Evidence map›Paper›PMID 41707178›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2026

Closing the digital divide for hemodialysis patients: implementing technology training and support in a digital patient activation intervention.

Tiffany C Veinot, Megan Wickens, Edward Hennessey, Marissa Argentina, Kara Eggebrecht, Alicia Zerkle, Vu Le, Kelli Collins Damron, Lisa Velez, Jennifer Bragg-Gresham and 7 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Tiffany C VeinotSchool of Information, University of Michigan, Ann Arbor, MI, 48109, United States of America.ORCID 0000-0003-1200-9515
Megan WickensSchool of Information, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Edward HennesseySchool of Information, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Marissa ArgentinaNational Kidney Foundation, New York, NY, 10016, United States of America.
Kara EggebrechtSchool of Information, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Alicia ZerkleFresenius Medical Care North America, Waltham, MA, 02451, United States of America.
Vu LeInstitute for Clinical and Translational Science, University of California, Irvine, CA, 92868, United States of America.
Kelli Collins DamronNational Kidney Foundation, New York, NY, 10016, United States of America.
Lisa VelezNational Kidney Foundation, New York, NY, 10016, United States of America.
Jennifer Bragg-GreshamKidney Epidemiology and Cost Center, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Sarah L KreinVeterans Affairs Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, 48105, United States of America.
Dinesh ChatothFresenius Medical Care North America, Waltham, MA, 02451, United States of America.
Michael HeungKidney Epidemiology and Cost Center, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Brenda GillespieDepartment of Biostatistics, Consulting for Statistics, Computing and Analytics Research, University of Michigan, Ann Arbor, MI, 48109, United States of America.
Barbara MurphyFresenius Medical Care North America, Waltham, MA, 02451, United States of America.
Kai ZhengSchool of Information and Computer Sciences, University of California, Irvine, CA, 92697-3425, United States of America.
Rajiv SaranKidney Epidemiology and Cost Center, University of Michigan, Ann Arbor, MI, 48109, United States of America.

Funding

HSRD VA IK6 HX003399HSRD VA RCS 11-222Patient-Centered Outcomes Research Institute IHS-1503-27848Patient-Centered Outcomes Research Institute (PCORI) Award IHS-1503-27848
6 · The paper itself

Abstract

objectivesTo detail patient challenges, and how technology support addressed them, in a remote patient activation intervention for hemodialysis patients (n = 93) from trained patient mentors (n = 26). MATERIALS AND

methodsUsing digital divide theory-derived codes, content analysis of: technology support program delivery data, hemodialysis clinic staff interviews, and support staff reflection papers. Descriptive statistics from postintervention mentee/mentor surveys.

resultsAll mentees and 46.2% of mentors received support. Motivational access was targeted with explanations, rapport, and support availability. Study-provided, data-capable tablets enhanced material access, but internet access barriers persisted. Skills access was addressed by training; password-related challenges initially dominated. For usage access, on-demand technology support was balanced by engagement support: proactive prementoring session calls and login monitoring. DISCUSSION: Interventionists should examine internet coverage in targeted areas, potentially using multiple carriers. A balance between password usability and security is required. Engagement support may be needed.

conclusionTechnology support can close patient digital divides.

Indexed as

Computer User TrainingDigital DividePatient ParticipationRenal DialysisDigital HealthDigital MediaHumansInternetInternet AccessMentorsTelemedicineconsumer health informaticsdigital inclusionhealth disparitieshealth equityhemodialysis caretelehealth

Identifiers

PMID41707178
PMCPMC13127647

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.