Evidence map›Paper›PMID 25077130›Full record

ArticleCMAJ open2014

Capacity and willingness of patients with chronic noncommunicable diseases to use information technology to help manage their condition: a cross-sectional study.

Arash Ehteshami Afshar, Robert G Weaver, Meng Lin, Michael Allan, Paul E Ronksley, Claudia Sanmartin, Richard Lewanczuk, Mark Rosenberg, Braden Manns, Brenda Hemmelgarn and 2 more

Abstract read
In one paragraph

Article in CMAJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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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

12 authors.

Arash Ehteshami AfsharDepartment of Medicine, University of Alberta, Edmonton, Alta.
Robert G WeaverDepartment of Medicine, University of Calgary, Calgary, Alta.
Meng LinDepartment of Medicine, University of Alberta, Edmonton, Alta.
Michael AllanDepartment of Medicine, University of Alberta, Edmonton, Alta. ; Department of Family Medicine, University of Alberta, Edmonton, Alta.
Paul E RonksleyDepartment of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alta.
Claudia SanmartinHealth Analysis Division, Statistics Canada, Ottawa, Ont.
Richard LewanczukDivision of Endocrinology and Metabolism, University of Alberta, Edmonton, Alta.
Mark RosenbergDepartment of Geography, Queen's University, Kingston, Ont.
Braden MannsDepartment of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alta.
Brenda HemmelgarnDepartment of Medicine, University of Calgary, Calgary, Alta.
Marcello TonelliDepartment of Medicine, University of Alberta, Edmonton, Alta.
Interdisciplinary Chronic Disease Collaboration

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care providers have shown considerable interest in using information technologies such as email, text messages and video conferencing to facilitate the management of chronic noncommunicable diseases such as hypertension, diabetes mellitus and vascular disease. We sought to determine whether these technologies are available and appealing to the target population.

methodsWe analyzed cross-sectional data from a computer-assisted telephone survey, conducted by Statistics Canada in February and March 2012, of western Canadian adults with at least 1 chronic condition. Survey respondents were asked about their capacity (e.g., "Do you own a mobile phone?") and willingness to use each of 3 information technologies (email, text messages and video conferencing) to interact with health care providers. For all analyses, Statistics Canada's calibrated design weights and bootstrap weights were used to obtain population-level point estimates for proportions and odds ratios.

resultsIn total, 1849 (79.8%) of 2316 eligible people participated. Of the 1849 participants, 81.9% had hypertension, 26.2% had diabetes, 21.4% had heart disease, and 7.9% had stroke; 32.2% had more than 1 of the 4 chronic conditions of interest. High proportions of respondents owned a computer with Internet access (76.4%, 95% confidence interval [CI] 73.3%-79.3%) or a mobile phone (73.9%, 95% CI 70.7%-76.8%). About two-thirds of respondents were interested in using email to interact with a specialist (66.3%, 95% CI 63.0%-69.5%); respondents were less enthusiastic about using text messages (44.9%, 95% CI 41.2%-48.7%). Enthusiasm for video conferencing was more pronounced among those residing further from medical specialists than among those living closer. Among respondents who were potentially interested in video conferencing, almost 50% of remote dwellers would use this technology if it saved more than 60 minutes of travel time.

interpretationMany people were interested in using electronic technologies, especially video conferencing and email-based methods, to help manage their chronic condition. The effectiveness and cost implications of using email and video conferencing in the management of chronic disease deserve further consideration.

Identifiers

PMID25077130
PMCPMC4084741

What OpenQuestion holds

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Registered trials

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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.