SynthesisJournal of the American Medical Informatics Association : JAMIA2019
Interventions to increase patient portal use in vulnerable populations: a systematic review.
Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06598436 (Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem), which is not on this map. Cited by 160 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem
Who cites it
160 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Effects of mHealth on the psychosocial health of pregnant women and mothers: a systematic review.BMJ open · 2022Pooled it
- Impact of Asynchronous Electronic Communication-Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review.Journal of medical Internet research · 2021Pooled it
- The State of Evidence in Patient Portals: Umbrella Review.Journal of medical Internet research · 2020Pooled it
- What Do Patients and Caregivers Want? A Systematic Review of User Suggestions to Improve Patient Portals.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Pooled it
- Comparative Effectiveness of Behavioral Interventions for Cardiovascular Risk Reduction in Latinos: A Systematic Review.The Journal of cardiovascular nursingPooled it
- Patient Portal Engagement in Oncology: Results From the NU IMPACT Study in a Large Health Care System.JCO clinical cancer informatics · 2025Trial
- Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study.JMIR formative research · 2025Trial
- Differences by Race in Outcomes of an In-Person Training Intervention on Use of an Inpatient Portal: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- Effectiveness of mHealth consultation services for preventing postpartum depressive symptoms: a randomized clinical trial.BMC medicine · 2023Trial
- Characterizing User Engagement With a Digital Intervention for Pain Self-management Among Youth With Sickle Cell Disease and Their Caregivers: Subanalysis of a Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Patient Portal Adoption Barriers in a Safety-Net Clinic: A Mixed-Methods Study With National Comparison.The Permanente journal · 2026Article
- Patient Portal Activation Disparities by Ward, Census Tract, and Zip Code in an Urban Landscape Among Neurology Patients: Cross-Sectional Multi-Scale Analysis.Journal of medical Internet research · 2026Article
- Care Team Response to Patient Portal Message Content and Writing Style.JAMA network open · 2026Article
- Confronting complexity: toward equitable healthcare technology design and evaluation for socioeconomically marginalized patients.JAMIA open · 2026Article
- Disparities in patient experience with video and audio-only virtual care.Journal of telemedicine and telecare · 2026Article
- Timely nudges promote patient portal enrollment and sustained engagement: a randomized controlled trial.JAMIA open · 2026Article
- Identifying Skill and Usability Barriers to Digital Health Tool Use Among Older Adult Patients in US Safety Net Clinics: Mixed Methods Study.JMIR human factors · 2026Article
- The Role of Trust in Text Messaging for Promoting Patient Portal Activation Among Low-Income Patients: Quality Improvement Project.JMIR formative research · 2026Article
- Patient Digital Engagement With After Visit Summary in Ambulatory Care.JAMA network open · 2026Article
- Closing the digital divide for hemodialysis patients: implementing technology training and support in a digital patient activation intervention.Journal of the American Medical Informatics Association : JAMIA · 2026Article
100 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundMore than 100 studies document disparities in patient portal use among vulnerable populations. Developing and testing strategies to reduce disparities in use is essential to ensure portals benefit all populations.
objectiveTo systematically review the impact of interventions designed to: (1) increase portal use or predictors of use in vulnerable patient populations, or (2) reduce disparities in use. MATERIALS AND
methodsA librarian searched Ovid MEDLINE, EMBASE, CINAHL, and Cochrane Reviews for studies published before September 1, 2018. Two reviewers independently selected English-language research articles that evaluated any interventions designed to impact an eligible outcome. One reviewer extracted data and categorized interventions, then another assessed accuracy. Two reviewers independently assessed risk of bias.
resultsOut of 18 included studies, 15 (83%) assessed an intervention's impact on portal use, 7 (39%) on predictors of use, and 1 (6%) on disparities in use. Most interventions studied focused on the individual (13 out of 26, 50%), as opposed to facilitating conditions, such as the tool, task, environment, or organization (SEIPS model). Twelve studies (67%) reported a statistically significant increase in portal use or predictors of use, or reduced disparities. Five studies (28%) had high or unclear risk of bias.
conclusionIndividually focused interventions have the most evidence for increasing portal use in vulnerable populations. Interventions affecting other system elements (tool, task, environment, organization) have not been sufficiently studied to draw conclusions. Given the well-established evidence for disparities in use and the limited research on effective interventions, research should move beyond identifying disparities to systematically addressing them at multiple levels.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.