Evidence map›Paper›PMID 23407006›Full record

ArticleMedical care2013

Using patient-facing kiosks to support quality improvement at mental health clinics.

Amy N Cohen, Matthew J Chinman, Alison B Hamilton, Fiona Whelan, Alexander S Young

3 registry-linked trialsAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in Medical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT00137280 nacompletednot on this map

Implementing Effective, Collaborative Care for Schizophrenia

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2007 to 2011Enrolled1,067ConditionsSchizophrenia, Chronic Illness, Weight Gain, Psychotic DisorderArmsCollaborative Chronic Illness Care Model
NCT01324973 nacompletednot on this map

Web-Based Weight Management for Individuals With Mental Illness

TypeinterventionalSponsorUniversity of California, Los AngelesRan2012 to 2014Enrolled60ConditionsMental Disorders, Schizophrenia, Affective Disorders, Psychotic, OverweightArmseWellness
NCT02183844 nacompletednot on this mapstarted 2014, after this paper: background citation

Implementing Patient-Centered Decision Support for Mental Health

TypeinterventionalSponsorUniversity of California, Los AngelesRan2014 to 2017Enrolled61ConditionsMental Disorders, Schizophrenia, Overweight, ObesityArmsPsychosocial Weight Intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. The Role of Health Kiosks: Scoping Review.JMIR medical informatics · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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

5 authors.

Amy N CohenVA Desert Pacific Mental Illness Research Education and Clinical Center, USA.
Matthew J Chinman
Alison B Hamilton
Fiona Whelan
Alexander S Young

Funding

The Role of Social Networks in Treatment Engagement for MinoritiesP30MH082760 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SPRINGGATE, BENJAMIN F · 2008 to 2012
$8.6M
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Web-Based Weight Management for Individuals with Mental IllnessR34MH090207 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YOUNG, ALEXANDER S. · 2010 to 2012
$537k
HSRD VA MNT 03-213NIMH NIH HHS P30 MH082760NIMH NIH HHS R25 MH080916NIMH NIH HHS R34 MH090207
6 · The paper itself

Abstract

objectivesEvidence-based services improve outcomes in schizophrenia, but most patients at mental health clinics do not receive such services. This gap in care has been perpetuated by a lack of routinely collected data on patients' clinical status and the treatments they receive. However, routine data collection can be completed by patients themselves, especially when aided by health information technology. It is not known whether these data can be used to improve care quality.

methodsIn a controlled trial, 8 medical centers of the Veterans Health Administration were assigned to implementation or usual care. A total of 571 patients with schizophrenia were overweight and had not used evidence-based weight services. The implementation strategy included data from patient-facing kiosks, continuous data feedback, clinical champions, education, social marketing, and evidence-based quality improvement teams. Mixed methods evaluated the impact of the kiosks on utilization of and retention in weight services.

resultsCompared with usual care, implementation resulted in individuals being more likely to use weight services, availing services >5 weeks sooner, and continuing to use the services 3 times more. When compared with the year before implementation, patients at implementation sites saw a 3-fold increase in treatment visits. Usual care resulted in no change.

conclusionsMental health clinics have been slow to adopt health information technology. This study is among the first to implement and evaluate automated collection of data from patients at these clinics. Patient-facing kiosks are feasible in routine care and provide data that can be used to substantially improve the quality of care.

Indexed as

Computer TerminalsHospitals, VeteransQuality ImprovementAmbulatory CareChi-Square DistributionCommunity Mental Health ServicesEvidence-Based MedicineFemaleHumansInterviews as TopicLogistic ModelsMaleMedical InformaticsMiddle AgedOverweightProgram Evaluation

Identifiers

PMID23407006
PMCPMC3654521

What OpenQuestion holds

Textmetadata
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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.