scholarly journals The Impact of Patient Characteristics on the Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: real world-study (Preprint)

10.2196/25498 ◽  
2020 ◽  
Author(s):  
Rosian Tossaint-Schoenmakers ◽  
Marise Kasteleyn ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Esther Talboom-Kamp
Keyword(s):  
Laboratory Test ◽  
Real World ◽  
Patient Characteristics ◽  
Patient Portal ◽  
Test Results ◽  
Laboratory Test Results ◽  
The Impact

Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results; how patient characteristics affect usability and self-efficacy: Real-World Study Using the eHealth Impact Questionnaire (Preprint)

2020 ◽  
Author(s):  
Rosian Tossaint-Schoenmakers ◽  
Marise Kasteleyn ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Esther Talboom-Kamp
Keyword(s):  
High Education ◽  
Chronic Disease ◽  
Laboratory Test ◽  
Self Efficacy ◽  
Patient Characteristics ◽  
Patient Portal ◽  
Test Results ◽  
Highly Educated ◽  
Laboratory Test Results ◽  
Motivation And Confidence

BACKGROUND Patient portals are promising tools to increase patient involvement and empowerment in managing their health. To optimally facilitate patients, laboratory test results should be explained in easy language. Patient characteristics affect the usage of portals and the user satisfaction. OBJECTIVE This study aims to assess the effect of patient characteristics (gender, age, education and chronic disease) on the self-efficacy and perceived usability of an online patient portal that communicates diagnostic test results. METHODS We used the online-administered eHealth Impact Questionnaire (eHIQ) to explore patients’ attitudes toward the portal. Patients visiting the portal were asked to complete the questionnaire and to answer questions regarding gender, age, education and chronic disease. The subscale ‘information and presentation’ of the eHIQ assessed the usability of the patient portal and the subscale ‘motivation and confidence to act’ assessed self-efficacy to determine whether patients were motivated to act on the presented information. Age, gender, education and chronic disease were the determinants to analyze the effect on usability and self-efficacy. RESULTS The questionnaire was completed by 748 respondents, of 428 (57.2 %) were female, 423 (56.6%) highly educated and 509 (68%) had no chronic disease. The mean age was 58.5 years (SD 16.4). Higher age, high education and asthma/ COPD were significant determinants for decreased usability; respectively, B=-.094, (95% CI (-1,147 to 0.042), P<0.001, B=-2.512 (95% CI -4.791 to -0.232), P=.031 and B =-3.630 (95% CI -6.545 to -0.715), P=.015. High education was also a significant determinant for self-efficacy B=-3.521 (95% CI -6.469 to -0.572, P=.019). Other determinants were not significant. CONCLUSIONS This study showed that the usability of the portal decreased with age, if a user was highly educated or had asthma/ COPD. Patients’ motivation and confidence to act on the presented information decreased with age. The results portal is not tailored for different groups. Further research should investigate which factors from a patient perspective are essential to tailor the portal for different groups, and how a result portal can be optimally integrated within the daily practice of a doctor.

scholarly journals Effect of Statin Use on the Clinical Manifestations, Laboratory Test Results and Outcome of Lyme Neuroborreliosis

2020 ◽  
Vol 9 (9) ◽  
pp. 2995
Author(s):  
Katarina Ogrinc ◽  
Andrej Kastrin ◽  
Stanka Lotrič-Furlan ◽  
Petra Bogovič ◽  
Tereza Rojko ◽  
...  
Keyword(s):  
Laboratory Test ◽  
Clinical Manifestations ◽  
Lyme Neuroborreliosis ◽  
Test Results ◽  
Laboratory Test Results ◽  
Multivariable Analyses ◽  
Pre Treatment ◽  
Bannwarth's Syndrome ◽  
The Impact ◽  
Statin Use

Statins have anti-inflammatory and potentially antimicrobial activity, but whether they have a beneficial effect on the course of infectious diseases is controversial. In this study, we assessed the impact of pre-existing statin use on the course and outcome of Lyme neuroborreliosis manifested as meningoradiculitis (Bannwarth’s syndrome). One hundred and twenty three consecutive patients with Bannwarth’s syndrome, of whom 18 (14.6%) were being treated with statins, were included in the study. To assess the influence of statin use on the course and outcome of the disease, univariate and multivariable analyses were performed. No statistically significant association was found between statin pre-treatment and the clinical manifestations, laboratory test results, and outcome of Bannwarth’s syndrome. In conclusion, pre-existing use of statins did not significantly impact either the clinical presentation or the outcome of Bannwarth’s syndrome.

scholarly journals Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: Real-World Study Using the eHealth Impact Questionnaire

10.2196/17060 ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. e17060
Author(s):  
Esther Talboom-Kamp ◽  
Rosian Tossaint-Schoenmakers ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Marise Kasteleyn
Keyword(s):  
Laboratory Test ◽  
Self Efficacy ◽  
Response Rate ◽  
Active Role ◽  
Cutoff Score ◽  
Patient Portal ◽  
Test Results ◽  
Laboratory Test Results ◽  
The Mean ◽  
Motivation And Confidence

Background Communicating laboratory test results online has several advantages for patients, such as improving clinical efficiency and accessibility, thereby helping patients to take an active role in managing their health. Objective This study aimed to investigate the experiences and self-efficacy of patients using an online patient portal that communicates laboratory test results. Methods We used the online-administered eHealth Impact Questionnaire to explore patients’ attitudes toward the portal. Patients visiting the portal were asked to complete the questionnaire. The subscale Information and Presentation assessed the usability of the patient portal and the subscale Motivation and Confidence to Act assessed self-efficacy to determine whether patients were motivated to act on the presented information. We used a cutoff score of 65 or greater to determine whether the portal was rated positively. Results The questionnaire was completed by 354 of 13,907 patients who viewed their laboratory results in the patient portal, with a response rate of 2.55%. The mean Information and Presentation score was 67.70 (SD 13.12) and the mean Motivation and Confidence to Act score was 63.59 (SD 16.22). We found a positive, significant correlation between the 2 subscales (r345=.77, P<.001). Conclusions Patients participating in the study rated the usability of the portal positively. However, the portal only slightly helped patients to take an active role in managing their own health. The low response rate precludes generalization of the results. Future research should examine avenues to further increase patients’ self-efficacy and study whether portal acceptability differs in subgroups. Patient portals conveying laboratory test results in understandable language seem usable and potentially provide a viable way to help patients take a more active role in managing their own health.

scholarly journals Improving the Understanding of Test Results by Substituting (Not Adding) Goal Ranges: Web-Based Between-Subjects Experiment (Preprint)

2018 ◽  
Author(s):  
Aaron M Scherer ◽  
Holly O Witteman ◽  
Jacob Solomon ◽  
Nicole L Exe ◽  
Angela Fagerlin ◽  
...  
Keyword(s):  
Laboratory Test ◽  
Diabetes Management ◽  
Number Line ◽  
Test Results ◽  
Visual Displays ◽  
Web Based ◽  
Condition Versus ◽  
Laboratory Test Results ◽  
The Impact ◽  
Standard Range

BACKGROUND Most displays of laboratory test results include a standard reference range. For some patients (eg, those with chronic conditions), however, getting a result within the standard range may be unachievable, inappropriate, or even harmful. OBJECTIVE The objective of our study was to test the impact of including clinically appropriate goal ranges outside the standard range in the visual displays of laboratory test results. METHODS Participants (N=6776) from a demographically diverse Web-based panel viewed hypothetical glycated hemoglobin (HbA1c) test results (HbA1c either 6.2% or 8.2%) as part of a type 2 diabetes management scenario. Test result visual displays included either a standard range (4.5%-5.7%) only, a goal range (6.5%-7.5%) added to the standard range, or the goal range only. The results were displayed in 1 of the following 3 display formats: (1) a table; (2) a simple, two-colored number line (simple line); or (3) a number line with diagnostic categories indicated via colored blocks (block line). Primary outcome measures were comprehension of and negative reactions to test results. RESULTS While goal range information did not influence the understanding of HbA1c=8.2% results, the goal range only display produced higher levels of comprehension and decreased negative reactions to HbA1c=6.2% test results compared with the no goal range and goal range added conditions. Goal range information was less helpful in the block line condition versus the other formats. CONCLUSIONS Replacing the standard range with a clinically appropriate goal range could help patients better understand how their test results relate to their personal targets.

scholarly journals Heart of the World’s Top Ultramarathon Runner—Not Necessarily Much Different from Normal

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 73 ◽  
Author(s):  
Robert Gajda ◽  
Anna Klisiewicz ◽  
Vadym Matsibora ◽  
Dorota Piotrowska-Kownacka ◽  
Elżbieta Katarzyna Biernacka
Keyword(s):  
Magnetic Resonance ◽  
Laboratory Test ◽  
White Blood Cells ◽  
Physiological Adaptation ◽  
Resonance Spectroscopy ◽  
Test Results ◽  
31P Mrs ◽  
Normal Ranges ◽  
Laboratory Test Results ◽  
The Impact

The impact of ultramarathon (UM) runs on the organs of competitors, especially elite individuals, is poorly understood. We tested a 36-year-old UM runner before, 1–2 days after, and 10–11 days after winning a 24-h UM as a part of the Polish Championships (258.228 km). During each testing session, we performed an electrocardiogram (ECG), transthoracic echocardiography (TTE), cardiac magnetic resonance imaging (MRI), cardiac 31P magnetic resonance spectroscopy (31P MRS), and blood tests. Initially, increased cholesterol and low-density lipoprotein cholesterol (LDL-C) levels were identified. The day after the UM, increased levels of white blood cells, neutrophils, fibrinogen, alanine aminotransferase, aspartate aminotransferase, creatine kinase, C-reactive protein, and N-terminal type B natriuretic propeptide were observed. Additionally, decreases in hemoglobin, hematocrit, cholesterol, LDL-C, and hyponatremia were observed. On day 10, all measurements returned to normal levels, and cholesterol and LDL-C returned to their baseline abnormal values. ECG, TTE, MRI, and 31P MRS remained within the normal ranges, demonstrating physiological adaptation to exercise. The transient changes in laboratory test results were typical for the extreme efforts of the athlete and most likely reflected transient but massive striated muscle damage, liver cell damage, activation of inflammatory processes, effects on the coagulation system, exercise-associated hyponatremia, and cytoprotective or growth-regulatory effects. These results indicated that many years of intensive endurance training and numerous UMs (including the last 24-h UM) did not have a permanent adverse effect on this world-class UM runner’s body and heart. Transient post-competition anomalies in laboratory test results were typical of those commonly observed after UM efforts.

scholarly journals Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: Real-World Study Using the eHealth Impact Questionnaire (Preprint)

2019 ◽  
Author(s):  
Esther Talboom-Kamp ◽  
Rosian Tossaint-Schoenmakers ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Marise Kasteleyn
Keyword(s):  
Laboratory Test ◽  
Self Efficacy ◽  
Response Rate ◽  
Active Role ◽  
Cutoff Score ◽  
Patient Portal ◽  
Test Results ◽  
Laboratory Test Results ◽  
The Mean ◽  
Motivation And Confidence

BACKGROUND Communicating laboratory test results online has several advantages for patients, such as improving clinical efficiency and accessibility, thereby helping patients to take an active role in managing their health. OBJECTIVE This study aimed to investigate the experiences and self-efficacy of patients using an online patient portal that communicates laboratory test results. METHODS We used the online-administered eHealth Impact Questionnaire to explore patients’ attitudes toward the portal. Patients visiting the portal were asked to complete the questionnaire. The subscale Information and Presentation assessed the usability of the patient portal and the subscale Motivation and Confidence to Act assessed self-efficacy to determine whether patients were motivated to act on the presented information. We used a cutoff score of 65 or greater to determine whether the portal was rated positively. RESULTS The questionnaire was completed by 354 of 13,907 patients who viewed their laboratory results in the patient portal, with a response rate of 2.55%. The mean Information and Presentation score was 67.70 (SD 13.12) and the mean Motivation and Confidence to Act score was 63.59 (SD 16.22). We found a positive, significant correlation between the 2 subscales (<i>r</i><sub>345</sub>=.77, <i>P</i>&lt;.001). CONCLUSIONS Patients participating in the study rated the usability of the portal positively. However, the portal only slightly helped patients to take an active role in managing their own health. The low response rate precludes generalization of the results. Future research should examine avenues to further increase patients’ self-efficacy and study whether portal acceptability differs in subgroups. Patient portals conveying laboratory test results in understandable language seem usable and potentially provide a viable way to help patients take a more active role in managing their own health.

The Impact of Prehospital Blood Collection on Time to Laboratory Test Results and Emergency Department Length of Stay

2010 ◽  
Vol 32 (4) ◽  
pp. 354-359 ◽  
Author(s):  
Heidi Lindner ◽  
Wayne Schmedel ◽  
Marian Martin ◽  
Mickey Heidt ◽  
Carrie McMahon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Laboratory Test ◽  
Blood Collection ◽  
Test Results ◽  
Laboratory Test Results ◽  
The Impact

Effect of Ibuprofen on Serum Laboratory Test Results

1983 ◽  
Vol 40 (6) ◽  
pp. 1025-1034
Author(s):  
Carol L. Colvin ◽  
Raymond J. Townsend ◽  
William R. Gillespie ◽  
Kenneth S. Albert
Keyword(s):  
Laboratory Test ◽  
Test Results ◽  
Laboratory Test Results
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