{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:36:37Z","timestamp":1777876597364,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      Secure messaging between patients and their health care team can facilitate chronic care management. PositiveLinks\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (PL) is a clinic-affiliated smartphone application designed for patients living with HIV that includes a secure messaging feature for patients, PL staff, and clinic providers to communicate. Our aim was to examine the content and function of messaging within PL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>We examined messages exchanged through PL from November 2017 through January 2018. Qualitative analysis included categorization of topics as: related to the app, medical care, or social needs. Messaging functions were categorized as information exchange or rapport building.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 1,474 PL messages analyzed, 44% were sent by PL staff, 38% by patients, and 18% by providers, whereas 61% were received by patients, 22% by providers, and 17% by PL staff. Message topics included app-related (57.6%), medical care (34.3%), and social concerns (12.4%). App-related messages addressed technical difficulties, software updates, or coordinating phone payments. Medical messages included medical information, medications, appointments, outreach, and care coordination for physical and mental health. Social messages related to insurance, transportation, housing, food, utilities, disability, finances, and work absences. Message function coding showed that 87.3% of messages contained information exchange and 33.8% contained rapport building. Messages sent by providers were most likely to contain rapport building at 54.8%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PL messaging was used to handle medical and social needs with potential impact on patients' health and offers an opportunity to strengthen patient\u2013provider relationships through responsiveness and rapport building. Secure messaging through a clinic-affiliated smartphone app could enhance patient-centered care between clinical visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2018.0261","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T10:14:13Z","timestamp":1553249653000},"page":"359-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Secure Messaging Through PositiveLinks: Examination of Electronic Communication in a Clinic-Affiliated Smartphone App for Patients Living with HIV"],"prefix":"10.1177","volume":"26","author":[{"given":"Tabor E.","family":"Flickinger","sequence":"first","affiliation":[{"name":"Department of Medicine and University of Virginia School of Medicine, Charlottesville, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Ingersoll","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Swoger","sequence":"additional","affiliation":[{"name":"University of Virginia School of Medicine, Charlottesville, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marika","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Department of Medicine and University of Virginia School of Medicine, Charlottesville, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Dillingham","sequence":"additional","affiliation":[{"name":"Department of Medicine and University of Virginia School of Medicine, Charlottesville, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2014-12-RA-0117"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2016.011817"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2013.001347"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2238"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-10-201311190-00006"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.16.1776"},{"key":"e_1_3_3_8_2","first-page":"678","article-title":"Survey analysis of patient experience using a practice-linked PHR for type 2 diabetes mellitus","volume":"2009","author":"Wald JS","year":"2009","unstructured":"Wald JS, , Grant RW, , Schnipper JL, , Gandhi TK, , Poon EG, , Businger AC, et al. 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