The effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. (15th June 2015)

• Record Type: Journal Article
• Authors: O'Leary, Kevin J; Lohman, Mary E; Culver, Eckford; Killarney, Audrey; Randy Smith, G; Liebovitz, David M
• Is Part Of: Journal of the American Medical Informatics Association. Volume 23:Number 1(2016:Jan.)
• Page Start: 159
• Page End: 165
• Publication Date: 2015-06-15
• Subjects: patient-centered care -- patient portal -- personal health record -- hospitalized patient -- patient engagement; Medical informatics -- Periodicals; Information Services -- Periodicals; Medical Informatics -- Periodicals; Médecine -- Informatique -- Périodiques; Informatica; Geneeskunde; Informatique médicale; Computer network resources; Electronic journals; 610.285
• DOI: 10.1093/jamia/ocv058
• Languages: English
• ISSNs: 1067-5027

Abstract

Abstract: Objective To assess the effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. Methods We developed a mobile patient portal application including pictures, names, and role descriptions of team members, scheduled tests and procedures, and a list of active medications. We evaluated the effect of the application using a controlled trial involving 2 similar units in a large teaching hospital. Patients on the intervention unit were offered use of tablet computers with the portal application during their hospitalization. We assessed patients' ability to correctly name their nurse, primary service physicians, physician roles, planned tests and procedures, medications started, and medications stopped since admission. We also administered the Short Form of the Patient Activation Measure. Results Overall, 100 intervention- and 102 control-unit patients participated. A higher percentage of intervention-unit patients correctly named ≥1 physician (56% vs 29.4%; P < .001) and ≥1 physician role (47% vs 15.7%; P < .001). Knowledge of nurses' names, planned tests, planned procedures, and medication changes was generally low and not significantly different between the study units. The Short Form of the Patient Activation Measure mean (SD) score was also not significantly different at 64.1 (13.4) vs 62.7 (12.8); P = .46. Conclusions 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.