Patients' positive and negative responses to reading mental health clinical notes online

Lauren M. Denneson, Jason I. Chen, Maura Pisciotta, Anais Tuepker, Steven K. Dobscha

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Objective: This study describes responses to OpenNotes, clinical notes available online, among patients receivingmental health care and explores whether responses vary by patient demographic or clinical characteristics. Methods: Survey data from 178 veterans receiving mental health treatment at a large Veterans Affairs medical center included patient-reported health self-efficacy, health knowledge, alliance with clinicians, and negative emotional responses after reading OpenNotes. Health care data were extracted from the patient care database. Results: Reading OpenNotes helped many participants feel in control of their health care (49%) and have more trust in clinicians (45%), although a few (8%) frequently felt upset after reading their notes. In multivariate models, posttraumatic stress disorderwas associatedwith increased patient-clinician alliance (p5.046) but also with negative emotional responses (p,<01). Conclusions: Patients receivingmental health care frequently reported benefits from reading OpenNotes, yet some experienced negative responses.

Original languageEnglish (US)
Pages (from-to)593-596
Number of pages4
JournalPsychiatric Services
Issue number5
StatePublished - May 1 2018

ASJC Scopus subject areas

  • Psychiatry and Mental health


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