{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T09:48:21Z","timestamp":1775555301090,"version":"3.50.1"},"reference-count":62,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"VA Advanced Fellowship in Medical Informatics"},{"name":"Veterans Affairs Quality Enhancement Research Initiative","award":["PEI 18-205"],"award-info":[{"award-number":["PEI 18-205"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,13]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Examine whether distribution of tablets to patients with access barriers influences their adoption and use of patient portals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This retrospective cohort study included Veterans Affairs (VA) patients (n\u2009=\u200928\u200a659) who received a VA-issued tablet between November 1, 2020 and April 30, 2021. Tablets included an app for VA\u2019s My HealtheVet (MHV) portal. Veterans were grouped into 3 MHV baseline user types (non-users, inactive users, and active users) based on MHV registration status and feature use pre-tablet receipt. Three multivariable models were estimated to examine the factors predicting (1) MHV registration among non-users, (2) any MHV feature use among inactive users, and (3) more MHV use among active users post-tablet receipt. Differences in feature use during the 6 months pre-\/post-tablet were examined with McNemar chi-squared tests of proportions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the 6 months post-tablet, 1298 (8%) non-users registered for MHV, 525 (24%) inactive users used at least one MHV feature, and 4234 (46%) active users increased feature use. Across veteran characteristics, there were differences in registration and feature use post-tablet, particularly among older adults and those without prior use of video visits (P\u2009&amp;lt;\u2009.01). Among active users, use of all features increased during the 6 months post-tablet, with the greatest differences in viewing prescription refills and scheduling appointments (P\u2009&amp;lt;\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Providing patients who experience barriers to in-person care with a portal-enabled device supports engagement in health information and management tasks. Additional strategies are needed to promote registration and digital inclusion among inactive and non-users of portals.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocac195","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T15:41:33Z","timestamp":1666366893000},"page":"73-82","source":"Crossref","is-referenced-by-count":14,"title":["Tablet distribution to veterans: an opportunity to increase patient portal adoption and use"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1535-0797","authenticated-orcid":false,"given":"Ashley C","family":"Griffin","sequence":"first","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA"},{"name":"Stanford University School of Medicine , Stanford, California, USA"}]},{"given":"Lara K","family":"Troszak","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA"},{"name":"Stanford University School of Medicine , Stanford, California, USA"}]},{"given":"James","family":"Van Campen","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA"},{"name":"Stanford University School of Medicine , Stanford, California, USA"}]},{"given":"Amanda M","family":"Midboe","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA"},{"name":"Stanford University School of Medicine , Stanford, California, USA"}]},{"given":"Donna M","family":"Zulman","sequence":"additional","affiliation":[{"name":"Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA"},{"name":"Stanford University School of Medicine , Stanford, California, 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