Trial reportJournal of the American Medical Informatics Association : JAMIA
Effectiveness of topic-specific infobuttons: a randomized controlled trial.
Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02922738 (The Impact of a Dermatology Information Source on Skin Problem Outcomes in Primary Care), which is not on this map. Cited by 39 papers, 3 of them syntheses 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.
The Impact of a Dermatology Information Source on Skin Problem Outcomes in Primary Care
Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of trials evaluating success factors of interventions with computerised clinical decision support.Implementation science : IS · 2018Pooled it
- Optimization of infobutton design and Implementation: A systematic review.Journal of biomedical informatics · 2017Pooled it
- Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Evaluating the Impact of the Grading and Assessment of Predictive Tools Framework on Clinicians and Health Care Professionals' Decisions in Selecting Clinical Predictive Tools: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Novel Health Information Technology to Aid Provider Recognition and Treatment of Major Depressive Disorder and Posttraumatic Stress Disorder in Primary Care.Medical care · 2019Trial
- Effect of a clinical evidence technology on patient skin disease outcomes in primary care: a cluster-randomized controlled trial.Journal of the Medical Library Association : JMLA · 2019Trial
- Rationale and study protocol for a multi-component Health Information Technology (HIT) screening tool for depression and post-traumatic stress disorder in the primary care setting.Contemporary clinical trials · 2016Trial
- Evaluation of the effect of decision support on the efficiency of primary care providers in the outpatient practice.Journal of primary care & community health · 2015Trial
- Clinician search behaviors may be influenced by search engine design.Journal of medical Internet research · 2010Trial
- Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.JMIR medical informatics · 2023Review
- Feeling and thinking: can theories of human motivation explain how EHR design impacts clinician burnout?Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Regenstrief teaching electronic medical record (tEMR) platform: a novel tool for teaching and evaluating applied health information technology.JAMIA open · 2021Article
- Health Care Providers' Profiles and Evaluations of a Statewide Online Education Program for Dissemination of Clinical Evidence on HIV, Hepatitis C Virus, and Sexually Transmitted Disease: Cross-Sectional Study.JMIR medical education · 2019Article
- Physicians' pharmacogenomics information needs and seeking behavior: a study with case vignettes.BMC medical informatics and decision making · 2017Article
- Identifying complexity in infectious diseases inpatient settings: An observation study.Journal of biomedical informatics · 2017Article
- Integrating Genomic Resources with Electronic Health Records using the HL7 Infobutton Standard.Applied clinical informatics · 2016Article
- Classification of clinically useful sentences in clinical evidence resources.Journal of biomedical informatics · 2016Article
- Formative evaluation of a patient-specific clinical knowledge summarization tool.International journal of medical informatics · 2016Article
- Clinical management IT system for enhanced recovery.Journal of thoracic disease · 2016Review
- Expanding access to high-quality plain-language patient education information through context-specific hyperlinks.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveInfobuttons are decision support tools that provide links within electronic medical record systems to relevant content in online information resources. The aim of infobuttons is to help clinicians promptly meet their information needs. The objective of this study was to determine whether infobutton links that direct to specific content topics ("topic links") are more effective than links that point to general overview content ("nonspecific links").
designRandomized controlled trial with a control and an intervention group. Clinicians in the control group had access to nonspecific links, while those in the intervention group had access to topic links. MEASUREMENTS: Infobutton session duration, number of infobutton sessions, session success rate, and the self-reported impact that the infobutton session produced on decision making.
resultsThe analysis was performed on 90 subjects and 3,729 infobutton sessions. Subjects in the intervention group spent 17.4% less time seeking for information (35.5 seconds vs. 43 seconds, p = 0.008) than those in the control group. Subjects in the intervention group used infobuttons 20.5% (22 sessions vs. 17.5 sessions, p = 0.21) more often than in the control group, but the difference was not significant. The information seeking success rate was equally high in both groups (89.4% control vs. 87.2% intervention, p = 0.99). Subjects reported a high positive clinical impact (i.e., decision enhancement or knowledge update) in 62% of the sessions. Limitations The exclusion of users with a low frequency of infobutton use and the focus on medication-related information needs may limit the generalization of the results. The session outcomes measurement was based on clinicians' self-assessment and therefore prone to bias.
conclusionThe results support the hypothesis that topic links are more efficient than nonspecific links regarding the time seeking for information. It is unclear whether the statistical difference demonstrated will result in a clinically significant impact. However, the overall results confirm previous evidence that infobuttons are effective at helping clinicians to answer questions at the point of care and demonstrate a modest incremental change in the efficiency of information delivery for routine users of this tool.
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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.