Evidence map›Paper›PMID 37124675›Full record

ArticleJAMIA open2023

Empowering patients to address diabetes care gaps: formative usability testing of a novel patient portal intervention.

Lyndsay A Nelson, Carrie Reale, Shilo Anders, Russ Beebe, S Trent Rosenbloom, Amber Hackstadt, Kryseana J Harper, Lindsay S Mayberry, Jared G Cobb, Neeraja Peterson and 3 more

Open access · goldAbstract read
In one paragraph

Article in JAMIA open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.9field-weighted citation impact, top 7% 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.

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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 1 institution in 1 country.

Lyndsay A NelsonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-7304-5643
Carrie RealeDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Shilo AndersDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Russ BeebeDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
S Trent RosenbloomDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-7455-2260
Amber HackstadtDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kryseana J HarperDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Lindsay S MayberryDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jared G CobbHealthIT, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Neeraja PetersonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Tom ElasyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Zhihong YuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
William MartinezDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · US

Funding

Expanding Patient Engagement in Diabetes Care: Patient Portal InnovationR18DK123373 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MARTINEZ, WILLIAM · 2019 to 2023
$3.0M
NIDDK NIH HHS R18 DK123373
6 · The paper itself

Abstract

Objective: The aim of this study was to design and assess the formative usability of a novel patient portal intervention designed to empower patients with diabetes to initiate orders for diabetes-related monitoring and preventive services. Materials and Methods: We used a user-centered Design Sprint methodology to create our intervention prototype and assess its usability with 3 rounds of iterative testing. Participants (5/round) were presented with the prototype and asked to perform common, standardized tasks using think-aloud procedures. A facilitator rated task performance using a scale: (1) completed with ease, (2) completed with difficulty, and (3) failed. Participants completed the System Usability Scale (SUS) scored 0-worst to 100-best. All testing occurred remotely via Zoom. Results: We identified 3 main categories of usability issues: distrust about the automated system, content concerns, and layout difficulties. Changes included improving clarity about the ordering process and simplifying language; however, design constraints inherent to the electronic health record system limited our ability to respond to all usability issues (eg, could not modify fixed elements in layout). Percent of tasks completed with ease across each round were 67%, 60%, and 80%, respectively. Average SUS scores were 87, 74, and 93, respectively. Across rounds, participants found the intervention valuable and appreciated the concept of patient-initiated ordering. Conclusions: Through iterative user-centered design and testing, we improved the usability of the patient portal intervention. A tool that empowers patients to initiate orders for disease-specific services as part of their existing patient portal account has potential to enhance the completion of recommended health services and improve clinical outcomes.

Indexed as

diabetes mellituspatient portalpractice guidelinesusabilityuser-centered design

Identifiers

PMID37124675
PMCPMC10139764
OpenAlexW4367187555

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.