Characteristics of Women Enrolled in a Patient Portal Intervention for Menopause
Avi H Lamba, Kiranmayee Muralidhar, Anika Jain, Fei Tang, Orlando Gomez-Marin, Silvina Levis, Stuti Dang, Avi H Lamba, Kiranmayee Muralidhar, Anika Jain, Fei Tang, Orlando Gomez-Marin, Silvina Levis, Stuti Dang
Abstract
Background: We developed a 6-month educational intervention addressing menopause and management of menopausal symptoms called "My HealtheVet to Enable And Negotiate for Shared decision-making" or MEANS. MEANS is offered through secure messaging via the My HealtheVet patient portal system. Materials and Methods: Women veterans aged 45-60 years registered at the Miami, West Palm Beach, and Orlando Veterans Affairs Healthcare Systems (VAHS). Intervention group: women in the Miami VAHS enrolled in My HealtheVet who were sent an invitation, agreed to participate, and completed the baseline survey. Comparison group: women from the Miami, West Palm Beach, and Orlando VAHS who responded to the baseline survey. Results: The intervention group enrolled 269 women at Miami VAHS: average age 53.2 years; 42.4% white, 43.1% black, and 24.2% Hispanic; 95.9% already used My Healthe Vet. The Comparison group had 590 women: average age 53.8 years; 70.8% white, 20.7% black, and 10.2% Hispanic; 57.6% already used My Healthe Vet. Conclusions: The differences between the intervention and comparison groups likely represent the regional demographic variations and the disparate recruitment techniques adopted for the two groups. Using within- and between-group comparisons at the end of the 6-month intervention, this novel project will evaluate the feasibility of a patient portal intervention on knowledge and shared decision-making regarding menopause among racially and ethnically diverse women. The study highlights the scalable and enormous potential for patient portals in nonurgent chronic disease management and shared decision-making, important in the existing health care climate, wherein "meaningful use" of electronic health records is mandated. Because of the COVID-19 pandemic, medical care has abruptly changed to telehealth and this approach to patient education is more relevant now than ever before. This quality improvement project's registration number is ClinicalTrials.gov ID: NCT03109145.
Keywords: menopausal symptoms; menopause; patient portal; shared decision-making.
Conflict of interest statement
No competing financial interests exist.
© Avi Lamba et al., 2020; Published by Mary Ann Liebert, Inc.
Figures
References
- Trudeau KJ, Ainscough JL, Trant M, Starker J, Cousineau TM. Identifying the educational needs of menopausal women: A feasibility study. Womens Health Issues 2011;21:145–152
- Sood R, Kuhle CL, Kapoor E, et al. . Association of mindfulness and stress with menopausal symptoms in midlife women. Climacteric 2019;22:377–382
- Katon JG, Gray KE, Gerber MR, et al. . Vasomotor symptoms and quality of life among veteran and non-veteran postmenopausal women. Gerontologist 2016;56 Suppl 1:S40–S53
- Avis NE, Crawford SL, Greendale G, et al. . Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med 2015;175:531–539
- Dietz NA, Mijares-Cantrell T, Acevedo D, et al. . Women veterans and menopause: Knowledge and preferences. Women Health 2018;58:898–914
- Resurreccion DM, Motrico E, Rigabert A, et al. . Barriers for nonparticipation and dropout of women in Cardiac Rehabilitation Programs: A systematic review. J Womens Health (Larchmt) 2017;26:849–859
- What is a patient portal? The Office of the National Coordinator for Health Information Technology (ONC) Web site. Available at: Published 2017. Updated September 29, 2017. Accessed January1, 2018
- Vydra TP, Cuaresma E, Kretovics M, Bose-Brill S. Diffusion and use of tethered personal health records in primary care. Perspect Health Inf Manag 2015;12:1c
- Dang S, Siddharthan K, Ruiz DI, Gomez-Orozco CA, Rodriguez R, Gomez-Marin O. Evaluating an electronic health record intervention for management of heart failure among Veterans. Telemed J E Health 2018;24:1006–1013..
- Kuo A, Dang S. Secure messaging in electronic health records and its impact on diabetes clinical outcomes: A systematic review. Telemed J E Health 2016;22:769–777
- Davis S, Roudsari A, Raworth R, Courtney KL, MacKay L. Shared decision-making using personal health record technology: A scoping review at the crossroads. J Am Med Inform Assoc 2017;24:857–866
- Liebovitz D. Meaningful EHR attributes for an era of accountability, transparency, shared decision making, and value assessment. J Leg Med 2013;34:43–53
- Elwyn G, Frosch D, Thomson R, et al. . Shared decision making: A model for clinical practice. J Gen Intern Med 2012;27:1361–1367
- Dang S, Thavalathil B, Ruiz D, Gomez-Orozco C, Gomez-Marin O, Levis S. A patient portal intervention for menopause knowledge and shared decision-making. J Womens Health (Larchmt) 2019;28:1614–1622
- Elwyn G, Durand MA, Song J, et al. . A three-talk model for shared decision making: Multistage consultation process. BMJ 2017;359:j4891.
- Haun JN, Lind JD, Shimada SL, et al. . Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. J Med Internet Res 2014;16:e75.
- Haun JN, Patel NR, Lind JD, Antinori N. Large-scale survey findings inform patients' experiences in using secure messaging to engage in patient-provider communication and self-care management: A quantitative assessment. J Med Internet Res 2015;17:e282.
- Pew Research Center. Mobile Fact Sheet. Available at: Published 2019. Accessed May30, 2020
- Bush NE, Wheeler WM. Personal technology use by US military service members and veterans: An update. Telemed EHealth 2015;21:245–258
- Irizarry T, DeVito Dabbs A, Curran CR. Patient portals and patient engagement: A state of the science review. J Med Internet Res 2015;17:e148.
- Woods SS, Forsberg CW, Schwartz EC, et al. . The association of patient factors, digital access, and online behavior on sustained patient portal use: A prospective cohort of enrolled users. J Med Internet Res 2017;19:e345.
- Beiter PA, Sorscher J, Henderson CJ, Talen M. Do electronic medical record (EMR) demonstrations change attitudes, knowledge, skills or needs? Inform Prim Care 2008;16:221–227
- Ancker JS, Mauer E, Hauser D, Calman N. Expanding access to high-quality plain-language patient education information through context-specific hyperlinks. AMIA Annu Symp Proc 2016;2016:277–284
- Liao K, Hunter M. Preparation for menopause: Prospective evaluation of a health education intervention for mid-aged women. Maturitas 1998;29:215–224
- Kuo AM, Thavalathil B, Elwyn G, Nemeth Z, Dang S. The promise of electronic health records to promote shared decision making: A narrative review and a look ahead. Med Decis Making 2018;38:1040–1045
Source: PubMed