title: Integrating the patient portal into the health management work ecosystem: user acceptance of a novel prototype.
abstract: People with a chronic illness must manage a myriad of tasks to support their health. Online patient portals can provide vital information and support in managing health tasks through notification and reminder features. However, little is known about the efficacy of these features in managing health tasks via the portal. To elicit feedback about reminder and notification features in patient portals, we employed a patient-centered approach to design new features for managing health tasks within an existing portal tool. We tested three iteratively designed prototypes with 19 patients and caregivers. Our findings provide insights into users' attitudes, behavior, and motivations in portal use. Design implications based on these insights include: (1) building on positive aspects of clinician relationships to enhance engagement with the portal; (2) using face-to-face visits to promote clinician collaboration in portal use; and (3) allowing customization of portal modules to support tasks based on user roles.
authors.affiliation: University of Washington, Seattle, WA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Eschler
authors.affiliation: University of Washington, Seattle, WA.
authors.forename: Perry Lin
authors.initials: PL
authors.lastname: Meas
authors.affiliation: Group Health Research Institute, Seattle, WA.
authors.forename: Paula
authors.initials: P
authors.lastname: Lozano
authors.affiliation: Group Health Research Institute, Seattle, WA.
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: McClure
authors.affiliation: Group Health Research Institute, Seattle, WA.
authors.forename: James D
authors.initials: JD
authors.lastname: Ralston
authors.affiliation: University of Washington, Seattle, WA.
authors.forename: Wanda
authors.initials: W
authors.lastname: Pratt
mesh_terms: D000328:Adult; D001249:Asthma / Q000628:therapy*; D001292:Attitude to Computers; D001294:Attitude to Health; D017028:Caregivers; D002648:Child; D002908:Chronic Disease / Q000628:therapy; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers; D000072638:Patient Portals / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D014861:Washington