Trial reportJournal of medical Internet research2007
A website to improve asthma care by suggesting patient questions for physicians: qualitative analysis of user experiences.
Trial report in Journal of medical Internet research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of behavior change theory in Internet-based asthma self-management interventions: a systematic review.Journal of medical Internet research · 2015Pooled it
- Impact of online patient reminders to improve asthma care: A randomized controlled trial.PloS one · 2017Trial
- The effects of a computer-tailored message on secondary prevention in type 2 diabetes: a randomized trial.Population health management · 2009Trial
- Empowerment of disability benefit claimants through an interactive website: design of a randomized controlled trial.BMC medical informatics and decision making · 2009Trial
- Optimizing the design and implementation of question prompt lists to support person-centred care: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Clinical inertia in the treatment of heart failure: a major issue to tackle.Heart failure reviews · 2021Review
- Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies.Patient education and counseling · 2017Review
- Single-centre experience with Renal PatientView, a web-based system that provides patients with access to their laboratory results.Journal of nephrology · 2014Article
- Factors associated with clinical inertia: an integrative review.Advances in medical education and practice · 2014Review
- eHealth program to empower patients in returning to normal activities and work after gynecological surgery: intervention mapping as a useful method for development.Journal of medical Internet research · 2012Article
- Active assistance technology for health-related behavior change: an interdisciplinary review.Journal of medical Internet research · 2012Review
- Understanding reactions to an internet-delivered health-care intervention: accommodating user preferences for information provision.BMC medical informatics and decision making · 2010Article
- Using qualitative research to inform the development of a comprehensive outcomes assessment for asthma.The patient · 2009Article
- Using Qualitative Research to Inform the Development of a Comprehensive Outcomes Assessment for Asthma.The patient · 2009Article
- Using qualitative methods to evaluate a family behavioral intervention for type 1 diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
- Evaluation of internet use for health information by parents of asthmatic children attending pediatric clinics in Riyadh, Saudi Arabia.Annals of Saudi medicineArticle
- Triaging patients at risk of influenza using a patient portal.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAsthma is one of the most prevalent chronic conditions in the United States, yet despite the existence of national guidelines, nearly three fourths of patients with asthma do not have adequate control and clinical adherence to guidelines is low. While there are many reasons for this, physician inertia with respect to treatment change is partly to blame. Research suggests that patients who ask for specific tests and treatments are more likely to receive them.
objectivesThis study investigated the impact and experience of using an interactive patient website designed to give patients individual feedback about their condition and to suggest tailored questions for patients to ask their physician. The website was designed to be used prior to a physician visit, to increase the likelihood that patients would receive recommended tests and treatments.
methodsA total of 37 adult patients with asthma participated in semi-structured telephone interviews aimed at eliciting information about their experiences with the website. Transcripts were coded using qualitative data analysis techniques and software. Themes were developed from subsets of codes generated through the analysis. In addition, 26 physicians were surveyed regarding their impressions of the website.
resultsOpportunities exist for improving website feedback, although the majority of both patient and physician respondents held favorable opinions about the site. Two major themes emerged regarding patients' experiences with the website. First, many patients who used the website had a positive shift in their attitudes regarding interactions with their physicians. Second, use of the website prompted patients to become more actively involved in their asthma care. No patient reported any negative experiences as a result of using the website. Physicians rated the website positively.
conclusionsPatients perceived that the interactive website intervention improved communication and interaction with their physicians, suggesting that patients can play a role in overcoming the clinical inertia of providers. Although the design and content of the website can be improved upon, the main findings suggest that use of the website is well accepted and is perceived to improve the quality of care that patients receive.
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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.