Trial reportTelemedicine journal and e-health : the official journal of the American Telemedicine Association2016
Structured Caregiver Feedback Enhances Engagement and Impact of Mobile Health Support: A Randomized Trial in a Lower-Middle-Income Country.
Trial report in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
31 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Role of Caregivers in Remote Management of Patients With Type 2 Diabetes Mellitus: Systematic Review of Literature.Journal of medical Internet research · 2023Pooled it
- Towards a more patient-centered clinical trial process: A systematic review of interventions incorporating health literacy best practices.Contemporary clinical trials · 2022Pooled it
- Systematic Review of Technology-Based Interventions Targeting Chronically Ill Adults and Their Caregivers.Western journal of nursing research · 2020Pooled it
- How Behavior Change Strategies are Used to Design Digital Interventions to Improve Medication Adherence and Blood Pressure Among Patients With Hypertension: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Theories Applied to m-Health Interventions for Behavior Change in Low- and Middle-Income Countries: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2018Pooled it
- Diabetes Prevention Interventions in Latin American Countries: a Scoping Review.Current diabetes reports · 2016Pooled it
- Prerandomization withdrawals from a Type 2 diabetes self-care support intervention trial are associated with lack of available support person coparticipant.Chronic illness · 2025Trial
- Sociodemographic Characteristics Predicting Digital Health Intervention Use After Acute Myocardial Infarction.Journal of cardiovascular translational research · 2021Trial
- Feasibility study of automated interactive voice response telephone calls with community health nurse follow-up to improve glycaemic control in patients with type 2 diabetes.International journal of nursing practice · 2019Trial
- Caregiving for Older Adults with Hypertension: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Review
- Features of the Nurse-Patient Relationship: Insights from a Qualitative Review Using Artificial Intelligence Interpretation.Current oncology (Toronto, Ont.) · 2024Review
- Mobile Health Apps, Family Caregivers, and Care Planning: Scoping Review.Journal of medical Internet research · 2024Article
- The Future of Virtual Care for Older Ethnic Adults Beyond the COVID-19 Pandemic.Journal of medical Internet research · 2022Article
- Patient and supporter factors affecting engagement with diabetes telehealth.The American journal of managed care · 2021Article
- Mobile health applications for disease screening and treatment support in low-and middle-income countries: A narrative review.Heliyon · 2021Review
- A randomized intervention involving family to improve communication in breast cancer care.NPJ breast cancer · 2021Article
- Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent.Current diabetes reports · 2020Review
- mHealth and Engagement Concerning Persons With Chronic Somatic Health Conditions: Integrative Literature Review.JMIR mHealth and uHealth · 2020Review
- Digital Mental Health: The Answer to the Global Mental Health Crisis?JMIR mental health · 2020Article
- An Analysis of Complaints in Two Large Tertiary University Teaching Hospital ENT Departments: A Two-Year Retrospective Review.International journal of otolaryngology · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundPatients' engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers ("CarePartners") increased engagement in m-health support among diabetes and hypertension patients in Bolivia. MATERIALS AND
methodsPatients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone ("standard m-health") or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call ("m-health+CP").
resultsThe 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had ≤6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p < 0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p < 0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR] = 2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR = 0.42; 95% CI, 0.19, 0.91).
conclusionsIn this study we found that caregiver feedback increased engagement in m-health and may improve patients' health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs.
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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.