Evidence map›Paper›PMID 24847084›Full record

Trial reportCirculation. Cardiovascular quality and outcomes2014

An online spaced-education game among clinicians improves their patients' time to blood pressure control: a randomized controlled trial.

B Price Kerfoot, Alexander Turchin, Eugene Breydo, David Gagnon, Paul R Conlin

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation. Cardiovascular quality and outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00904007 (Interactive Spaced Education to Optimize Hypertension Management), which is not on this map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
2.6field-weighted citation impact, top 9% of its field
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.

NCT00904007 nacompletednot on this map

Interactive Spaced Education to Optimize Hypertension Management

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2010 to 2014Enrolled111ConditionsHypertensionArmsInteractive Spaced Education (ISE) --- online education
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Gamification of health professions education: a systematic review.Advances in health sciences education : theory and practice · 2021
    Pooled it
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  7. Trial
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  11. Article
  12. Little Patients, Big Tasks - A Pediatric Emergency Medicine Escape Room.Journal of education & teaching in emergency medicine · 2023
    Article
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  17. Urology in Undergraduate Medical Education.Current urology reports · 2019
    Review
  18. Article
  19. New Approaches to Continuing Medical Education: a QStream (spaced education) Program for Research Translation in Ovarian Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  20. Article
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 at 3 institutions in 1 country.

B Price KerfootFrom the Veterans Affairs Boston Healthcare System, Boston, MA (B.P.K., D.G., P.R.C.); Harvard Medical School, Boston, MA (B.P.K., A.T., P.R.C.); Brigham and Women's Hospital, Boston, MA (A.T., E.B., P.R.C.); Partners HealthCare, Boston, MA (A.T.); Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston (D.G.); and Boston University School of Public Health, MA (D.G.). price.kerfoot@gmail.com.
Alexander TurchinFrom the Veterans Affairs Boston Healthcare System, Boston, MA (B.P.K., D.G., P.R.C.); Harvard Medical School, Boston, MA (B.P.K., A.T., P.R.C.); Brigham and Women's Hospital, Boston, MA (A.T., E.B., P.R.C.); Partners HealthCare, Boston, MA (A.T.); Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston (D.G.); and Boston University School of Public Health, MA (D.G.).
Eugene BreydoFrom the Veterans Affairs Boston Healthcare System, Boston, MA (B.P.K., D.G., P.R.C.); Harvard Medical School, Boston, MA (B.P.K., A.T., P.R.C.); Brigham and Women's Hospital, Boston, MA (A.T., E.B., P.R.C.); Partners HealthCare, Boston, MA (A.T.); Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston (D.G.); and Boston University School of Public Health, MA (D.G.).
David GagnonFrom the Veterans Affairs Boston Healthcare System, Boston, MA (B.P.K., D.G., P.R.C.); Harvard Medical School, Boston, MA (B.P.K., A.T., P.R.C.); Brigham and Women's Hospital, Boston, MA (A.T., E.B., P.R.C.); Partners HealthCare, Boston, MA (A.T.); Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston (D.G.); and Boston University School of Public Health, MA (D.G.).
Paul R ConlinFrom the Veterans Affairs Boston Healthcare System, Boston, MA (B.P.K., D.G., P.R.C.); Harvard Medical School, Boston, MA (B.P.K., A.T., P.R.C.); Brigham and Women's Hospital, Boston, MA (A.T., E.B., P.R.C.); Partners HealthCare, Boston, MA (A.T.); Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston (D.G.); and Boston University School of Public Health, MA (D.G.).
Harvard University · USMass General Brigham · USBrigham and Women's Hospital · US

Funding

Renal blood flow, vascular stiffness, and the DASH dietK24DK063214 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI CONLIN, PAUL R · 2003 to 2012
$1.7M
Cardiovascular and renal hemodynamics and the DASH dietR01HL077234 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CONLIN, PAUL R · 2005 to 2009
$1.7M
NHLBI NIH HHS R01 HL077234NHLBI NIH HHS R01 HL77234NIDDK NIH HHS K24 DK063214NIDDK NIH HHS K24 DK63214
6 · The paper itself

Abstract

backgroundMany patients with high blood pressure (BP) do not have antihypertensive medications appropriately intensified at clinician visits. We investigated whether an online spaced-education (SE) game among primary care clinicians can decrease time to BP target among their hypertensive patients. METHODS AND

resultsA 2-arm randomized trial was conducted over 52 weeks among primary care clinicians at 8 hospitals. Educational content consisted of 32 validated multiple-choice questions with explanations on hypertension management. Providers were randomized into 2 groups: SE clinicians were enrolled in the game, whereas control clinicians received identical educational content in an online posting. SE game clinicians were e-mailed 1 question every 3 days. Adaptive game mechanics resent questions in 12 or 24 days if answered incorrectly or correctly, respectively. Clinicians retired questions by answering each correctly twice consecutively. Posting of relative performance among peers fostered competition. Primary outcome measure was time to BP target (<140/90 mm Hg). One hundred eleven clinicians enrolled. The SE game was completed by 87% of clinicians (48/55), whereas 84% of control clinicians (47/56) read the online posting. In multivariable analysis of 17 866 hypertensive periods among 14 336 patients, the hazard ratio for time to BP target in the SE game cohort was 1.043 (95% confidence interval, 1.007-1.081; P=0.018). The number of hypertensive episodes needed to treat to normalize one additional patient's BP was 67.8. The number of clinicians needed to teach to achieve this was 0.43.

conclusionsAn online SE game among clinicians generated a modest but significant reduction in the time to BP target among their hypertensive patients. CLINICAL TRIAL REGISTRATION URL: http://www.clinicaltrials.gov. Unique identifier: NCT00904007.

Indexed as

AgedAged, 80 and overAntihypertensive AgentsAudiovisual AidsDecision Making, Computer-AssistedFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedOnline SystemsPhysicians, Primary CareQuality ImprovementTime FactorsTreatment OutcomeAntihypertensive Agentseducational technologyhealth services researchhypertensionmedical educationpatients

Identifiers

PMID24847084
PMCPMC4040124
OpenAlexW2105479637

What OpenQuestion holds

Textmetadata
LicenceTDM
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.