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Engaging Adolescents in Using Online Patient Portals
Bryan A Sisk1,2, Alison L Antes2, Christine Bereitschaft1
1Division of Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri.
JAMA Network Open
|August 23, 2023
Summary
Children's hospitals are exploring ways to engage adolescents in online patient portals. Current efforts focus on enrollment, but future strategies should prioritize adolescent-centric design and enhanced utility for better health engagement.
Area of Science:
- Health Informatics
- Adolescent Health
- Digital Health Engagement
Background:
- Online patient portals are increasingly offered to adolescents for health information access.
- Few studies have investigated effective strategies for adolescent engagement with these digital health tools.
Purpose of the Study:
- To explore how US children's hospitals engage adolescents in patient portal use.
- To identify barriers to adolescent engagement and ideal future goals for portal utilization.
Main Methods:
- A qualitative study involving structured interviews with informatics administrators from US children's hospitals.
- Thematic analysis was used to analyze current engagement strategies, barriers, and future goals.
Main Results:
- Six themes of engagement approaches were identified, primarily focusing on enrollment and education.
- Barriers included stakeholder investment and technical/ethical/legal factors.
- Future efforts should focus on adolescent-centric design, enhanced promotion, and simplified workflows.
Conclusions:
- Children's hospitals show varied efforts in adolescent portal engagement, with a focus on enrollment over utility.
- Future engagement should prioritize adolescent needs and digital health literacy for improved outcomes.
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