Evidence map›Paper›PMID 15142919›Full record

ArticleBMJ (Clinical research ed.)2004

Patients' experience with a diabetes support programme based on an interactive electronic medical record: qualitative study.

James D Ralston, Debra Revere, Lynne S Robins, Harold I Goldberg

4 registry-linked trialsAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 66 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00221455 phase1completednot on this map

The Potential of Technology to Improve Chronic Disease Management and Quality of Care

TypeinterventionalSponsorRobert Wood Johnson FoundationRan2004 to 2007Enrolled1,000ConditionsDiabetes MellitusArmsPatient diabetic self-management using the diabetic patient portal tools, A variety of educational interventions for non-adopters of the technology, and for non-compliant patients.
NCT00608387 nacompletednot on this mapstarted 2009, after this paper: background citation

Web-based, Patient-centered Approach to CVD Risk-factor Management and Reduction

TypeinterventionalSponsorBlack Hills Center for American Indian HealthRan2009 to 2012Enrolled149ConditionsCardiovascular Diseases, Diabetes Mellitus, Type 2, Hypertension, ObesityArmsChronic disease management Web-based software
NCT01447940 phase3unknown statusnot on this mapstarted 2012, after this paper: background citation

Prospective Assessment of Meos Telemedicine E-portal on Ambulatory Care of Type 1 Diabetic Patients

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2012 to 2015Enrolled720ConditionsDiabetes Mellitus, Type 1ArmsMeos ePortal use
NCT01671501 nacompletednot on this mapstarted 2013, after this paper: background citation

Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients

TypeinterventionalSponsorUniversity of California, San FranciscoRan2013 to 2017Enrolled614ConditionsHIV, Acquired Immunodeficiency Syndrome, Alcoholism, Alcoholic IntoxicationArmsMotivational Interviewing, Email Feedback, Usual Care
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Personal health records and hypertension control: a randomized trial.Journal of the American Medical Informatics Association : JAMIA
    Trial
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
    Review
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

James D RalstonCenter for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448, USA. ralston.j@ghc.org
Debra Revere
Lynne S Robins
Harold I Goldberg

Funding

NATIONAL RESEARCH SERVICE AWARD IN PRIMARY CARE MEDICINET32PE010002 · PE · UNIVERSITY OF WASHINGTON · PI LARSON, ERIC B · 1988 to 1997
–
BHP HRSA HHS 5-T-32 PE-10002-10
6 · The paper itself

Abstract

objectiveTo describe the experiences of patients with type 2 diabetes in a web based disease management programme based on an interactive electronic medical record.

designQualitative analysis of semistructured interviews with patients enrolled in a diabetes care module that included access to their electronic medical record, secure email, ability to upload blood glucose readings, an education site with endorsed content, and an interactive online diary for entering exercise, diet, and medication.

settingPatients' homes in Washington state, United States.

participantsNine participants aged 45-65 completed interviews before and after they used the programme.

resultsSix themes emerged: feeling that non-acute concerns are uniquely valued; enhanced sense of security about health and health care; frustration with unmet expectations; feeling more able to manage; valuing feedback; and difficulty fitting the programme into activities of daily life. Three themes--valuing non-acute concerns, feeling secure, and unmet expectations--have particular relevance to the design and use of web based tools for care of patients with diabetes and chronic medical conditions.

conclusionParticipants' experiences support further study of open access to the electronic medical record and online communication between patients and their care providers. The development of web based disease management programmes should take into account the specific needs and expectations of patients, and patients and providers should have candid discussions about what web based care can and cannot provide.

Indexed as

Attitude to HealthInternetAgedDiabetes Mellitus, Type 2Disease ManagementHumansMedical Records Systems, ComputerizedMiddle AgedPatient SatisfactionSocial SupportWashington

Identifiers

PMID15142919
PMCPMC411089

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.