Cited by 38Mobile Health and mHealth ApplicationsTelemedicine and Telehealth ImplementationElectronic Health Records Systems

Web-Based Tools for Text-Based Patient-Provider Communication in Chronic Conditions: Scoping Review

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Voruganti, Teja, Grunfeld, Eva, Makuwaza, Tutsirai, Bender, Jacqueline L·2017·Journal of Medical Internet Research

Abstract

BACKGROUND: Patients with chronic conditions require ongoing care which not only necessitates support from health care providers outside appointments but also self-management. Web-based tools for text-based patient-provider communication, such as secure messaging, allow for sharing of contextual information and personal narrative in a simple accessible medium, empowering patients and enabling their providers to address emerging care needs. OBJECTIVE: The objectives of this study were to (1) conduct a systematic search of the published literature and the Internet for Web-based tools for text-based communication between patients and providers; (2) map tool characteristics, their intended use, contexts in which they were used, and by whom; (3) describe the nature of their evaluation; and (4) understand the terminology used to describe the tools. METHODS: We conducted a scoping review using the MEDLINE (Medical Literature Analysis and Retrieval System Online) and EMBASE (Excerpta Medica Database) databases. We summarized information on the characteristics of the tools (structure, functions, and communication paradigm), intended use, context and users, evaluation (study design and outcomes), and terminology. We performed a parallel search of the Internet to compare with tools identified in the published literature. RESULTS: We identified 54 papers describing 47 unique tools from 13 countries studied in the context of 68 chronic health conditions. The majority of tools (77%, 36/47) had functions in addition to communication (eg, viewable care plan, symptom diary, or tracker). Eight tools (17%, 8/47) were described as allowing patients to communicate with the team or multiple health care providers. Most of the tools were intended to support communication regarding symptom reporting (49%, 23/47), and lifestyle or behavior modification (36%, 17/47). The type of health care providers who used tools to communicate with patients were predominantly allied health professionals of various disciplines (30%, 14/47), nurses (23%, 11/47), and physicians (19%, 9/47), among others. Over half (52%, 25/48) of the tools were evaluated in randomized controlled trials, and 23 tools (48%, 23/48) were evaluated in nonrandomized studies. Terminology of tools varied by intervention type and functionality and did not consistently reflect a theme of communication. The majority of tools found in the Internet search were patient portals from 6 developers; none were found among published articles. CONCLUSIONS: Web-based tools for text-based patient-provider communication were identified from a wide variety of clinical contexts and with varied functionality. Tools were most prevalent in contexts where intended use was self-management. Few tools for team-based communication were found, but this may become increasingly important as chronic disease care becomes more interdisciplinary.

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Authors
Voruganti, T., Grunfeld, E., Makuwaza, T., & Bender, J. L.
Affiliations
  • University of Toronto (CA)
  • Ontario Institute for Cancer Research (CA)
Corresponding author
Voruganti, Teja
Venue
Journal of Medical Internet Research
Published
2017-10-27
Volume
19
Issue
10
Pages
e366
ISSN
1438-8871 (ISSN-L)
OpenAlex
W2767055273
Cited by
38
References
52
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 7 · 2019: 6 · 2018: 6
FWCI
0.91
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Medical Internet Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
secure messaging, patient-provider communication, chronic disease, web-based tool, patient self-management, symptom reporting, behavior modification, patient portals, allied health professionals, tool evaluation, patient empowerment, care coordination, health information technology, patient engagement
MeSH terms
Chronic Disease, Communication, Humans, Physician-Patient Relations, Internet, Electronic Health Records

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