The effect of tablet computers with a mobile patient portal application on hospitalized patients’ knowledge and activation

O’Leary, Kevin J.; Lohman, Mary E.; Culver, Emma L.; Killarney, Audrey; Smith, G. Randy; Liebovitz, David

doi:10.1093/jamia/ocv058

Cited by 81 publications

(89 citation statements)

References 36 publications

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“…Our results build on the Schmaderer study by demonstrating the importance of admission type in predicting low patient activation. These results are important for other researchers who are using the PAM-13 to measure patient activation in inpatient randomized controlled trials [8,17]. …”

Section: Discussionmentioning

confidence: 96%

“…Validating the PAM-13 in the inpatient setting is important as there are over 35 million hospital admissions each year [16] and interventions to impact patient engagement in the hospital are becoming more commonplace [8,17–19]. The purposes of this paper are 1) to describe the psychometric properties (internal consistency reliability and construct validity) of the PAM-13 for hospitalized cardiology and oncology patients with planned and unplanned admissions; and 2) conduct an exploratory analysis to examine the predictors of low activation in the same population.…”

Section: Introductionmentioning

confidence: 99%

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Reliability and validity of the patient activation measure in hospitalized patients

Prey

Qian

Restaino

et al. 2016

Patient Education and Counseling

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Objective The purposes of this paper are to describe the internal consistency reliability and construct validity of the PAM-13 for hospitalized cardiology and oncology patients and to examine the predictors of low patient activation in the same population. Methods We evaluated the internal consistency reliability of the PAM-13 in the inpatient setting. Construct validity of the PAM-13 was then assessed using two approaches: expected known-groups differences between patients with planned and unplanned admissions PAM-13 levels and convergence of PAM-13 levels with other measures. Results The PAM demonstrated adequate internal consistency overall (Cronbach α = 0.81). Patients with unplanned admissions were more likely to have low activation than patients with planned admissions (adjusted OR = 5.7, p = 0.008). The PAM-13 was modestly correlated (p < 0.001) with each of the PROMIS Global Health components used in this study (global, physical and mental health). Conclusion This study demonstrates the PAM-13 is a reliable and valid measure for use in the inpatient hospital setting and that type of admission (planned versus unplanned) is an important predictor of patient activation. Practice Implications By measuring patient activation with the PAM-13, clinicians and researchers can provide tailored communication and care strategies to meet patient’s needs.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the patient activation measure in hospitalized patients

Prey

Qian

Restaino

et al. 2016

Patient Education and Counseling

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“…Hospitals can use iPET for distraction and anxiety reduction, patient education, and augmenting/enhancing several aspects of clinical nursing practice [27]. …”

Section: Discussionmentioning

confidence: 99%

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

et al. 2016

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BackgroundResearch has shown patients who are more engaged in their care are likely to have better health outcomes and reduced health care costs. Health care organizations are now focusing their efforts in finding ways to improve patient engagement. At the forefront of this movement are patient engagement technology systems. In this paper, these emerging systems are described as interactive patient engagement technologies (iPET).ObjectiveThe objective of this descriptive study was to gain an understanding of the perceptions of nurses who are integrating these iPET systems into their daily clinical practice.MethodsThe research team interviewed 38 nurses from 2 California-based hospitals using a focused rapid ethnographic evaluation methodology to gather data.ResultsThe study participants reported that using iPET systems may enhance clinical nursing practice. The 4 key findings of iPET were that it (1) is effective for distraction therapy, (2) has functionality that affects both patients and nurses, (3) has implications for clinical practice, and (4) may require additional training to improve usage.ConclusionsWith sufficient training on the iPET system, nurses believed they could use these technologies as an enhancement to their clinical practice. Additionally, nurses perceived these systems served as distraction therapy for patients. Initial findings suggest that iPET is beneficial, but more research is required to examine the usefulness of iPET systems in the inpatient settings.

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“…Similarly, the Veteran’s Administration has tested a paper-based daily plan for patients in the inpatient setting and found that among patients who responded to the survey, the majority found it increased their understanding of their treatment, and improved care and satisfaction [62]. O’Leary and colleagues [63] have also conducted a study showing that the provision of a mobile patient portal application to hospitalized patients was able to increase the patients’ knowledge of physician names and roles. This study had an intervention group that received an inpatient portal including information about the care team, medications, and plan for the day.…”

Section: Discussionmentioning

confidence: 99%

Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial

Creber

Prey

Ryan

et al. 2016

Contemporary Clinical Trials

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Background Patients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients’ information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. Methods/design This pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants. Conclusion This study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings.

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The effect of tablet computers with a mobile patient portal application on hospitalized patients’ knowledge and activation

Abstract: Additional research is needed to identify optimal methods to engage and inform patients during their hospitalization, which will improve preparation for self- management after discharge.

Cited by 81 publications

References 36 publications

Reliability and validity of the patient activation measure in hospitalized patients

Reliability and validity of the patient activation measure in hospitalized patients

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial

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