Health Literacy and Global Cognitive Function Predict E-Mail but Not Internet Use in Heart Failure Patients

Schprechman, Jared P.; Gathright, Emily C.; Goldstein, Carly M.; Guerini, Kate A.; Dolansky, Mary A.; Redle, Joseph D.; Hughes, Joel W.

doi:10.1155/2013/507910

Cited by 9 publications

(26 citation statements)

References 19 publications

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“…Several studies from 2013 evaluated the use of the secure messaging feature of a patient portal [15,16,20,22,23]. These studies all demonstrated a high level of patient satisfaction with the feature, and the users did not feel the process to exchange SMs was too complicated.…”

Section: Resultsmentioning

confidence: 99%

“…Studies from 2013 also demonstrated several barriers to use of the patient portal; most common were lack of Internet access and lack of technical support [19,20,22,23]. Another significant finding in 2013 was the association of patient portal use with medication adherence, disease control, self-maintenance of health, and including the patient in the medical decision [16,19,22,23].…”

Section: Resultsmentioning

confidence: 99%

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The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review

Kruse¹,

Bolton²,

Freriks³

2015

J Med Internet Res

340

258

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BackgroundThe Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for “Meaningful Use”. It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals improves outcomes remains to be seen.ObjectiveThe purpose of this systemic review is to outline and summarize study results on the effect of patient portals on quality, or chronic-condition outcomes as defined by the Agency for Healthcare Research and Quality, and its implications to Meaningful Use since the beginning of 2011. This review updates and builds on the work by Ammenwerth, Schnell-Inderst, and Hoerbst.MethodsWe performed a systematic literature search in PubMed, CINAHL, and Google Scholar. We identified any data-driven study, quantitative or qualitative, that examined a relationship between patient portals, or patient portal features, and outcomes. We also wanted to relate the findings back to Meaningful Use criteria. Over 4000 articles were screened, and 27 were analyzed and summarized for this systematic review.ResultsWe identified 26 studies and 1 review, and we summarized their findings and applicability to our research question. Very few studies associated use of the patient portal, or its features, to improved outcomes; 37% (10/27) of papers reported improvements in medication adherence, disease awareness, self-management of disease, a decrease of office visits, an increase in preventative medicine, and an increase in extended office visits, at the patient’s request for additional information. The results also show an increase in quality in terms of patient satisfaction and customer retention, but there are weak results on medical outcomes.ConclusionsThe results of this review demonstrate that more health care organizations today offer features of a patient portal than in the review published in 2011. Articles reviewed rarely analyzed a full patient portal but instead analyzed features of a portal such as secure messaging, as well as disease management and monitoring. The ability of patients to be able to view their health information electronically meets the intent of Meaningful Use, Stage 2 requirements, but the ability to transmit to a third party was not found in the review.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review

Kruse¹,

Bolton²,

Freriks³

2015

J Med Internet Res

340

258

View full text Add to dashboard Cite

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“…The S-TOFHLA is a shortened version of the Test of Functional Health Literacy [55], which correlates with the REALM [56]. In another systematic review of health literacy using web-based health information environments [26], the Newest Vital Sign was used most often [57], followed by the REALM [58]. There is a lack of standard measurement tools to evaluate health literacy [17,22,[59][60][61][62].…”

Section: Measurement Of Health Literacymentioning

confidence: 99%

eHealth Delivery of Educational Content Using Selected Visual Methods to Improve Health Literacy on Lifestyle-Related Diseases: Literature Review

Aida¹,

Svensson²,

Svensson³

et al. 2020

JMIR Mhealth Uhealth

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Background Lifestyle-related diseases, such as stroke, heart disease, and diabetes, are examples of noncommunicable diseases. Noncommunicable diseases are now the leading cause of death in the world, and their major causes are lifestyle related. The number of eHealth interventions is increasing, which is expected to improve individuals’ health literacy on lifestyle-related diseases. Objective This literature review aims to identify existing literature published in the past decade on eHealth interventions aimed at improving health literacy on lifestyle-related diseases among the general population using selected visual methods, such as educational videos, films, and movies. Methods A systematic literature search of the PubMed database was conducted in April 2019 for papers written in English and published from April 2, 2009, through April 2, 2019. A total of 538 papers were identified and screened in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram. Finally, 23 papers were included in this review. Results The 23 papers were characterized according to study characteristics (author and year of publication, study design and region where the study was conducted, study objective, service platform, target disease and participant age, research period, outcomes, and research method); the playback time of the educational videos, films, and movies; and the evaluation of the study’s impacts on health literacy. A total of 7 studies compared results using statistical methods. Of these, 5 studies reported significant positive effects of the intervention on health literacy and health-related measures (eg, physical activity, body weight). Although most of the studies included educational content aimed at improving health literacy, only 7 studies measured health literacy. In addition, only 5 studies assessed literacy using health literacy measurement tools. Conclusions This review found that the provision of educational content was satisfactory in most eHealth studies using selected visual methods, such as videos, films, and movies. These findings suggest that eHealth interventions influence people’s health behaviors and that the need for this intervention is expected to increase. Despite the need to develop eHealth interventions, standardized measurement tools to evaluate health literacy are lacking. Further research is required to clarify acceptable health literacy measurements.

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“…One major concern with low literacy can be linked to reduced selfcare behaviors in cardiac patients. In addition, low health literacy has been associated with lower BP control and reduced participation in medical decisions, 101,111 reduced communication with providers, 120 lower disease knowledge, 103,104,115 reduced cognition, 112 lower medication adherence levels, 123 and lower medication refill adherence.…”

Section: Question 3 How Are Common Barriers To Implementing Tpe For mentioning

confidence: 99%

“…HF patients could be inappropriately categorized as having inadequate or marginal health literacy because of the time limit; therefore, health literacy measures that are specifically intended for an older population might be warranted. The METER (Medical Term Recognition Test), 120 the CAHPS (Consumer Assessment for Healthcare Providers and Systems), 107 the NVS (Newest Vital Sign Instrument), 116 and the BHLS (Brief Health Literacy Screen) 111 have also been used, but there is no TPE Interventions for Self-Management specific literature reported on use among cardiac patients. On the basis of the current evidence, clinicians need to consider psychometric properties of health literacy screening tools (eg, reliability, validity, sensitivity) related to cardiac patient population characteristics.…”

mentioning

confidence: 99%

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.

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Health Literacy and Global Cognitive Function Predict E-Mail but Not Internet Use in Heart Failure Patients

Cited by 9 publications

References 19 publications

The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review

The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review

eHealth Delivery of Educational Content Using Selected Visual Methods to Improve Health Literacy on Lifestyle-Related Diseases: Literature Review

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

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