Association Between Patient Portal Use and Perceived Patient-Centered Communication Among Adults With Cancer: Cross-sectional Survey Study
Authors
Zaidi, MaryumAmante, Daniel J
Anderson, Ekaterina
Ito Fukunaga, Mayuko
Faro, Jamie M
Frisard, Christine
Sadasivam, Rajani S
Lemon, Stephenie C.
UMass Chan Affiliations
Prevention Research CenterMedicine
Population and Quantitative Health Sciences
Document Type
Journal ArticlePublication Date
2022-08-09Keywords
cancercancer care
health information
health information technology
informatics
information seeking
oncology
patient communication
patient perception
patient portal
patient-centered care
patient-centered communication
UMCCTS funding
Metadata
Show full item recordAbstract
Background: Patient-centered communication (PCC) plays a vital role in effective cancer management and care. Patient portals are increasingly available to patients and hold potential as a valuable tool to facilitate PCC. However, whether more frequent use of patient portals is associated with increased perceived PCC and which mechanisms might mediate this relationship have not been fully studied. Objective: The goal of this study was to investigate the association between the frequency of access of patient portals and perceived PCC in patients diagnosed with cancer. We further sought to examine whether this association was mediated by patients' self-efficacy in health information-seeking. Methods: We used data from the Health Information National Trend Survey 5 (HINTS 5) cycle 3 (2019) and cycle 4 (2020). This analysis includes 1222 individuals who self-reported having a current or past diagnosis of cancer. Perceived PCC was measured with a 7-item HINTS 5-derived scale and classified as low, medium, or high. Patient portal use was measured by a single item assessing the frequency of use. Self-efficacy about health information-seeking was assessed with a 1-item measure assessing confidence in obtaining health information. We used adjusted multinomial logistic regression models to estimate relative risk ratios (RRRs)/effect sizes of the association between patient portal use and perceived PCC. Mediation by health information self-efficacy was investigated using the Baron and Kenny and Karlson-Holm-Breen methods. Results: A total of 54.5% of the sample reported that they had not accessed their patient portals in the past 12 months, 12.6% accessed it 1 to 2 times, 24.8% accessed it 3 to 9 times, and 8.2% accessed it 10 or more times. Overall, the frequency of accessing the patient portal was marginally associated (P=.06) with perceived PCC in an adjusted multinominal logistic regression model. Patients who accessed their patient portal 10 or more times in the previous 12 months were almost 4 times more likely (RRR 3.8, 95% CI 1.6-9.0) to report high perceived PCC. In mediation analysis, the association between patient portal use and perceived PCC was attenuated adjusting for health information-seeking self-efficacy, but those with the most frequent patient portal use (10 or more times in the previous 12 months) were still almost 2.5 times more likely to report high perceived PCC (RRR 2.4, 95% CI 1.1-5.6) compared to those with no portal use. Conclusions: Increased frequency of patient portal use was associated with higher PCC, and an individual's health information-seeking self-efficacy partially mediated this association. These findings emphasize the importance of encouraging patients and providers to use patient portals to assist in patient-centeredness of cancer care. Interventions to promote the adoption and use of patient portals could incorporate strategies to improve health information self-efficacy.Source
Zaidi M, Amante DJ, Anderson E, Ito Fukunaga M, Faro JM, Frisard C, Sadasivam RS, Lemon SC. Association Between Patient Portal Use and Perceived Patient-Centered Communication Among Adults With Cancer: Cross-sectional Survey Study. JMIR Cancer. 2022 Aug 9;8(3):e34745. doi: 10.2196/34745. PMID: 35943789; PMCID: PMC9399875.DOI
10.2196/34745Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51151PubMed ID
35943789Rights
Copyright © Maryum Zaidi, Daniel J Amante, Ekaterina Anderson, Mayuko Ito Fukunaga, Jamie M Faro, Christine Frisard, Rajani S Sadasivam, Stephenie C Lemon. Originally published in JMIR Cancer (https://cancer.jmir.org), 09.08.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on https://cancer.jmir.org/, as well as this copyright and license information must be included.Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.2196/34745
Scopus Count
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- Creative Commons
Except where otherwise noted, this item's license is described as Copyright © Maryum Zaidi, Daniel J Amante, Ekaterina Anderson, Mayuko Ito Fukunaga, Jamie M Faro, Christine Frisard, Rajani S Sadasivam, Stephenie C Lemon. Originally published in JMIR Cancer (https://cancer.jmir.org), 09.08.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on https://cancer.jmir.org/, as well as this copyright and license information must be included.
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