Impact of an Educational Comic to Enhance Patient-Physician–Electronic Health Record Engagement: Prospective Observational Study

• DOI: 10.2196/25054
• Publication Date: 2021-04-28T15:24:26Z
• Authors: Maria A Alkureishi; Tyrone Johnson; Jacqueline Nichols; Meera Dhodapkar; M K Czerwiec; Kristen Wroblewski; Vineet M Arora; Wei Wei Lee
• Keywords: Electronic health record; Educational Attainment

Background Electronic health record (EHR) use can impede or augment patient-physician communication. However, little research explores the of an educational comic to improve patient-physician-EHR interactions. Objective To evaluate impact on patient EHR self-advocacy behaviors promote engagement with during clinic visits. Methods We conducted a prospective observational study adult patients and parents pediatric at University Chicago General Internal Medicine (GIM) Pediatric Primary Care (PPC) clinics. developed highlighting distributed it participants check-in for their primary care visits between May 2017 2018. Participants completed survey immediately after visit, which included question whether they would be interested in follow-up telephone interview. Of those who expressed interest, 50 each from parent cohorts were selected random interviews 8 months (range 3-12 months) post visit. Results Overall, 71.0% (115/162) 71.6% (224/313) agreed encouraged involvement. African American Hispanic more likely ask see screen become involved due (adult P=.01, P=.01; P=.02, P=.006, respectively). Lower attainment was associated increase asking (ρ=−0.18, P=.003; ρ=−0.19, P<.001, respectively) adults calling physician attention (ρ=−0.17, P=.04), confirmed multivariate analyses. Female GIM than males (median 4 vs 3, P=.003). During phone interviews, 90% (45/50) all (50/50) remembered comic. Almost half (GIM 23/50, 46%; PPC 21/50, 42%) recalled least one best-practice behavior. At subsequent visits, reported increases 3 4, P=.006), Ps<.001 both). also felt that had them speak up get computer since index visit P=.02) made feel empowered future P<.001). Conclusions Our found may advocacy enhanced engagement, higher impacts low attainment.