Evidence map›Paper›PMID 40240933›Full record

ArticleJournal of the American Heart Association2025

Patient Portals and Shared Decision-Making in US Adults With or at Risk of Cardiovascular Diseases: A Cross-Sectional Study.

Yuling Chen, Erin M Spaulding, Suratsawadee Kruahong, Sarah Slone, Hailey Miller, Binu Koirala, Patricia M Davidson, Yvonne Commodore-Mensah, Cheryl R Dennison Himmelfarb

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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
–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

2 citing papers in PubMed.

  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

9 authors.

Yuling ChenJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0001-8273-0442
Erin M SpauldingJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0001-8390-2277
Suratsawadee KruahongJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0003-2165-2705
Sarah SloneJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0001-6980-9674
Hailey MillerJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0001-6045-6542
Binu KoiralaJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0001-7771-8422
Patricia M DavidsonJohns Hopkins School of Nursing Baltimore MD.
Yvonne Commodore-MensahJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0002-5054-3025
Cheryl R Dennison HimmelfarbJohns Hopkins School of Nursing Baltimore MD.ORCID 0000-0003-1918-4316

Funding

ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
Understanding and addressing risks of low socioeconomic status and diabetes for heart failureP50MD017348 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI BOWER, KELLY · 2021 to 2025
$24.2M
NHLBI NIH HHS U01 HL096812NIMHD NIH HHS P50 MD017348
6 · The paper itself

Abstract

backgroundPatient portals are secure online platforms that have shown potential to facilitate shared decision-making (SDM) in cardiovascular disease risk reduction. However, the role of health care providers (HCPs) in offering patient portals within the context of SDM remains poorly understood. This study aimed to examine the relationship between patient portal access offered by HCPs and patient engagement in SDM among adults with or at risk of cardiovascular disease in the United States (US).

methodsThis population-based cross-sectional study included a nationally representative sample of US adults from the 2022 Health Information National Trends Survey. We performed weighted multivariable logistic regression analyses to examine the association between patient portal access offered by HCPs and patient engagement in SDM.

resultsThe study included a representative sample of 4234 adults with or at risk of cardiovascular disease. The mean age of the participants was 48.5 years (SD, 17.1), with 50.6% female and 62.8% White. Adults who were offered access to patient portals by HCPs (adjusted odds ratio, 2.11 [95% CI, 1.34-3.32]) and encouraged to use them (adjusted odds ratio, 1.68 [95% CI, 1.15-2.45]) were more likely to engage in SDM than their counterparts, adjusting for covariates. The extent of this association varied by demographics and social determinants of health.

conclusionsOffering access to patient portals and encouragement to use them by HCPs was associated with high SDM among US adults with or at risk of cardiovascular disease. Future research is needed to explore the possible causal relationship between patient portal use and access and patient engagement in SDM.

Indexed as

Cardiovascular DiseasesDecision Making, SharedPatient ParticipationPatient PortalsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk AssessmentUnited Statescardiovascular diseasepatient portalshared decision‐makingsocial determinants of health

Identifiers

PMID40240933
PMCPMC12184550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.