Evidence map›Paper›PMID 25622970›Full record

Trial reportTrials2015

A primary care, electronic health record-based strategy to promote safe drug use: study protocol for a randomized controlled trial.

Kamila Przytula, Stacy Cooper Bailey, William L Galanter, Bruce L Lambert, Neeha Shrestha, Carolyn Dickens, Suzanne Falck, Michael S Wolf

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01669473 (A Primary Care, EHR- Based Strategy to Promote Safe and Appropriate Drug Use), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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.

NCT01669473 nacompletednot on this map

A Primary Care, EHR- Based Strategy to Promote Safe and Appropriate Drug Use

TypeinterventionalSponsorNorthwestern UniversityRan2013 to 2016Enrolled541ConditionsDiabetes Mellitus Type I, Diabetes Mellitus Type IIArmsEHR Based Strategy to promote Safe and Appropriate Drug Use
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

8 authors.

Kamila PrzytulaDivision of General Internal Medicine, Feinberg School of Medicine at Northwestern University, 750 N Lake Shore Drive, 10th Floor, Chicago, IL, 60611, USA. kamila.przytula@northwestern.edu.
Stacy Cooper BaileyDivision of Pharmaceutical Outcomes and Policy at the UNC Eshelman School of Pharmacy, Chapel Hill, NC, USA. scbailey@unc.edu.
William L GalanterMedicine and Pharmacy Practice at the University of Illinois at Chicago, Chicago, IL, USA. billg@uic.edu.
Bruce L LambertDepartment of Communication Studies, Center for Communication and Health at Northwestern University, Chicago, IL, USA. bruce.lambert@northwestern.edu.
Neeha ShresthaNorthwestern Center for Education and Research on Therapeutics (CERT), Chicago, IL, USA. neeha.shrestha@northwestern.edu.
Carolyn DickensCollege of Nursing at the University of Illinois in Chicago, Chicago, IL, USA. cdickens@uic.edu.
Suzanne FalckMedicine and Pharmacy Practice at the University of Illinois at Chicago, Chicago, IL, USA. sfalck@uic.edu.
Michael S WolfDivision of General Internal Medicine, Feinberg School of Medicine at Northwestern University, 750 N Lake Shore Drive, 10th Floor, Chicago, IL, 60611, USA. mswolf@northwestern.edu.

Funding

Tools for Optimizing Medication Safety (TOP-MEDS)U19HS021093 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI LAMBERT, BRUCE L. · 2011 to 2015
$4.3M
UNC Center for Diabetes Translation Research to Reduce Health DisparitiesP30DK093002 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIS, RICHARD M, PIGNONE, MICHAEL P · 2011 to 2015
$3.0M
AHRQ HHS U19 HS021093AHRQ HHS U19HS021093NIDDK NIH HHS P30 DK093002
6 · The paper itself

Abstract

backgroundThe Northwestern University Center for Education and Research on Therapeutics (CERT), funded by the Agency for Healthcare Research and Quality, is one of seven such centers in the USA. The thematic focus of the Northwestern CERT is 'Tools for Optimizing Medication Safety.' Ensuring drug safety is essential, as many adults struggle to take medications, with estimates indicating that only half of adults take drugs as prescribed. This report describes the methods and rationale for one innovative project within the CERT: the 'Primary Care, Electronic Health Record-Based Strategy to Promote Safe and Appropriate Drug Use'. METHODS/

designThe overall objective of this 5-year study is to evaluate a health literacy-informed, electronic health record-based strategy for promoting safe and effective prescription medication use in a primary care setting. A total of 600 English and Spanish-speaking patients with diabetes will be consecutively recruited to participate in the study. Patients will be randomized to receive either usual care or the intervention; those in the intervention arm will receive a set of print materials designed to support medication use and prompt provider counseling and medication reconciliation. Participants will be interviewed in person after their index clinic visit and again one month later. Process outcomes related to intervention delivery will be recorded. A medical chart review will be performed at 6 months. Patient outcome measures include medication understanding, adherence and clinical measures (hemoglobin A1c, blood pressure, and cholesterol; exploratory outcomes only). DISCUSSION: Through this study, we will be able to examine the impact of a health literacy-informed, electronic health record-based strategy on medication understanding and adherence among diabetic primary care patients. The measurement of process outcomes will help inform how the strategy might ultimately be refined and disseminated to other sites. Strategies such as these are needed to address the multifaceted challenges related to medication self-management among patients with chronic conditions.

trial registrationClinicaltrials.gov NCT01669473.

Indexed as

Clinical ProtocolsElectronic Health RecordsPrimary Health CareHumansMedication AdherenceMedication Therapy Management

Identifiers

PMID25622970
PMCPMC4322813

What OpenQuestion holds

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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.