Older adults' use of patient portals: Experiences, challenges, and suggestions shared through discussion board forums

Nahm, Eun-Shim; Son, Hyojin; Yoon, Jeongkoo

doi:10.1016/j.gerinurse.2019.12.001

Cited by 13 publications

(16 citation statements)

References 26 publications

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“…The tool also provides users with education on prostate cancer, its treatment, and a personalized clinical trial screening tool. The Cancer Survivorship Patient Toolkit (CaS-PET) was developed to provide survivorship care plans for patients with cancer [ 48 ]. This tool uses a biweekly follow-up contact via secure messaging.…”

Section: Resultsmentioning

confidence: 99%

“…Studies for four of the portals specifically described methods of promoting portal use, either by reminders via electronic messages [ 35 , 42 , 48 ] or in-person [ 39 ]. The impact of these promotions of use is mixed; two of the studies did not collect data on portal use to correspond to their promotion efforts.…”

Section: Resultsmentioning

confidence: 99%

“…Users valued tools that allowed the electronic collection of patient-reported outcomes and symptoms. Aside from their perceived convenience, these tools allow users to gain a sense of control over their health, improve symptom management, and access novel resources [ 40 , 41 , 44 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…In ACP tools, users appreciated that the advance directive forms were easily retrievable and viewable for their providers and family [ 23 , 24 , 37 ]. The tools addressing quality of life and psychosocial support were also perceived to improve communication with the care team [ 39 , 44 , 47 , 48 ]. There was evidence of increased care plan concordance between patients [ 39 ], and users noted that the tools better prepared them for their clinical visits [ 44 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

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Patient Portals to Support Palliative and End-of-Life Care: Scoping Review

Ingle¹,

Valdovinos²,

Ford³

et al. 2021

J Med Internet Res

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Background Although patient portals are widely used for health promotion, little is known about the use of palliative care and end-of-life (PCEOL) portal tools available for patients and caregivers. Objective This study aims to identify and assess the user perspectives of PCEOL portal tools available to patients and caregivers described and evaluated in the literature. Methods We performed a scoping review of the academic literature directed by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) extension for Scoping Review and searched three databases. Sources were included if they reported the development or testing of a feature, resource, tool, or intervention; focused on at least one PCEOL domain defined by the National Coalition for Hospice and Palliative Care; targeted adults with serious illness or caregivers; and were offered via a patient portal tethered to an electronic medical record. We independently screened the titles and abstracts (n=796) for eligibility. Full-text (84/796, 10.6%) sources were reviewed. We abstracted descriptions of the portal tool name, content, targeted population, and reported user acceptability for each tool from included sources (n=19). Results In total, 19 articles describing 12 tools were included, addressing the following PCEOL domains: ethical or legal (n=5), physical (n=5), and psychological or psychiatric (n=2). No tools for bereavement or hospice care were identified. Studies have reported high acceptability of tools among users; however, few sources commented on usability among older adults. Conclusions PCEOL patient portal tools are understudied. As medical care increasingly moves toward virtual platforms, future research should investigate the usability and acceptability of PCEOL patient portal resources and evaluate their impact on health outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Patient Portals to Support Palliative and End-of-Life Care: Scoping Review

Ingle¹,

Valdovinos²,

Ford³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Such usability problems were more prominent among older adults and those with low socio‐economic status and limited eHealth literacy (Son & Nahm, 2019; Tieu et al, 2017). Lack of awareness and training on how to use portal functions and limited computer or Internet access were also found as common barriers (Graetz, Gordon, Fung, Hamity, & Reed, 2016; Nahm, Son, & Yoon, 2020). Many studies also discussed how individuals with poor technology experience and low health literacy were less likely to use PPs (Ali et al, 2018; Coughlin, Stewart, Young, Heboyan, & De Leo, 2018).…”

mentioning

confidence: 99%

Testing a Model of Patient Portal Use in Adult Patients

Son

Nahm

Zhu³

et al. 2021

J of Nursing Scholarship

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Purpose The aim of this study was to test a modified version of the Technology Acceptance Model, which describes users’ technology adoption, to examine the relations between patient portal use and potential influencing factors in adult patients who have used patient portals. The modified model posits that patient portal use can be explained by attitude and self‐efficacy for using patient portals, perceived usefulness and ease of use, data privacy and security concerns, eHealth literacy, education level, and age. Design A cross‐sectional anonymous online survey was conducted for adult patients who had used their patient portals in the past 12 months. Methods Participants were recruited from 20 settings selected in a large integrated health care system. Data from 743 patients were subject to structural equation modeling for model testing. Findings Sixty‐eight percent were White and female, with a mean age of 53.1 years (SD = 15.34). Forty‐seven percent used patient portals about monthly or more frequently. Scores for perceived usefulness and ease of use of patient portals were relatively high (as measured using the modified Perceived Health Web Site Usability Questionnaire; each item mean, 6.0–6.2; range, 1–7). The final model adequately fit the data (comparative fit index = .983, standardized root mean square residual = .064, root mean square error of approximation = .059). Patient portal self‐efficacy and data privacy and security concerns had a direct impact on patient portal use. Perceived usefulness and ease of use, eHealth literacy, education level, and age indirectly influenced patient portal use. Conclusions This study contributes to expanding a theoretical understanding of adult patients' patient portal use in a real health care environment. Future studies need to include more diverse populations in various settings. Clinical Relevance Knowledge gained from this study can be used by technology experts to make patient portals more user friendly and by administrators to implement patient portals more effectively.

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Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

et al. 2022

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Digital health technology is receiving increasing attention in cardiology. The rise of accessibility of digital health tools including wearable technologies and smart phone applications used in medical practice has created a new era in healthcare. The coronavirus pandemic has provided a new impetus for changes in delivering medical assistance across the world. This Consensus document discusses the potential implementation of digital health technology in older adults, suggesting a practical approach to general cardiologists working in an ambulatory outpatient clinic, highlighting the potential benefit and challenges of digital health in older patients with, or at risk of, cardiovascular disease. Advancing age may lead to a progressive loss of independence, to frailty, and to increasing degrees of disability. In Geriatric Cardiology digital health technology may serve as an additional tool both in cardiovascular prevention and treatment that may help by 1) supporting self-caring patients with cardiovascular disease to maintain their independence and improve the management of their cardiovascular disease 2) improving the prevention, detection and management of frailty and supporting

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Older adults' use of patient portals: Experiences, challenges, and suggestions shared through discussion board forums

Cited by 13 publications

References 26 publications

Patient Portals to Support Palliative and End-of-Life Care: Scoping Review

Patient Portals to Support Palliative and End-of-Life Care: Scoping Review

Testing a Model of Patient Portal Use in Adult Patients

Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

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