Evidence map›Paper›PMID 25795698›Full record

ArticleBMJ open2015

Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: a service evaluation.

Elizabeth Cottrell, Tracey Cox, Phil O'Connell, Ruth Chambers

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. The current state and future of internet technology-based hypertension management in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Review
  8. Observational
  9. 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

4 authors at 1 institution in 1 country.

Elizabeth CottrellTrentham Mews Medical Centre, Staffordshire, UK.
Tracey CoxNHS Stoke-on-Trent Clinical Commissioning Group, Stoke-on-Trent, UK.
Phil O'ConnellNHS Stoke-on-Trent Clinical Commissioning Group, Stoke-on-Trent, UK.
Ruth ChambersNHS Stoke-on-Trent Clinical Commissioning Group, Stoke-on-Trent, UK.
University of Staffordshire · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo establish patient and professional user satisfaction with the Advice & Interactive Messaging (AIM) for Health programme delivered using a mobile phone-based, simple telehealth intervention, 'Florence'.

designA service evaluation using data extracted from Florence and from a professional user electronic survey.

setting425 primary care practices across 31 Clinical Commissioning Groups in England.

participants3381 patients registered on 1 of 10 AIM protocols between March 2013 and January 2014 and 77 professional users.

interventionThe AIM programme offered 10 clinical protocols, in three broad groups: (1) hypertension diagnosis/monitoring, (2) medication reminders and (3) smoking cessation. Florence sent patients prompts to submit clinical information, educational messages and user satisfaction questions. Patient responses were reviewed by their primary healthcare providers. PRIMARY OUTCOME MEASURES: Patients and professional user experiences of using AIM, and within this, Florence.

resultsPatient activity using Florence was generally good at month 1 for the hypertension protocols (71-80%), but reduced over 2-3 months (31-60%). For the other protocols, patient activity was 0-39% at 3 months. Minimum target days of texting were met for half the hypertension protocols. 1707/2304 (74%) patients sent evaluative texts responded at least once. Among responders, agreement with the adapted friends and family statement generally exceeded preproject aspirations. Professional responders were generally positive or equivocal about the programme.

conclusionsSatisfaction with AIM appeared optimal when patients were carefully selected for the protocol; professional users were familiar with the system, the programme addressed a problem with the previous service delivery that was identified by users and users took an active approach to achieve clinical goals. However, there was a significant decrease in patients' use of Florence over time. Future applications may be optimised by identifying and addressing reasons for the waning use of the service and enhancing support during implementation of the service.

Indexed as

Attitude of Health PersonnelMedication AdherencePatient SatisfactionReminder SystemsTelemedicineText MessagingAsthmaEnglandHumansHypertensionProgram EvaluationSelf CareSmoking Cessationevaluationprimary health caresatisfactiontelehealth

Identifiers

PMID25795698
PMCPMC4368930
OpenAlexW2145774920

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.