Evidence map›Paper›PMID 37171854›Full record

ArticleJMIR formative research2023

Assessing Disparities in Video-Telehealth Use and eHealth Literacy Among Hospitalized Patients: Cross-sectional Observational Study.

Jessica Cheng, Vineet M Arora, Nicole Kappel, Hanna Vollbrecht, David O Meltzer, Valerie Press

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
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  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Training Service Users in the Use of Telehealth: Scoping Review.Journal of medical Internet research · 2024
    Article
  11. Article
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  14. Observational
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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

6 authors at 2 institutions in 1 country.

Jessica ChengPritzker School of Medicine, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4909-9799
Vineet M AroraGeneral Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4745-7599
Nicole KappelGeneral Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0009-0003-1230-5354
Hanna VollbrechtInternal Medicine, Brigham and Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-4978-6484
David O MeltzerHospital Medicine, Department of Medicine, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-2790-7393
Valerie PressGeneral Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-9961-4878
University of Chicago · USBrigham and Women's Hospital · US

Funding

Resources and DisseminationP30AG066619 · NIA · UNIVERSITY OF CHICAGO · PI EMILY J ROGALSKI · 2020 to 2026
$6.8M
Cultivating Health & Aging Researchers by Integrating Science, Medicine & Aging - ResubmissionR25AG060910 · NIA · UNIVERSITY OF CHICAGO · PI DAVID O MELTZER · 2019 to 2026
$2.1M
Short Term Aging-Related Research ProgramT35AG029795 · NIA · UNIVERSITY OF CHICAGO · PI Vineet Arora, DAVID O MELTZER · 2008 to 2026
$1.4M
Video vs. TTG Respiratory inhaler technique Assessment and InstructioN (V-TRAIN)K23HL118151 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2013 to 2016
$658k
NHLBI NIH HHS K23 HL118151NIA NIH HHS P30 AG066619NIA NIH HHS R25 AG060910NIA NIH HHS T35 AG029795
6 · The paper itself

Abstract

backgroundMedicare coverage for audio-only telehealth is slated to end this year after the public health emergency concludes. When the time comes, many patients may be unable to make the transition from audio-only to video telehealth due to digital inexperience. This study explores the second digital divide within video telehealth use, which is primarily characterized by skills and capabilities rather than access, by measuring eHealth literacy (eHL) and video capabilities in hospitalized patients.

objectiveThe aim of this study is to evaluate video capabilities, eHealth literacy, and engagement with video telehealth among hospitalized patients.

methodsThe study design is a cross-sectional observational study of adult inpatients at the University of Chicago Medical Center. We assessed self-reported rates of audio versus video telehealth usage as well as the participants' self-reported willingness to use video telehealth for future health care visits. We used a multivariable binary logistic regression to determine the odds ratio for being unwilling to use video telehealth, adjusted for age, sex, race or ethnicity, educational level, eHL literacy scale (eHEALS), health literacy (brief health literacy screen), technology access, internet access, and video capability.

resultsOf the 297 enrolled participants, median age was 58 years, most (n=185, 62%) identified as Black, half (n=149, 50%) were female, one-quarter (n=66, 22%) lacked home internet access, and one-third (n=102, 34%) had inadequate eHL.

conclusionsPatients with low eHL reported greater participation in audio-only telehealth over video telehealth, of which the former may lose its flexible pandemic reimbursement policy. This may widen the existing health disparities as older adults and patients with low eHL face challenges in accessing video telehealth services. Low eHL is associated with lack of web-based skills, lower rates of video telehealth usage, and lower willingness to use video technology. The study results raise the question of how to improve video capability among patients who, despite having access to smartphones and laptops, face challenges in using telehealth optimally.

Indexed as

digital health literacyeHealth literacyhealth literacypatient caretechnology usetelehealthtelemedicinetransitions of care, digital divideurban populationvideo consultation

Identifiers

PMID37171854
PMCPMC10221502
OpenAlexW4376225713

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.