Evidence map›Paper›PMID 34339500›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

Patient portal engagement and diabetes management among new portal users in the Veterans Health Administration.

Mark S Zocchi, Stephanie A Robinson, Arlene S Ash, Varsha G Vimalananda, Hill L Wolfe, Timothy P Hogan, Samantha L Connolly, Maureen T Stewart, Linda Am, Dane Netherton and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2021. 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Outpatient Portal Use and Blood Pressure Management during Pregnancy.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Tablet distribution to veterans: an opportunity to increase patient portal adoption and use.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  12. Improving Patient Access to the My HealthFederal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  13. Article
  14. 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

11 authors at 4 institutions in 1 country.

Mark S ZocchiCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.ORCID 0000-0001-9464-9561
Stephanie A RobinsonCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Arlene S AshDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Varsha G VimalanandaCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Hill L WolfeCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Timothy P HoganCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Samantha L ConnollyCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA.ORCID 0000-0002-1007-5626
Maureen T StewartCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Linda AmCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Dane NethertonCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Stephanie L ShimadaCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
VA New England Healthcare System · USBoston University · USHarvard University · USUniversity of Massachusetts Chan Medical School · US

Funding

HSRD VA IIR 15-307
6 · The paper itself

Abstract

objectiveThe study sought to investigate whether consistent use of the Veterans Health Administration's My HealtheVet (MHV) online patient portal is associated with improvement in diabetes-related physiological measures among new portal users. MATERIALS AND

methodsWe conducted a retrospective cohort study of new portal users with type 2 diabetes that registered for MHV between 2012 and 2016. We used random-effect linear regression models to examine associations between months of portal use in a year (consistency) and annual means of the physiological measures (hemoglobin A1c [HbA1c], low-density lipoproteins [LDLs], and blood pressure [BP]) in the first 3 years of portal use.

resultsFor patients with uncontrolled HbA1c, LDL, or BP at baseline, more months of portal use in a year was associated with greater improvement. Compared with 1 month of use, using the portal 12 months in a year was associated with annual declines in HbA1c of -0.41% (95% confidence interval [CI], -0.46% to -0.36%) and in LDL of -6.25 (95% CI, -7.15 to -5.36) mg/dL. Twelve months of portal use was associated with minimal improvements in BP: systolic BP of -1.01 (95% CI, -1.33 to -0.68) mm Hg and diastolic BP of -0.67 (95% CI, -0.85 to -0.49) mm Hg. All associations were smaller or not present for patients in control of these measures at baseline.

conclusionsWe found consistent use of the patient portal among new portal users to be associated with modest improvements in mean HbA1c and LDL for patients at increased risk at baseline. For patients with type 2 diabetes, self-management supported by online patient portals may help control HbA1c, LDL, and BP.

Indexed as

Diabetes Mellitus, Type 2Patient PortalsVeteransGlycated HemoglobinHumansRetrospective StudiesVeterans HealthGlycated Hemoglobindiabetes mellituspatient portalsType 2Veterans

Identifiers

PMID34339500
PMCPMC8449618
OpenAlexW3191030669

What OpenQuestion holds

Textmetadata
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.