{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:25:01Z","timestamp":1787329501445,"version":"build-2736575974"},"reference-count":31,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric patient care portals through electronic health records (EHRs) provide opportunities to enhance patient care. However, challenges exist for making portals usable, and few studies have examined qualitative experiences of caregivers when using integrated primary care (IPC) services for their children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to qualitatively examine barriers to and facilitators of using electronic patient portals in integrated behavioral health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 7 caregivers of pediatric patients (0-7 years old) during focus groups. Interview data were analyzed qualitatively and coded by an interdisciplinary group. An iterative approach identified overarching themes within the following Consolidated Framework for Implementation Research (CFIR) domains: outer setting, inner setting, and characteristics of individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, caregivers found the portal beneficial. Six themes emerged during thematic analysis. Outer setting themes were \u201clags and barriers to care\u201d and \u201cconnections with outside providers.\u201d Inner setting themes were \u201cputting the \u2018human\u2019 in \u2018human-centered design\u2019\u201d and \u201cvirtual access to information.\u201d Characteristics of individuals themes were \u201cflexibility\u201d and \u201cpersonalization.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The current study sheds light on caregiver perceptions of electronic portal use. Patient portals are an effective and well-received tool for patients with developmental delays and families accessing behavioral health information. Future targets for improvement include personalization, equitable access, and reach beyond single institutions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/84778","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:00:11Z","timestamp":1783011611000},"page":"e84778","source":"Crossref","is-referenced-by-count":0,"title":["Caregiver Perspectives on Electronic Portal Use in Integrated Primary Care: Qualitative Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0866-5928","authenticated-orcid":false,"given":"Elizabeth Therese","family":"Koval","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2913-5502","authenticated-orcid":false,"given":"Tiffany G","family":"Munzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7901-8935","authenticated-orcid":false,"given":"Bryanne M","family":"Caldwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7276-7319","authenticated-orcid":false,"given":"Teryn P","family":"Bruni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4569-0231","authenticated-orcid":false,"given":"Sharnita D","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpth.2023.100066"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2023.03.019"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1089\/tmr.2021.0021"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3243"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0000000000000175"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5610"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2017-01-RA-0005"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.14236\/jhi.v25i3.998"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2015.S1.150133"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2196\/30405"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2022.03.010"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7326\/M19-0876"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/17538157.2022.2070069"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1005"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0041"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2196\/17955"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2196\/40328"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0126"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.0680"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.55"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000576"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1080\/17538157.2021.1929998"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058227"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01245-0"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"ref27","unstructured":"A lack of behavioral health providers in Medicare and Medicaid impedes enrollees\u2019 access to careU.S. Department of Health and Human Services Office of Inspector General2024032026-07-19https:\/\/oig.hhs.gov\/documents\/evaluation\/9844\/OEI-02-22-00050.pdf"},{"key":"ref28","unstructured":"The AFCARS report: preliminary FY 2017 estimates as of August 10, 2018 - 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