Evidence map›Paper›PMID 38252241›Full record

ArticleJournal of general internal medicine2024

Relationship Between Patient Portal Tool Use and Medication Adherence and Viral Load Among Patients Living with HIV.

Amanda M Midboe, Shayna Cave, Stephanie L Shimada, Ashley C Griffin, Tigran Avoundjian, Steven M Asch, Allen L Gifford, Donald Keith McInnes, Lara K Troszak

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03190317 (Health Information for Infected Veterans), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.2field-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.

NCT03190317 completednot on this map

Health Information for Infected Veterans

TypeobservationalSponsorVA Office of Research and DevelopmentRan2019 to 2025Enrolled123ConditionsHuman Immunodeficiency VirusArmsHIV-infected Veterans who use MHV, HIV-infected Veterans who do not use MHV, Providers and staff of HIV-infected veteran
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Amanda M MidboeVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA. Amanda.Midboe@va.gov.
Shayna CaveVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.
Stephanie L ShimadaCenter for Healthcare Organization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, USA.
Ashley C GriffinVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.
Tigran AvoundjianVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.
Steven M AschVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.
Allen L GiffordCenter for Healthcare Organization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, USA.
Donald Keith McInnesCenter for Healthcare Organization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, USA.
Lara K TroszakVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.
VA New England Healthcare System · USCenter for Innovation · USStanford University · USVA Palo Alto Health Care System · US

Funding

U.S. Department of Veterans Affairs IIR 15-327
6 · The paper itself

Abstract

backgroundPatient portals play an increasingly critical role in engaging patients in their health care. They have the potential to significantly impact the health of those living with chronic diseases, such as HIV, for whom consistent care engagement is both critical and complex.

objectiveThe primary aim was to examine the longitudinal relationships between individual portal tool use and health-related outcomes in patients living with HIV.

designRetrospective cohort study using electronic health record data to examine the relationship between patient portal tool use and key HIV-specific, health-related outcomes in patients engaged in care in the Veterans Health Administration (VA) through the application of marginal structural models.

participantsA national sample of patients living with HIV (PLWH) active in VA care who were registered to use the VA's patient portal, My HealtheVet (MHV; n = 18,390) between 10/1/2012 and 4/1/2017. MAIN MEASURES: The MHV tools examined were prescription refill (including prescription refill of an antiretroviral (ART) medication and any medication), secure messaging, view appointments, and view labs. Primary outcomes were viral load test receipt, viral load suppression, and ART medication adherence (measured as proportion of days covered). KEY

resultsThe use of prescription refill for any medication or for ART was positively associated with ART adherence. Secure messaging was positively associated with ART adherence but not with viral load test receipt or viral load suppression. The use of view appointments was positively associated with ART adherence and viral load test receipt but not viral load suppression. The use of view labs was positively associated with viral load suppression but not ART adherence or viral load test receipt.

conclusionsThese findings highlight the valuable role patient portals may play in improving health-related outcomes among PLWH and have implications for patients living with other types of chronic disease.

Indexed as

Anti-HIV AgentsHIV InfectionsPatient PortalsTool Use BehaviorHumansMedication AdherenceRetrospective StudiesViral LoadAnti-HIV Agents

Identifiers

PMID38252241
PMCPMC10937883
OpenAlexW4391109186

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.