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

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.

10.2196/17060 ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. e17060
Author(s):  
Esther Talboom-Kamp ◽  
Rosian Tossaint-Schoenmakers ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Marise Kasteleyn

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.


2020 ◽  
Author(s):  
Rosian Tossaint-Schoenmakers ◽  
Marise Kasteleyn ◽  
Annelijn Goedhart ◽  
Anke Versluis ◽  
Esther Talboom-Kamp

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.


1973 ◽  
Vol 19 (4) ◽  
pp. 366-372 ◽  
Author(s):  
David L Sackett

Abstract I discuss pitfalls in laboratory-screening programs: regression toward the mean on repeated biochemical determinations; the problem of defining normalcy in the interpretation of laboratory test results; and a remarkable professional myopia in which clinical chemists have, with rare exception, failed to accept responsibility for evaluating whether the programs in which they are engaged are of benefit to patients.


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

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