Evidence map›Paper›PMID 40189189›Full record

ArticleJournal of pediatric and adolescent gynecology2025

"Really Hard to Navigate": A Qualitative Study of Motivators, Barriers, and Supports of Adolescent-Clinician Communication on Patient Portals.

Andrea J Hoopes, Alina Metje, Creagh Miller, Charissa M Tomlinson, Thang D Dao, Marlaine Figueroa Gray

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Andrea J HoopesKaiser Permanente Washington Health Research Institute, Seattle, Washington; Washinton Permanente Medical Group. Electronic address: Andrea.J1.Hoopes@kp.org.
Alina MetjeVillage Reach, Seattle, Washington; University of Washington, Seattle, Washington.
Creagh MillerKaiser Permanente Washington Health Research Institute, Seattle, Washington; Public Health - Seattle & King County, Seattle, Washington.
Charissa M TomlinsonKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Thang D DaoUniversity of Washington, Seattle, Washington; Carleton College, Northfield, Minnesota.
Marlaine Figueroa GrayKaiser Permanente Washington Health Research Institute, Seattle, Washington.

Funding

AHRQ HHS K12 HS026369
6 · The paper itself

Abstract

purposeTo understand how patient portals can support adolescent sexual and reproductive health (SRH) care needs and to identify factors impacting use of patient portals for adolescent-clinician communication.

methodsWe conducted semi-structured interviews with adolescents, parents/guardians, and primary care providers (PCPs) by video or phone. Interview guides explored experiences with adolescent healthcare-seeking generally and SRH care specifically, as well as perspectives regarding adolescent portal use. Interviews were recorded, transcribed, and deidentified. Interviewer summaries written after each interview noted key themes that informed analysis. The analysis team collaboratively coded transcripts. Codes were synthesized into analytic memos, which were refined to develop results.

resultsWe interviewed 31 people from 1 health system: 10 adolescents 14-17 years old and 10 parents/guardians of adolescents aged 14-17, and 11 primary care providers (PCPs). A motivator of portal use shared by all participants included convenience of use. Clinicians and parents/guardians also viewed portals as a tool to support adolescent independence and improve quality of care. Barriers shared by all participants included lack of adolescent portal uptake and dissatisfaction with functionality. Clinicians and adolescents raised concerns about confidentiality while parents and clinicians raised concerns about safety of care. Supports shared by all participants included encouragement and guidance from trusted adults, while adolescents and clinicians described the reinforcing nature of positive care experiences using the portal. DISCUSSION: Through the perspectives of adolescents, parents/guardians, and clinicians, we elucidated key factors that may influence adolescent portal use for SRH care needs. We identified critical intervention targets for future research.

Indexed as

Adolescent Health ServicesCommunicationPatient PortalsPhysician-Patient RelationsAdolescentConfidentialityFemaleHumansInterviews as TopicMaleMotivationParentsPatient Acceptance of Health CarePrimary Health CareQualitative ResearchAdolescent health servicesPatient portalsSexual and reproductive health

Identifiers

PMID40189189
PMCPMC12822551

What OpenQuestion holds

Textmetadata
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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.