1051 Utilization of Patient Education Videos Prescribed Through a Patient Portal

Abstract

Introduction: Supplementary education in sleep medicine improves patients' understanding of health conditions and improves adherence to therapy. UCLA Health System offers patient education videos (from a third-party vendor) about sleep conditions. Providers can prescribe the videos, which are part of the electronic sleep order set. Patients access a video link through the electronic health record patient portal. As an initial step of a quality improvement project, we evaluated whether our patients are accessing the videos and whether subgroups (e.g., older patients) have lower utilization of the videos. Methods: We analyzed data collected as part of routine care, on utilization of sleep-related videos among patients at UCLA between 2016 and 2017. Topics included overviews of obstructive sleep apnea (OSA), sleep study, continuous positive airway pressure (CPAP), and insomnia. Prescribing rates, rates of access, and time to access (in days) were measured. Differences in video access and time to access based on age (>;=65 vs. < 65, >;=80 vs. < 80) and video type were assessed using chi-square or t-tests. Results: From 2016-2017, 2,156 videos were prescribed, and 20% of videos were accessed. Rates of prescribing by age group were: 0-17 (<1%), 18-34 (11%), 35-49 (23%), 50-64 (30%), 65-79 (31%), and 80+ (5%). OSA (33%) and CPAP (28%) videos were more commonly prescribed than insomnia (19%) or sleep study (21%) videos. There was no difference in access between patients >;=65 versus < 65 years (p=.52). Patients >;= 80 years had lower rates of access than those < 80 years, but the differences did not reach statistical significance (12.8% vs. 20.5%; p=.05). There was no difference in access based on video type (p=0.25). Patients >;= 80 years took significantly longer to start viewing the videos (46 vs. 22 days, p=0.01). Conclusion: Most patients did not access the prescribed video. Older patients (80+) took longer to start viewing videos. These results support developing quality improvement interventions to support greater and more timely use of the videos, especially in the advanced age group.