Research ArticleOriginal Research

A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal

Courtney R. Lyles, Lina Tieu, Urmimala Sarkar, Stephen Kiyoi, Shobha Sadasivaiah, Mekhala Hoskote, Neda Ratanawongsa and Dean Schillinger
The Journal of the American Board of Family Medicine March 2019, 32 (2) 248-258; DOI: https://doi.org/10.3122/jabfm.2019.02.180263

References

  1. 1.↵
    Office of the National Coordinator for Health Information Technology. 2018. Meaningful Use and MACRA. Available from: https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra. Accessed 1/31/19.
  2. 2.↵
    What is a patient portal? 2015. Available from: https://www.healthit.gov/providers-professionals/faqs/what-patient-portal.
  3. 3.↵
    1. Goldzweig CL,
    2. Orshansky G,
    3. Paige NM,
    4. et al
    . Electronic patient portals: Evidence on health outcomes, satisfaction, efficiency, and attitudes: A systematic review. Ann Intern Med 2013;159:677–687.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Lau DCW
    . Snapshots of diabetes care in Canada. Can J Diabetes 2014;38:1–2.
    OpenUrl
  5. 5.↵
    1. Kruse CS,
    2. Bolton K,
    3. Freriks G
    . The effect of patient portals on quality outcomes and its implications to meaningful use: A systematic review. J Med Internet Res 2015;17(2):e44.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Sarkar U,
    2. Lyles CR,
    3. Parker MM,
    4. et al
    . Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Med Care 2014;52:194–201.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Lyles CR,
    2. Sarkar U,
    3. Schillinger D,
    4. et al
    . Refilling medications through an online patient portal: Consistent improvements in adherence across racial/ethnic groups. J Am Med Inform Assoc 2016;23(e1):e28–e33.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Harris LT,
    2. Koepsell TD,
    3. Haneuse SJ,
    4. Martin DP,
    5. Ralston JD
    . Glycemic control associated with secure patient-provider messaging within a shared electronic medical record: A longitudinal analysis. Diabetes Care 2013;36:2726–2733.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Lyles CR,
    2. Allen JY,
    3. Poole D,
    4. Tieu L,
    5. Kanter MH,
    6. Garrido T
    . “I want to keep the personal relationship with my doctor”: Understanding barriers to portal use among African Americans and Latinos. J Med Internet Res 2016;18:e263.
    OpenUrl
  10. 10.↵
    1. Sarkar U,
    2. Karter AJ,
    3. Liu JY,
    4. et al
    . The literacy divide: Health literacy and the use of an internet-based patient portal in an integrated health system—Results from the diabetes study of northern California (DISTANCE). J Health Commun 2010;15(Suppl 2):183–196.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Sarkar U,
    2. Karter AJ,
    3. Liu JY,
    4. et al
    . Social disparities in internet patient portal use in diabetes: Evidence that the digital divide extends beyond access. J Am Med Inform Assoc 2011;18:318–321.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Goel MS,
    2. Brown TL,
    3. Williams A,
    4. Hasnain-Wynia R,
    5. Thompson JA,
    6. Baker DW
    . Disparities in enrollment and use of an electronic patient portal. J Gen Intern Med 2011;26:1112–1116.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Smith SG,
    2. O'Conor R,
    3. Aitken W,
    4. Curtis LM,
    5. Wolf MS,
    6. Goel MS
    . Disparities in registration and use of an online patient portal among older adults: Findings from the LitCog cohort. J Am Med Inform Assoc 2015;22:888–895.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Wallace LS,
    2. Angier H,
    3. Huguet N,
    4. et al
    . Patterns of electronic portal use among vulnerable patients in a nationwide practice-based research network: From the OCHIN Practice-based Research Network (PBRN). J Am Board Fam Med 2016;29:592–603.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Lyles CR,
    2. Harris LT,
    3. Jordan L,
    4. et al
    . Patient race/ethnicity and shared medical record use among diabetes patients. Med Care 2012;50:434–440.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Czaja SJ,
    2. Zarcadoolas C,
    3. Vaughon WL,
    4. Lee CC,
    5. Rockoff ML,
    6. Levy J
    . The usability of electronic personal health record systems for an underserved adult population. Hum Factors 2015;57:491–506.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Tieu L,
    2. Schillinger D,
    3. Sarkar U,
    4. et al
    . Online patient websites for electronic health record access among vulnerable populations: Portals to nowhere? J Am Med Inform Assoc 2017;24(e1):e47–e54.
    OpenUrl
  18. 18.↵
    1. Haggstrom DA,
    2. Saleem JJ,
    3. Russ AL,
    4. Jones J,
    5. Russell SA,
    6. Chumbler NR
    . Lessons learned from usability testing of the VA's personal health record. J Am Med Inform Assoc 2011;18(Suppl 1):i13–i17.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Lewis JR
    . Usability: Lessons Learned … and Yet to Be Learned. Int J Hum–Computer Interact 2014;30:663–684.
    OpenUrl
  20. 20.↵
    1. Lyles C,
    2. Schillinger D,
    3. Sarkar U
    . Connecting the dots: Health information Technology expansion and health disparities. PLoS Med 2015;12(7):e1001852.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Irizarry T,
    2. Shoemake J,
    3. Nilsen ML,
    4. Czaja S,
    5. Beach S,
    6. DeVito Dabbs A
    . Patient portals as a tool for health care engagement: A mixed-method study of older adults with varying levels of health literacy and prior patient portal use. J Med Internet Res 2017;19(3):e99.
    OpenUrl
  22. 22.↵
    1. Irizarry T,
    2. DeVito Dabbs A,
    3. Curran CR
    . Patient portals and patient engagement: A state of the science review. J Med Internet Res 2015;17(6):e148.
    OpenUrlCrossRefPubMed
  23. 23.↵
    San Francisco Department of Public Health Annual Report 2015–2016. San Francisco (CA): San Francisco Department of Public Health; 2016.
  24. 24.↵
    What is Learner Web? Portland (OR): Portland State University; 2017.
  25. 25.↵
    1. Ralston JD,
    2. Rutter CM,
    3. Carrell D,
    4. Hecht J,
    5. Rubanowice D,
    6. Simon GE
    . Patient use of secure electronic messaging within a shared medical record: a cross-sectional study. J Gen Intern Med 2009;24:349–355.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Chew LD,
    2. Bradley KA,
    3. Boyko EJ
    . Brief questions to identify patients with inadequate health literacy. Fam Med 2004;36:588–594.
    OpenUrlPubMedWeb of Science
  27. 27.↵
    1. Tieu L,
    2. Sarkar U,
    3. Schillinger D,
    4. et al
    . Barriers and facilitators to online portal use among patients and caregivers in a safety net health care system: A qualitative study. J Med Internet Res 2015;17(12):e275.
    OpenUrlCrossRefPubMed
  28. 28.↵
    Health information national trends survey. Bethesda, (MD): National Institutes of Health; 2014.
  29. 29.↵
    1. Norman CD,
    2. Skinner HA
    . eHEALS: The eHealth Literacy Scale. J Med Internet Res 2006;8:e27.
    OpenUrlCrossRefPubMed
  30. 30.↵
    1. Glasgow RE,
    2. Wagner EH,
    3. Schaefer J,
    4. Mahoney LD,
    5. Reid RJ,
    6. Greene SM
    . Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Med Care 2005;43:436–444.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Lorig KR,
    2. Sobel DS,
    3. Ritter PL,
    4. Laurent D,
    5. Hobbs M
    . Effect of a self-management program on patients with chronic disease. Eff Clin Pract 2001;4:256–262.
    OpenUrlPubMed
  32. 32.↵
    1. Ayas NT,
    2. White DP,
    3. Al-Delaimy WK,
    4. et al
    . A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care 2003;26:380–384.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Lyles CR,
    2. Sarkar U,
    3. Ralston JD,
    4. et al
    . Patient–provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study. J Am Med Inform Assoc 2013;20:1128–1131.
    OpenUrlCrossRefPubMed
  34. 34.↵
    1. Weppner WG,
    2. Ralston JD,
    3. Koepsell TD,
    4. et al
    . Use of a shared medical record with secure messaging by older patients with diabetes. Diabetes Care 2010;33:2314–2319.
    OpenUrlAbstract/FREE Full Text
  35. 35.↵
    1. Ryan BL,
    2. Brown JB,
    3. Terry A,
    4. Cejic S,
    5. Stewart M,
    6. Thind A
    . Implementing and using a patient portal: A qualitative exploration of patient and provider perspectives on engaging patients. J Innov Health Inform 2016;23:848.
    OpenUrl
  36. 36.↵
    1. Taha J,
    2. Sharit J,
    3. Czaja SJ
    . The impact of numeracy ability and technology skills on older adults' performance of health management tasks using a patient portal. J Appl Gerontol 2014;33:416–436.
    OpenUrlCrossRefPubMed
  37. 37.↵
    1. Sorondo B,
    2. Allen A,
    3. Fathima S,
    4. Bayleran J,
    5. Sabbagh I
    . Patient portal as a tool for enhancing patient experience and improving quality of care in primary care practices. EGEMS (Wash DC) 2016;4:1262.
    OpenUrl
  38. 38.↵
    1. Lyles CR,
    2. Fruchterman J,
    3. Youdelman M,
    4. Schillinger D
    . Legal, practical, and ethical considerations for making online patient portals accessible for all. Am J Public Health 2017;107:1608–1611.
    OpenUrl
  39. 39.↵
    1. Zhang Y,
    2. Lauche R,
    3. Sibbritt D,
    4. Olaniran B,
    5. Cook R,
    6. Adams J
    . Comparison of health information technology use between american adults with and without chronic health conditions: Findings From The National Health Interview Survey 2012. J Med Internet Res 2017;19:e335.
    OpenUrl
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Keywords