Evidence map›Paper›PMID 25103125›Full record

Trial reportJournal of general internal medicine2014

A randomized controlled pilot trial of the functional assessment screening tablet to engage patients at the point of care.

Rachel Hess, Hilary Tindle, Molly B Conroy, Sunday Clark, Eric Yablonsky, Ron D Hays

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Rachel HessDivision of General Internal Medicine, Department of Medicine and Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA, rachel.hess@hsc.utah.edu.
Hilary Tindle
Molly B Conroy
Sunday Clark
Eric Yablonsky
Ron D Hays

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CUNNINGHAM, WILLIAM EMERY, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
Connect to Quit: Coordinated Care for Smoking Cessation among Low Income VeteransR01CA141596 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TINDLE, HILARY A. · 2010 to 2014
$3.0M
NCI NIH HHS 5 R01 CA141596 03NCI NIH HHS R01 CA141596NCRR NIH HHS UL1 RR024153NIA NIH HHS P30 AG021684NIA NIH HHS P30-AG021684NIMHD NIH HHS 2 P20-MD000182NIMHD NIH HHS P20 MD000182
6 · The paper itself

Abstract

backgroundHealthcare providers play an important role in encouraging healthy behaviors and improving health-related quality of life (HRQoL). They are most effective when they partner with informed, engaged patients.

objectiveTo examine the impact of a new health-information technology intervention (FAST-Feedback) that provides patients with immediate, personalized, guideline-based feedback regarding tobacco use, physical activity, and HRQoL, and encourages patients to initiate discussions regarding these topics with their primary care physician.

designA pilot, randomized controlled trial clustered by resident physician, with patients as the unit of analysis.

participantsResident physicians and their out-patients in a single academic health center between May and October 2011.

interventionPatients received (intervention) or did not receive (control) FAST-Feedback prior to the clinical encounter.

main outcome measuresPrimary outcomes were patient reports of initiating any discussions regarding tobacco use, physical activity, and HRQoL. Subgroup analyses examined patient reports of discussions regarding tobacco use, physical activity, and HRQoL, respectively. KEY

resultsThirty of the 36 eligible resident physicians (83%) agreed to participate; 173 of their 415 eligible patients (42%) expressed interest in the study and 99 (24%) consented to participate. Compared to controls, a higher percentage of intervention patients reported initiating any discussion with their resident physician, although this difference was not statistically significant (40% vs. 27%; p = 0.12). For subgroup analyses regarding specific topics of discussion, patients in the intervention group reported initiating more discussions regarding mental HRQoL than controls (23% vs. 0%; p = 0.02). There was no difference in patient reports of initiating discussions regarding smoking, physical activity or physical HRQoL.

conclusionsProviding patients with immediate, personalized, guideline-based feedback prior to the clinical encounter can increase patient-initiated discussions regarding mental HRQoL. Future work should test FAST-Feedback in a larger population and evaluate the impact on tobacco cessation, increased physical activity, and improvements in HRQoL.

Indexed as

Computers, HandheldHealth BehaviorPoint-of-Care SystemsAdultAgedAged, 80 and overCommunicationFeedbackFemaleHealth PromotionHumansMaleMass ScreeningMiddle AgedMotor ActivityPhiladelphia

Identifiers

PMID25103125
PMCPMC4242881

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.