{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:40:20Z","timestamp":1767706820852,"version":"build-2065373602"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T00:00:00Z","timestamp":1627862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Veterans Administration Health Services Research and Development","award":["IIR 15-307"],"award-info":[{"award-number":["IIR 15-307"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The study sought to investigate whether consistent use of the Veterans Health Administration\u2019s My HealtheVet (MHV) online patient portal is associated with improvement in diabetes-related physiological measures among new portal users.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We conducted a retrospective cohort study of new portal users with type 2 diabetes that registered for MHV between 2012 and 2016. We used random-effect linear regression models to examine associations between months of portal use in a year (consistency) and annual means of the physiological measures (hemoglobin A1c [HbA1c], low-density lipoproteins [LDLs], and blood pressure [BP]) in the first 3 years of portal use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>For patients with uncontrolled HbA1c, LDL, or BP at baseline, more months of portal use in a year was associated with greater improvement. Compared with 1 month of use, using the portal 12 months in a year was associated with annual declines in HbA1c of -0.41% (95% confidence interval [CI], -0.46% to -0.36%) and in LDL of -6.25 (95% CI, -7.15 to -5.36) mg\/dL. Twelve months of portal use was associated with minimal improvements in BP: systolic BP of -1.01 (95% CI, -1.33 to -0.68) mm Hg and diastolic BP of -0.67 (95% CI, -0.85 to -0.49) mm Hg. All associations were smaller or not present for patients in control of these measures at baseline.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We found consistent use of the patient portal among new portal users to be associated with modest improvements in mean HbA1c and LDL for patients at increased risk at baseline. For patients with type 2 diabetes, self-management supported by online patient portals may help control HbA1c, LDL, and BP.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab115","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T03:15:57Z","timestamp":1622085357000},"page":"2176-2183","source":"Crossref","is-referenced-by-count":16,"title":["Patient portal engagement and diabetes management among new portal users in the Veterans Health Administration"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9464-9561","authenticated-orcid":false,"given":"Mark S","family":"Zocchi","sequence":"first","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA"}]},{"given":"Stephanie A","family":"Robinson","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts, USA"}]},{"given":"Arlene S","family":"Ash","sequence":"additional","affiliation":[{"name":"Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA"}]},{"given":"Varsha G","family":"Vimalananda","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, Boston, Massachusetts, USA"}]},{"given":"Hill L","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA"}]},{"given":"Timothy P","family":"Hogan","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1007-5626","authenticated-orcid":false,"given":"Samantha L","family":"Connolly","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA"}]},{"given":"Maureen T","family":"Stewart","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA"}]},{"given":"Linda","family":"Am","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"}]},{"given":"Dane","family":"Netherton","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"}]},{"given":"Stephanie L","family":"Shimada","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA"},{"name":"Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA"},{"name":"Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,8,2]]},"reference":[{"volume-title":"Electronic Capabilities for Patient Engagement among U.S. Non-Federal Acute Care Hospitals: 2013-2017 ONC Data Brief, No. 45","year":"2019","author":"Henry","key":"2021091817524362400_ocab115-B1"},{"issue":"Suppl 1","key":"2021091817524362400_ocab115-B2","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s11606-009-1114-6","article-title":"Embracing a health services research perspective on personal health records: lessons learned from the VA My HealtheVet system","volume":"25","author":"Nazi","year":"2010","journal-title":"J Gen Intern 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