Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
School of Health Information Science, Faculty of Human and Social Development, University of Victoria, Victoria, Canada.
BMJ Open. 2019 Mar 30;9(3):e024469. doi: 10.1136/bmjopen-2018-024469.
Over the last two decades, patient portals have emerged as a noticeable eHealth strategy. To date, research on patient portals has been rapidly increasing. Our umbrella review aims to provide a meta-level synthesis to make sense of the evidence on patient portals from published systematic reviews (SRs).
We will employ a modified version of the Joanna Briggs Institute umbrella review method. The search strategy encompasses multiple databases. The inclusion criterion is specific to SRs focused on patient portal. Patients or public were not involved in this work.
Two researchers will independently screen titles/abstracts and then full-text articles against the inclusion/exclusion criteria. Methodological quality of included reviews will be assessed and data will be extracted from the final selection of reviews. These reviews will be categorised into quantitative, qualitative and/or mixed-synthesis groups based on information about the design of primary studies provided in the reviews. Correspondingly, we will create quantitative, qualitative and/or mixed-synthesis Excel data-extraction tables. Within each table, data will be extracted with the reference to primary studies as reported in the reviews, and will be synthesised into themes and then a smaller number of findings/outcomes. Modified Grading of Recommendations Assessment, Development and Evaluation (GRADE) and Confidence in the Evidence from Reviews of Qualitative research (CERQual) tools will be applied to assess the strength of evidence at the level of each finding/outcome. The output of our umbrella review will consist of summary of findings tables and evidence profile tables. A narrative meta-level synthesis will be provided. We will use the clinical adoption meta-model as an organising framework.
As an outcome of this review, we will create a guidance and roadmap to be used in a future Delphi study to gather feedback from Canadian eHealth stakeholders. We will also present at conferences and publish the final report. The umbrella review does not require ethical approval.
CRD42018096657.
在过去的二十年中，患者门户已成为一种引人注目的电子健康策略。迄今为止，对患者门户的研究一直在迅速增加。我们的综述旨在提供一个元水平的综合分析，以理解已发表的系统评价（SRs）中关于患者门户的证据。
我们将采用乔安娜·布里格斯研究所（Joanna Briggs Institute）修改后的伞式审查方法。搜索策略涵盖了多个数据库。纳入标准是专门针对侧重于患者门户的 SRs。本研究未涉及患者或公众。
两名研究人员将独立筛选标题/摘要，然后根据纳入/排除标准筛选全文文章。将评估纳入综述的方法学质量，并从最终选择的综述中提取数据。这些综述将根据综述中提供的初级研究设计信息分为定量、定性和/或混合综合组。相应地，我们将创建定量、定性和/或混合综合 Excel 数据提取表。在每个表中，将根据综述中报告的初级研究提取数据，并将其综合为主题，然后提炼为数量较少的发现/结果。将应用修改后的推荐评估、制定和评估（GRADE）和定性研究证据质量（CERQual）工具来评估每个发现/结果的证据强度。我们的伞式综述的结果将包括总结发现表和证据概况表。将提供叙述性元水平综合。我们将使用临床采用元模型作为组织框架。
作为本综述的结果，我们将创建一个指导和路线图，用于未来的德尔菲研究，以收集加拿大电子卫生利益相关者的反馈。我们还将在会议上展示并发布最终报告。该综述不需要伦理批准。
PROSPERO 注册号：CRD42018096657。
