{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T03:52:51Z","timestamp":1776052371016,"version":"3.50.1"},"publisher-location":"New York, NY, USA","reference-count":55,"publisher":"ACM","content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4,13]]},"DOI":"10.1145\/3772363.3798366","type":"proceedings-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T01:55:24Z","timestamp":1776045324000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["More Older Adults Try Patient Portals in Recent Years, but Many Don't Continue: A Meta-Analysis"],"prefix":"10.1145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1158-1854","authenticated-orcid":false,"given":"Nina","family":"Sakhnini","sequence":"first","affiliation":[{"name":"Computer Science, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8197-9905","authenticated-orcid":false,"given":"Debaleena","family":"Chattopadhyay","sequence":"additional","affiliation":[{"name":"Computer Science, University of Illinois Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"320","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_3_3_2_2_2","volume-title":"Trends in Hospital Inpatient Stays by Age and Payer, 2000\u20132015","author":"(HCUP) Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project","year":"2018","unstructured":"Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP). 2018. Trends in Hospital Inpatient Stays by Age and Payer, 2000\u20132015. HCUP Statistical Brief 235. U.S. Department of Health and Human Services. https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb235-Inpatient-Stays-Age-Payer-Trends.pdf Reports age-stratified hospitalization rates, showing substantially higher inpatient stay rates among adults aged 65+ compared to younger age groups.."},{"key":"e_1_3_3_2_3_2","doi-asserted-by":"crossref","unstructured":"Marcy\u00a0G Antonio Olga Petrovskaya and Francis Lau. 2020. The state of evidence in patient portals: umbrella review. Journal of medical Internet research 22 11 (2020) e23851.","DOI":"10.2196\/23851"},{"key":"e_1_3_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Thomas\u00a0A Arcury Sara\u00a0A Quandt Joanne\u00a0C Sandberg David\u00a0P Miller\u00a0Jr Celine Latulipe Xiaoyan Leng Jenifer\u00a0W Talton Kathryn\u00a0P Melius Alden Smith and Alain\u00a0G Bertoni. 2017. Patient portal utilization among ethnically diverse low income older adults: observational study. JMIR medical informatics 5 4 (2017) e8026.","DOI":"10.2196\/medinform.8026"},{"key":"e_1_3_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Yvonne Barnard Mike\u00a0D Bradley Frances Hodgson and Ashley\u00a0D Lloyd. 2013. Learning to use new technologies by older adults: Perceived difficulties experimentation behaviour and usability. Computers in human behavior 29 4 (2013) 1715\u20131724. Publisher: Elsevier.","DOI":"10.1016\/j.chb.2013.02.006"},{"key":"e_1_3_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119558378"},{"key":"e_1_3_3_2_7_2","doi-asserted-by":"crossref","unstructured":"Virginia Braun and Victoria Clarke. 2019. Reflecting on reflexive thematic analysis. Qualitative research in sport exercise and health 11 4 (2019) 589\u2013597.","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_3_2_8_2","doi-asserted-by":"crossref","unstructured":"Virginia Braun and Victoria Clarke. 2021. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative research in psychology 18 3 (2021) 328\u2013352.","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_3_3_2_9_2","doi-asserted-by":"crossref","unstructured":"Julia\u00a0G Burgdorf Chanee\u00a0D Fabius and Jennifer\u00a0L Wolff. 2023. Use of provider-sponsored patient portals among older adults and their family caregivers. Journal of the American Geriatrics Society 71 4 (2023) 1177\u20131187.","DOI":"10.1111\/jgs.18187"},{"key":"e_1_3_3_2_10_2","doi-asserted-by":"crossref","unstructured":"Maan\u00a0Isabella Cajita Marci\u00a0Lee Nilsen Taya Irizarry Judith\u00a0A Callan Scott\u00a0R Beach Ellen Swartwout Laurel\u00a0Person Mecca Richard Schulz and Annette\u00a0DeVito Dabbs. 2021. Predictors of patient portal use among community-dwelling older adults. Research in gerontological nursing 14 1 (2021) 33\u201342.","DOI":"10.3928\/19404921-20200918-03"},{"key":"e_1_3_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Nicholas\u00a0J Casacchia Gary\u00a0E Rosenthal Nathaniel\u00a0S O\u2019Connell Richa Bundy Lauren Witek Brian\u00a0J Wells and Deepak Palakshappa. 2022. Characteristics of adult primary care patients who use the patient portal: a cross-sectional analysis. Applied Clinical Informatics 13 05 (2022) 1053\u20131062.","DOI":"10.1055\/a-1951-3153"},{"key":"e_1_3_3_2_12_2","doi-asserted-by":"crossref","unstructured":"Argyris Constantinides Marios Belk Christos Fidas Roy Beumers David Vidal Wanting Huang Juliana Bowles Thais Webber Agastya Silvina and Andreas Pitsillides. 2023. Security and usability of a personalized user authentication paradigm: Insights from a longitudinal study with three healthcare organizations. ACM Transactions on Computing for Healthcare 4 1 (2023) 1\u201340.","DOI":"10.1145\/3564610"},{"key":"e_1_3_3_2_13_2","doi-asserted-by":"crossref","unstructured":"Dori\u00a0A Cross Zachary Levin and Minakshi Raj. 2021. Patient portal use perceptions of electronic health record value and self-rated primary care quality among older adults: cross-sectional survey. Journal of medical Internet research 23 5 (2021) e22549.","DOI":"10.2196\/22549"},{"key":"e_1_3_3_2_14_2","doi-asserted-by":"crossref","unstructured":"Sherine El-Toukhy Alejandra M\u00e9ndez Shavonne Collins and Eliseo\u00a0J P\u00e9rez-Stable. 2020. Barriers to patient portal access and use: evidence from the health information national trends survey. The Journal of the American Board of Family Medicine 33 6 (2020) 953\u2013968.","DOI":"10.3122\/jabfm.2020.06.190402"},{"key":"e_1_3_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3233\/SHTI220518"},{"key":"e_1_3_3_2_16_2","doi-asserted-by":"crossref","unstructured":"D\u00a0Kristen Gilbert and Wendy\u00a0A Rogers. 1999. Age-related differences in the acquisition utilization and extension of a spatial mental model. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 54 4 (1999) P246\u2013P255.","DOI":"10.1093\/geronb\/54B.4.P246"},{"key":"e_1_3_3_2_17_2","doi-asserted-by":"crossref","unstructured":"Nancy\u00a0P Gordon and Mark\u00a0C Hornbrook. 2016. Differences in access to and preferences for using patient portals and other eHealth technologies based on race ethnicity and age: a database and survey study of seniors in a large health plan. Journal of medical Internet research 18 3 (2016) e50.","DOI":"10.2196\/jmir.5105"},{"key":"e_1_3_3_2_18_2","doi-asserted-by":"crossref","unstructured":"Nancy\u00a0P Gordon Chelsea Yin and Joan\u00a0C Lo. 2024. Examining Whether Patient Portal and Video Visit Use Differs by Race and Ethnicity Among Older Adults in a US Integrated Health Care Delivery System: Cross-Sectional Electronic Health Record and Survey-Based Study. JMIR aging 7 (2024) e63814.","DOI":"10.2196\/63814"},{"key":"e_1_3_3_2_19_2","doi-asserted-by":"crossref","unstructured":"Neal\u00a0R Haddaway Matthew\u00a0J Page Chris\u00a0C Pritchard and Luke\u00a0A McGuinness. 2022. PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams with interactivity for optimised digital transparency and Open Synthesis. Campbell systematic reviews 18 2 (2022) e1230.","DOI":"10.1002\/cl2.1230"},{"key":"e_1_3_3_2_20_2","doi-asserted-by":"crossref","unstructured":"Charles\u00a0H Jones and Mikael Dolsten. 2024. Healthcare on the brink: navigating the challenges of an aging society in the United States. npj Aging 10 1 (2024) 22.","DOI":"10.1038\/s41514-024-00148-2"},{"key":"e_1_3_3_2_21_2","doi-asserted-by":"crossref","unstructured":"Sunyoung Kim and Sarah Fadem. 2018. Communication matters: exploring older adults\u2019 current use of patient portals. International Journal of Medical Informatics 120 (2018) 126\u2013136.","DOI":"10.1016\/j.ijmedinf.2018.10.004"},{"key":"e_1_3_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1145\/3308561.3354593"},{"key":"e_1_3_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1145\/2702123.2702392"},{"key":"e_1_3_3_2_24_2","doi-asserted-by":"crossref","unstructured":"Celine Latulipe Sara\u00a0A Quandt Kathryn\u00a0Altizer Melius Alain Bertoni David\u00a0P Miller\u00a0Jr Douglas Smith and Thomas\u00a0A Arcury. 2018. Insights into older adult patient concerns around the caregiver proxy portal use: qualitative interview study. Journal of medical Internet research 20 11 (2018) e10524.","DOI":"10.2196\/10524"},{"key":"e_1_3_3_2_25_2","doi-asserted-by":"crossref","unstructured":"Qingchuan Li and Yan Luximon. 2020. Older adults\u2019 use of mobile device: usability challenges while navigating various interfaces. Behaviour & Information Technology 39 8 (2020) 837\u2013861.","DOI":"10.1080\/0144929X.2019.1622786"},{"key":"e_1_3_3_2_26_2","doi-asserted-by":"crossref","unstructured":"Jialing Lin Shona\u00a0Marie Bates Luke\u00a0N Allen Michael Wright Limin Mao and Michael Kidd. 2025. Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review. JMIR mHealth and uHealth 13 1 (2025) e66650.","DOI":"10.2196\/66650"},{"key":"e_1_3_3_2_27_2","doi-asserted-by":"crossref","unstructured":"Courtney Lyles Dean Schillinger and Urmimala Sarkar. 2015. Connecting the dots: health information technology expansion and health disparities. PLoS medicine 12 7 (2015) e1001852.","DOI":"10.1371\/journal.pmed.1001852"},{"key":"e_1_3_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1145\/3313831.3376414"},{"key":"e_1_3_3_2_29_2","doi-asserted-by":"crossref","unstructured":"Ishana Maini Kevin Gilotra and Gelareh Sadigh. 2025. Patient Factors Associated With the Use of Online Portal Health Information in the Postpandemic Era: Cross-Sectional Analysis of a National Survey. Journal of Medical Internet Research 27 (2025) e60472.","DOI":"10.2196\/60472"},{"key":"e_1_3_3_2_30_2","doi-asserted-by":"crossref","unstructured":"Peter Makai Marieke Perry Sarah\u00a0HM Robben Henk Schers Maud Heinen Marcel\u00a0GM Olde\u00a0Rikkert and Ren\u00e9\u00a0JF Melis. 2014. Which frail older patients use online health communities and why? A mixed methods process evaluation of use of the Health and Welfare portal. Journal of Medical Internet Research 16 12 (2014) e278.","DOI":"10.2196\/jmir.3609"},{"key":"e_1_3_3_2_31_2","doi-asserted-by":"crossref","unstructured":"Alicia\u00a0K Matthews Safa Elkefi Maureen George Andrea Cassells and Jonathan\u00a0N Tobin. 2025. Lessons learned from the pre-implementation phase of a patient navigation intervention to increase patient portal enrollment in Federally Qualified Health Centers. Frontiers in Health Services 5 (2025) 1624032.","DOI":"10.3389\/frhs.2025.1624032"},{"key":"e_1_3_3_2_32_2","volume-title":"Systematic reviews of prevalence and incidence","author":"Munn Zachary","year":"2020","unstructured":"Zachary Munn, Sandeep Moola, Karolina Lisy, Dagmara Riitano, Catalin Tufanaru, and E Aromataris. 2020. Systematic reviews of prevalence and incidence. JBI Adelaide, Australia. 117\u2013217 pages."},{"key":"e_1_3_3_2_33_2","doi-asserted-by":"crossref","unstructured":"Akira Nishii Celeste Campos-Castillo and Denise Anthony. 2022. Disparities in patient portal access by US adults before and during the COVID-19 pandemic. JAMIA open 5 4 (2022) ooac104.","DOI":"10.1093\/jamiaopen\/ooac104"},{"key":"e_1_3_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/154193120905302210"},{"key":"e_1_3_3_2_35_2","doi-asserted-by":"crossref","unstructured":"Allison Pack Stacy\u00a0C Bailey Rachel O\u2019Conor Evelyn Velazquez Guisselle Wismer Fangyu Yeh Laura\u00a0M Curtis Kenya Alcantara Michael\u00a0S Wolf et\u00a0al. 2025. A Portal-Based Intervention (PATTERN) Designed to Support Medication Use Among Older Adults: Feasibility and Acceptability Study. JMIR Formative Research 9 1 (2025) e71676.","DOI":"10.2196\/71676"},{"key":"e_1_3_3_2_36_2","unstructured":"Matthew\u00a0J Page David Moher Patrick\u00a0M Bossuyt Isabelle Boutron Tammy\u00a0C Hoffmann Cynthia\u00a0D Mulrow Larissa Shamseer Jennifer\u00a0M Tetzlaff Elie\u00a0A Akl Sue\u00a0E Brennan et\u00a0al. 2021. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. bmj 372 (2021)."},{"key":"e_1_3_3_2_37_2","doi-asserted-by":"crossref","unstructured":"Jennifer\u00a0Dickman Portz Elizabeth\u00a0A Bayliss Sheana Bull Rebecca\u00a0S Boxer David\u00a0B Bekelman Kathy Gleason and Sara Czaja. 2019. Using the technology acceptance model to explore user experience intent to use and use behavior of a patient portal among older adults with multiple chronic conditions: descriptive qualitative study. Journal of medical Internet research 21 4 (2019) e11604.","DOI":"10.2196\/11604"},{"key":"e_1_3_3_2_38_2","doi-asserted-by":"crossref","unstructured":"Eboni\u00a0G Price-Haywood Jewel Harden-Barrios Robin Ulep and Qingyang Luo. 2017. eHealth literacy: patient engagement in identifying strategies to encourage use of patient portals among older adults. Population health management 20 6 (2017) 486\u2013494.","DOI":"10.1089\/pop.2016.0164"},{"key":"e_1_3_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1145\/1456659.1456684"},{"key":"e_1_3_3_2_40_2","doi-asserted-by":"crossref","unstructured":"Tera\u00a0L Reynolds Jared\u00a0Guthrie Cobb Bryan\u00a0D Steitz Jessica\u00a0S Ancker and S\u00a0Trent Rosenbloom. 2023. The state-of-the-art of patient portals: adapting to external factors addressing barriers and innovating. Applied Clinical Informatics 14 04 (2023) 654\u2013669.","DOI":"10.1055\/s-0043-1770901"},{"key":"e_1_3_3_2_41_2","unstructured":"Chelsea Richwine. 2025. Individuals\u2019 Access and Use of Patient Portals and Smartphone Health Apps 2024. ASTP Health IT Data Brief [Internet] (2025)."},{"key":"e_1_3_3_2_42_2","doi-asserted-by":"crossref","unstructured":"Marcel\u00a0E Salive. 2013. Multimorbidity in older adults. Epidemiologic reviews 35 1 (2013) 75\u201383.","DOI":"10.1093\/epirev\/mxs009"},{"key":"e_1_3_3_2_43_2","unstructured":"Atman Shah and Mark\u00a0A Fiala. 2025. Disparities in Access and Utilization of Electronic Health Record Patient Portals. Journal of general internal medicine (2025) 1\u20137."},{"key":"e_1_3_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1145\/3544549.3585697"},{"key":"e_1_3_3_2_45_2","doi-asserted-by":"publisher","unstructured":"Hasti Sharifi and Debaleena Chattopadhyay. 2023. Senior Technology Learning Preferences Model for Mobile Technology. Proceedings of the 25th International Conference on Mobile Human-Computer Interaction 7 (2023). 10.1145\/3447526.3472040Place: New York NY USA Publisher: Association for Computing Machinery.","DOI":"10.1145\/3447526.3472040"},{"key":"e_1_3_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1145\/3663548.3675661"},{"key":"e_1_3_3_2_47_2","doi-asserted-by":"crossref","unstructured":"Hyojin Son and Eun-Shim Nahm. 2019. Older adults\u2019 experience using patient portals in communities: challenges and opportunities. CIN: Computers Informatics Nursing 37 1 (2019) 4\u201310.","DOI":"10.1097\/CIN.0000000000000476"},{"key":"e_1_3_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.3233\/978-1-61499-564-7-978"},{"key":"e_1_3_3_2_49_2","doi-asserted-by":"crossref","unstructured":"Kea Turner Alecia Clary Young-Rock Hong Amir Alishahi\u00a0Tabriz and Christopher\u00a0M Shea. 2020. Patient portal barriers and group differences: cross-sectional national survey study. Journal of medical Internet research 22 9 (2020) e18870.","DOI":"10.2196\/18870"},{"key":"e_1_3_3_2_50_2","doi-asserted-by":"crossref","unstructured":"Kathleen\u00a0B Watson Jennifer\u00a0L Wiltz Kunthea Nhim Rachel\u00a0B Kaufmann Craig\u00a0W Thomas and Kurt\u00a0J Greenlund. 2025. Trends in Multiple Chronic Conditions Among US Adults By Life Stage Behavioral Risk Factor Surveillance System 2013\u20132023. Preventing Chronic Disease 22 (2025) E15.","DOI":"10.5888\/pcd22.240539"},{"key":"e_1_3_3_2_51_2","doi-asserted-by":"crossref","unstructured":"Gaby\u00a0Anne Wildenbos Karim Maasri Monique Jaspers and Linda Peute. 2018. Older adults using a patient portal: registration and experiences one year after implementation. Digital health 4 (2018) 2055207618797883.","DOI":"10.1177\/2055207618797883"},{"key":"e_1_3_3_2_52_2","unstructured":"Gaby\u00a0Anne Wildenbos Linda Peute and Monique Jaspers. 2017. Facilitators and barriers of electronic health record patient portal adoption by older adults: a literature study. Informatics for health: connected citizen-led wellness and population health (2017) 308\u2013312."},{"key":"e_1_3_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1145\/3373625.3416997"},{"key":"e_1_3_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1145\/3613904.3642796"},{"key":"e_1_3_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1145\/3544548.3581447"},{"key":"e_1_3_3_2_56_2","doi-asserted-by":"crossref","unstructured":"Ziyao Zhou Jia Zhou and Fengli Liu. 2022. Fewer steps the better? Instructing older adults\u2019 learning and searching in smartphone apps. International Journal of Human\u2013Computer Interaction 38 9 (2022) 789\u2013800. Publisher: Taylor & Francis.","DOI":"10.1080\/10447318.2021.1976506"}],"event":{"name":"CHI EA '26: Extended Abstracts of the 2026 CHI Conference on Human Factors in Computing Systems","location":"Barcelona , Spain","acronym":"CHI EA '26","sponsor":["SIGCHI ACM Special Interest Group on Computer-Human Interaction"]},"container-title":["Proceedings of the Extended Abstracts of the 2026 CHI Conference on Human Factors in Computing Systems"],"original-title":[],"link":[{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3772363.3798366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T03:31:26Z","timestamp":1776051086000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3772363.3798366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":55,"alternative-id":["10.1145\/3772363.3798366","10.1145\/3772363"],"URL":"https:\/\/doi.org\/10.1145\/3772363.3798366","relation":{},"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2026-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}