{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:43:04Z","timestamp":1785544984596,"version":"3.56.0"},"reference-count":9,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Hum Factors"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Inflammatory bowel disease (IBD) requires ongoing monitoring and effective communication between patients and health care providers. Web-based patient portals may enhance engagement, but their association with disease activity remains unclear.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aimed to evaluate the association between patient portal messaging frequency and disease activity among patients with IBD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a retrospective cohort study using electronic health record data from an urban academic center. Patients with Crohn disease, ulcerative colitis, or indeterminate colitis were included. Portal messaging frequency over 2 years (July 2023-July 2025) was analyzed. Associations with demographic variables and disease activity were assessed using\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n tests (\n P<\/jats:italic>\n <.05 was considered significant).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 442 patients, 347 (78.5%) sent at least one portal message. Patients sent a mean of 5.27 (SD 7.15) messages over 2 years. High messaging frequency was associated with active disease (\n P<\/jats:italic>\n =.047) and age group (\n P<\/jats:italic>\n <.001). Patients with active disease were more likely to send \u226516 messages (n=14, 12.5% vs n=18, 6%). No significant associations were found with sex or race.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Higher portal messaging frequency was associated with active disease in IBD. Patient portals may serve as a tool for disease monitoring and early intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/87518","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:25:10Z","timestamp":1780075510000},"page":"e87518-e87518","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Web-Based Patient Portal Messaging and Disease Activity in Inflammatory Bowel Disease: Retrospective Pilot Cohort Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9127-2724","authenticated-orcid":false,"given":"Pavan","family":"Vemulakonda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2141-2211","authenticated-orcid":false,"given":"Shriansh","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7905-463X","authenticated-orcid":false,"given":"Liza","family":"Khutsishvili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3118-0446","authenticated-orcid":false,"given":"Anushka","family":"Deogaonkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5027-3339","authenticated-orcid":false,"given":"Valerie S","family":"Stark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5328-1991","authenticated-orcid":false,"given":"Marie L","family":"Borum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"issue":"10114","key":"R1","doi-asserted-by":"publisher","first-page":"2769","DOI":"10.1016\/S0140-6736(17)32448-0","article-title":"Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies","volume":"390","author":"Ng","journal-title":"Lancet"},{"issue":"5","key":"R2","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1053\/j.gastro.2020.12.031","article-title":"STRIDE-II: an update on the Selecting Therapeutic Targets in Inflammatory Bowel Disease (STRIDE) initiative of the International Organization for the Study of IBD (IOIBD): determining therapeutic goals for treat-to-target strategies in IBD","volume":"160","author":"Turner","journal-title":"Gastroenterology"},{"issue":"8","key":"R3","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1001\/jama.297.8.831","article-title":"Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care","volume":"297","author":"Kripalani","journal-title":"JAMA"},{"issue":"6","key":"R4","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4255","article-title":"Patient portals and patient engagement: a state of the science review","volume":"17","author":"Irizarry","journal-title":"J Med Internet Res"},{"issue":"7","key":"R5","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1093\/jamia\/ocaa072","article-title":"COVID-19 transforms health care through telemedicine: evidence from the field","volume":"27","author":"Mann","journal-title":"J Am 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Factors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e87518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:25:11Z","timestamp":1785536711000},"score":1,"resource":{"primary":{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e87518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":9,"URL":"https:\/\/doi.org\/10.2196\/87518","relation":{},"ISSN":["2292-9495"],"issn-type":[{"value":"2292-9495","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"article-number":"v13i10114e87518"}}