Evidence map›Paper›PMID 26239859›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2016

A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.

Anuj K Dalal, Patricia C Dykes, Sarah Collins, Lisa Soleymani Lehmann, Kumiko Ohashi, Ronen Rozenblum, Diana Stade, Kelly McNally, Constance R C Morrison, Sucheta Ravindran and 6 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 7 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

62 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  6. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
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2 more citing papers are in PubMed but not listed here.

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

16 authors.

Anuj K DalalBrigham and Women's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA adalal1@partners.org.
Patricia C DykesBrigham and Women's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
Sarah CollinsHarvard Medical School, Boston, Massachusetts, USA Partners HealthCare, Boston, Massachusetts, USA.
Lisa Soleymani LehmannBrigham and Women's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
Kumiko OhashiBrigham and Women's Hospital, Boston, Massachusetts, USA.
Ronen RozenblumBrigham and Women's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
Diana StadeBrigham and Women's Hospital, Boston, Massachusetts, USA.
Kelly McNallyBrigham and Women's Hospital, Boston, Massachusetts, USA.
Constance R C MorrisonBrigham and Women's Hospital, Boston, Massachusetts, USA.
Sucheta RavindranBrigham and Women's Hospital, Boston, Massachusetts, USA.
Eli MlaverBrigham and Women's Hospital, Boston, Massachusetts, USA.
John HannaBrigham and Women's Hospital, Boston, Massachusetts, USA.
Frank ChangPartners HealthCare, Boston, Massachusetts, USA.
Ravali KandalaPartners HealthCare, Boston, Massachusetts, USA.
George GettyPartners HealthCare, Boston, Massachusetts, USA.
David W BatesBrigham and Women's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Partners HealthCare, Boston, Massachusetts, USA.

Funding

Making Acute Care More Patient-CenteredP30HS023535 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI BATES, DAVID W., MD,MSC · 2014 to 2017
$3.9M
AHRQ HHS P30 HS023535
6 · The paper itself

Abstract

We implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). The most common reason for not approaching the patient was our inability to identify a health care proxy when a patient was incapacitated. Significantly more caregivers were enrolled in medical intensive care units compared with oncology units (75% vs 32%; P < .01). Of the 239 patient/caregivers, 158 (66%) and 97 (41%) inputted a daily and overall goal, respectively. Use of educational content was highest for medications and test results and infrequent for problems. The most common clinical theme identified in 291 messages sent by 158 patients/caregivers was health concerns, needs, preferences, or questions (19%, 55 of 291). The average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable. From analysis of feedback, we identified barriers to adoption and outlined strategies to promote use.

Indexed as

CaregiversCommunicationHospitalizationInternetPatient-Centered CareProfessional-Patient RelationsAcute DiseaseHumansPatient Care PlanningUser-Computer Interfaceacute care patient portalpatient/caregiver engagementpatient-centered carepatient engagement technologypatient-provider communication

Identifiers

PMID26239859
PMCPMC7814931

What OpenQuestion holds

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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.