Publications by authors named "Marcy G Antonio"

Objectives: The aim of this study was to investigate how healthcare staff intermediaries support Federally Qualified Health Center (FQHC) patients' access to telehealth, how their approaches reflect cognitive load theory (CLT) and determine which approaches FQHC patients find helpful and whether their perceptions suggest cognitive load (CL) reduction.

Materials And Methods: Semistructured interviews with staff (n = 9) and patients (n = 22) at an FQHC in a Midwestern state. First-cycle coding of interview transcripts was performed inductively to identify helping processes and participants' evaluations of them.

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Objectives: Investigate how people with chronic obstructive pulmonary disease (COPD)-an example of a progressive, potentially fatal illness-are using digital technologies (DTs) to address illness experiences, outcomes and social connectedness.

Materials And Methods: A transformative mixed methods study was conducted in Canada with people with COPD (n = 77) or with a progressive lung condition (n = 6). Stage-1 interviews (n = 7) informed the stage-2 survey.

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In 2021, Canada Health Infoway and the University of Victoria's Gender, Sex, and Sexual Orientation Research Team hosted a series of discussions to successfully and safely modernize gender, sex, and sexual orientation information practices within digital health systems. Five main topic areas were covered: (1) terminology standards; (2) digital health and electronic health record functions; (3) policy and practice implications; (4) primary care settings; and (5) acute and tertiary care settings. In this viewpoint paper, we provide priorities for future research and implementation projects and recommendations that emerged from these discussions.

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Objectives: To conceptualize new methods for integrating patient-centered measurement into team-based care.

Methods: A standalone portal was introduced into a rural clinic to support conceptualization of new methods for integration of patient-centered measurement in team-based care. The portal housed mental health-related online resources, three patient-reported measures and a self-action plan.

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Article Synopsis
  • - The study investigates how using human intermediaries as technology helpers can improve access to telehealth services for underserved populations, reducing the cognitive load tied to learning new tech.
  • - A pilot intervention was conducted during the COVID-19 pandemic at a Federally Qualified Health Center, where graduate students provided telehealth assistance to patients via phone, helping them navigate technology.
  • - Despite a low participation rate (14.2% of eligible patients), the findings suggest that those who attended the sessions had lower education and tech experience, highlighting the need for more tailored equity-focused telehealth solutions in the future.
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Article Synopsis
  • The text emphasizes the need for a comprehensive framework in health informatics research focused on health equity, particularly for marginalized groups.
  • Based on a review of existing literature and experiences from nine studies, the authors identify four key methodological considerations: participation and representation, appropriate methods, contextualization, and investigation of systematic differences.
  • The proposed framework, named PRAXIS, aims to guide informaticists in effectively addressing these considerations throughout different stages of research to improve health equity outcomes.
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Background: Patient portals have emerged as a recognized digital health strategy. To date, research on patient portals has grown rapidly. However, there has been limited evaluation of the growing body of evidence on portal availability, use, clinical or health behavior and outcomes, and portal adoption over time.

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Data repositories can support secure data management for multi-institutional and geographically dispersed research teams. Primarily designed to provide secure access, storage, and sharing of quantitative data, limited focus has been given to the unique considerations of data repositories for qualitative research. We share our experiences of using a data repository in a large qualitative nursing research study.

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Objective: Our scoping review examined how research on patient portals addresses health equity. Questions guiding our review were: 1) What health equity concepts are addressed in patient portal research-both explicitly and implicitly? 2) What are the gaps? 3) Is the potential for ehealth-related health inequities explicitly acknowledged in studies on patient portals? 4) What novel approaches and interventions to reduce health inequities are tested in patient portal research?

Materials And Methods: We searched 4 databases. Search terms included "patient portal" in combination with a comprehensive list of health equity terms relevant in ehealth context.

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Early implementation of electronic health records and patient portals had great promise of addressing the widening disparities in health. However, recent research has found that not only are these disparities persisting, but the differences in health outcomes between populations are increasing. Addressing this gap specific to ehealth calls for attention to health equity.

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The translation of successful behavior change interventions to new delivery mechanisms requires an understanding of the underlying concepts that led to its success. This has particular relevance when converting in-person interventions into remote technological applications. The active ingredients that may have been successful in the "live" application can appear differently in a technological application.

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