Shifting Mindsets: The Impact of a Patient Portal on Functioning and Recovery in a Mental Health Setting.

IF 3.3 3区 医学 Q2 PSYCHIATRY Canadian Journal of Psychiatry-Revue Canadienne De Psychiatrie Pub Date : 2024-03-01 Epub Date: 2023-08-30 DOI:10.1177/07067437231197060
Brian Lo, Hwayeon Danielle Shin, Jessica Kemp, Mikayla Munnery, Sheng Chen, Clement Ma, Damian Jankowicz, Rohan Mehta, Alexandra Harris, Moshe Sakal, Ryan Pundit, Kevin Chung, Craig Kuziemsky, Sarah Rossetti, Gillian Strudwick
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Abstract

Objective: This study aims to understand whether higher use of a patient portal can have an impact on mental health functioning and recovery.

Method: A mixed methods approach was used for this study. In 2019-2021, patients with mental health diagnoses at outpatient clinics in an academic centre were invited to complete World Health Organization Disability Assessment Scale 12 (WHODAS-12) and Mental Health Recovery Measure surveys at baseline, 3 months, and 6 months after signing up for the portal. At the 3-month time point, patients were invited to a semistructured interview with a member of the team to contextualize the findings obtained from the surveys. Analytics data was also collected from the platform to understand usage patterns on the portal.

Results: Overall, 113 participants were included in the analysis. There was no significant change in mental health functioning and recovery scores over the 6-month period. However, suboptimal usage was observed as 46% of participants did not complete any tasks within the portal. Thirty-five participants had low use of the portal (1-9 interactions) and 18 participants had high usage (10+ interactions). There were also no differences in mental health functioning and recovery scores between low and high users of the portal. Qualitative interviews highlighted many opportunities where the portal can support overall functioning and mental health recovery.

Conclusions: Collectively, this study suggests that higher use of a portal had no impact, either positive or negative, on mental health outcomes. While it may offer convenience and improved patient satisfaction, adequate support is needed to fully enable these opportunities for patient care. As the type of interaction with the portal was not specifically addressed, future work should focus on looking at ways to support patient engagement and portal usage throughout their care journey.

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转变心态:病人门户网站对心理健康环境中的功能和康复的影响。
研究目的本研究旨在了解更多使用患者门户网站是否会对心理健康功能和康复产生影响:本研究采用了混合方法。2019-2021年,一家学术中心的门诊部邀请精神健康诊断患者在注册门户网站后的基线、3个月和6个月完成世界卫生组织残疾评估量表12(WHODAS-12)和精神健康恢复测量调查。在 3 个月的时间点上,患者受邀与团队成员进行了一次半结构化访谈,以了解从调查中获得的结果的来龙去脉。此外,还从平台上收集了分析数据,以了解门户网站的使用模式:共有 113 名参与者参与了分析。在 6 个月的时间里,心理健康功能和康复评分没有明显变化。然而,由于 46% 的参与者没有完成门户网站上的任何任务,因此观察到了次优使用情况。35 名参与者对门户网站的使用率较低(1-9 次互动),18 名参与者对门户网站的使用率较高(10 次以上互动)。使用率低和使用率高的参与者在心理健康功能和康复评分方面也没有差异。定性访谈强调了门户网站可以支持整体功能和心理健康恢复的许多机会:总之,这项研究表明,较多地使用门户网站对心理健康结果没有任何积极或消极的影响。虽然门户网站可以为患者提供便利并提高其满意度,但要想充分利用这些机会为患者提供护理服务,还需要足够的支持。由于没有具体涉及与门户网站的互动类型,今后的工作应侧重于研究如何在整个护理过程中为患者的参与和门户网站的使用提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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