Evidence map›Paper›PMID 32706679›Full record

ArticleJournal of medical Internet research2020

The Promise of Patient Portals for Individuals Living With Chronic Illness: Qualitative Study Identifying Pathways of Patient Engagement.

Maureen T Stewart, Timothy P Hogan, Jeff Nicklas, Stephanie A Robinson, Carolyn M Purington, Christopher J Miller, Varsha G Vimalananda, Samantha L Connolly, Hill L Wolfe, Kim M Nazi and 2 more

Registry-linked trialOpen access · goldAbstract 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 trial NCT02953262 (Improving Diabetes Care Through Effective Personalized Patient Portal Interactions), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 6% 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.

NCT02953262 nacompletednot on this map

Improving Diabetes Care Through Effective Personalized Patient Portal Interactions

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2019 to 2020Enrolled275ConditionsDiabetes MellitusArmsMy HealtheVet Brochure, My HealtheVet Training Guide for Veterans Living with Diabetes, My HealtheVet Group Training, My HealtheVet Individual Training
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 37 citations in OpenAlex.

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  17. Improving Patient Access to the My HealthFederal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    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

12 authors at 4 institutions in 1 country.

Maureen T StewartInstitute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States.ORCID 0000-0002-5470-0307
Timothy P HoganCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0002-6888-0927
Jeff NicklasCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0001-5465-7348
Stephanie A RobinsonCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0002-1352-217X
Carolyn M PuringtonCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0002-5994-2786
Christopher J MillerCenter for Healthcare Organization and Implementation Research, Boston VA Healthcare System, Boston, MA, United States.ORCID 0000-0002-8695-6833
Varsha G VimalanandaCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0003-0738-672X
Samantha L ConnollyCenter for Healthcare Organization and Implementation Research, Boston VA Healthcare System, Boston, MA, United States.ORCID 0000-0002-1007-5626
Hill L WolfeCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0001-8834-1560
Kim M NaziIndependent Consultant, Coxsackie, NY, United States.ORCID 0000-0002-0966-5602
Dane NethertonCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0001-8422-4682
Stephanie L ShimadaCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.ORCID 0000-0002-6517-5122
Boston University · USEdith Nourse Rogers Memorial Veterans Hospital · USHarvard University · USUniversity of Massachusetts Chan Medical School · US

Funding

Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Improving Diabetes Care through Effective Personalized Patient Portal InteractionsI01HX002100 · VA · EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL · PI SHIMADA, STEPHANIE LEAH · 2018 to 2021
–
Measuring and improving specialty care coordination in VAIK2HX002137 · VA · EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL · PI VIMALANANDA, VARSHA · 2018 to 2022
–
HSRD VA I01 HX002100HSRD VA IK2 HX002137NIDA NIH HHS T32 DA041898
6 · The paper itself

Abstract

backgroundPatients play a critical role in managing their health, especially in the context of chronic conditions like diabetes. Electronic patient portals have been identified as a potential means to improve patient engagement; that is, patients' involvement in their care. However, little is known about the pathways through which portals may help patients engage in their care.

objectiveOur objective is to understand how an electronic patient portal facilitates patient engagement among individuals with diabetes.

methodsThis qualitative study employed semistructured telephone interviews of 40 patients living with diabetes since at least 2011, who had experienced uncontrolled diabetes, and had used secure messaging through a portal at least 4 times over 18 months. The interviews were recorded, transcribed, coded, and analyzed using primarily an inductive approach to identify how patients living with diabetes use an online health portal to support diabetes self-management.

resultsOverall, patients who used the portal reported feeling engaged in their health care. We identified four pathways by which the portal facilitates patient engagement and some challenges. The portal provides a platform that patients use to (1) better understand their health by asking questions about new symptoms, notes, or labs, (2) prepare for medical appointments by reviewing labs and notes, (3) coordinate care between VA (Veterans Affairs) and non-VA health care teams, and (4) reach out to providers to request help between visits. Several patients reported that the portal helped improve the patient-provider relationship; however, aspects of the portal design may hinder engagement for others. Patients reported challenges with both secure messaging and access to medical records that had negative impacts on their engagement. Benefits for patient engagement were described by many types of portal users with varying degrees of diabetes control.

conclusionsPatient portals support engagement by facilitating patient access to their health information and by facilitating patient-provider communication. Portals can help a wide range of users engage with their care.

Indexed as

AgedChronic DiseaseFemaleHumansMalePatient ParticipationPatient PortalsQualitative Researchchronic diseasediabetespatient engagementpatient portalsecure messagingveterans

Identifiers

PMID32706679
PMCPMC7395248
OpenAlexW3043099774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.