Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices

Lyles, Courtney R.; Nelson, Eugene C.; Frampton, Susan B.; Dykes, Patricia C.; Cemballi, Anupama Gunshekar; Sarkar, Urmimala

doi:10.7326/m19-0876

Cited by 117 publications

(113 citation statements)

References 75 publications

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“…Therefore, without detailed behavioural pathways for the targeted intervention components surrounding EHR data access, it is challenging to interpret observed trial effects. In our opinion and in our previous work, 11 one-time action by systems or clinics granting patient access to EHRs is unlikely to replicate the effect of these interventions. In particular, access versus training to use EHRs should likely be considered separately, as well as the study of specific features within the EHR.…”

contrasting

confidence: 66%

Devil in the details: understanding the effects of providing electronic health record access to patients and families

Sarkar

Lyles

2020

BMJ Qual Saf

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contrasting

confidence: 66%

Devil in the details: understanding the effects of providing electronic health record access to patients and families

Sarkar

Lyles

2020

BMJ Qual Saf

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“…43 Further attention to the use of audio, video, and graphics within patient portals, offering portals in patients' preferred language, and improving computer and smartphone access and training may lead to additional improvements in the ability of vulnerable groups to realize the full benefits of patient portals. 10 Third, prior research indicates that older adults are less likely to be able to use patient portals for health-related tasks. 16 Price-Haywood et al observed that older adults with hypertension or diabetes found accessing patient portals cumbersome, expressed concerns about the level computer literacy required, and desired technical support.…”

Section: Discussionmentioning

confidence: 99%

The My Diabetes Care Patient Portal Intervention: Usability and Pre-Post Assessment

et al. 2021

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Background My Diabetes Care (MDC) is a novel, multifaceted patient portal intervention designed to help patients better understand their diabetes health data and support self-management. MDC uses infographics to visualize and summarize patients' diabetes health data, incorporates motivational strategies, and provides literacy level–appropriate educational resources. Objectives We aimed to assess the usability, acceptability, perceptions, and potential impact of MDC. Methods We recruited 69 participants from four clinics affiliated with Vanderbilt University Medical Center. Participants were given 1 month of access to MDC and completed pre- and post-questionnaires including validated measures of usability and patient activation, and questions about user experience. Results Sixty participants completed the study. Participants' mean age was 58, 55% were females, 68% were Caucasians, and 48% had limited health literacy (HL). Most participants (80%) visited MDC three or more times and 50% spent a total of ≥15 minutes on MDC. Participants' median System Usability Scale (SUS) score was 78.8 [Q1, Q3: 72.5, 87.5] and significantly greater than the threshold value of 68 indicative of “above average” usability (p < 0.001). The median SUS score of patients with limited HL was similar to those with adequate HL (77.5 [72.5, 85.0] vs. 82.5 [72.5, 92.5]; p = 0.41). Participants most commonly reported the literacy level–appropriate educational links and health data infographics as features that helped them better understand their diabetes health data (65%). All participants (100%) intended to continue to use MDC. Median Patient Activation Measure® scores increased postintervention (64.3 [55.6, 72.5] vs. 67.8 [60.6, 75.0]; p = 0.01). Conclusion Participants, including those with limited HL, rated the usability of MDC above average, anticipated continued use, and identified key features that improved their understanding of diabetes health data. Patient activation improved over the study period. Our findings suggest MDC may be a beneficial addition to existing patient portals.

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“…22,47 For barriers in digital literacy, robust evidence exists for interventions to support individual-level patient preparation for portal access, which is likely to extend to telemedicine as well. [48][49][50][51][52] For limited English proficiency patients, dissemination of best practices for interpreter services must be standardized. 24 Finally, the design of telemedicine platforms and instructional tools must engage patients and stakeholders from vulnerable populations, applying user-centered design or other participatory methods.…”

Section: Discussionmentioning

confidence: 99%

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

Sharma¹,

Khoong²,

Nijagal³

et al. 2021

Journal of Health Care for the Poor and Underserved

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Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices

Cited by 117 publications

References 75 publications

Devil in the details: understanding the effects of providing electronic health record access to patients and families

Devil in the details: understanding the effects of providing electronic health record access to patients and families

The My Diabetes Care Patient Portal Intervention: Usability and Pre-Post Assessment

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

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