https://clinicaltrials.gov/ct2/show/NCT01970852.

Indexed as

AdultAgedAged, 80 and overElectronic Health RecordsFemaleHumansMaleMiddle AgedPatient ParticipationPatient PortalsQualitative ResearchYoung Adulthospitalizationpatient engagementpatient portalsqualitative research

Identifiers

PMID31934868
PMCPMC6996719

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.