Evidence map›Paper›PMID 26795675›Full record

Trial reportContemporary clinical trials2016

Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial.

Ruth Masterson Creber, Jennifer Prey, Beatriz Ryan, Irma Alarcon, Min Qian, Suzanne Bakken, Steven Feiner, George Hripcsak, Fernanda Polubriaginof, Susan Restaino and 3 more

Abstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. A randomized controlled trial to improve engagement of hospitalized patients with their patient portals.Journal of the American Medical Informatics Association : JAMIA · 2018
    Trial
  4. Trial
  5. Engaging hospital patients in the medication reconciliation process using tablet computers.Journal of the American Medical Informatics Association : JAMIA · 2018
    Trial
  6. Trial
  7. Article
  8. Article
  9. Visual analogies, not graphs, increase patients' comprehension of changes in their health status.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Patient portal use and hospital outcomes.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  19. Implementation of acute care patient portals: recommendations on utility and use from six early adopters.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  20. Usability evaluation of a commercial inpatient portal.International journal of medical informatics · 2018
    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

13 authors.

Ruth Masterson CreberColumbia University, School of Nursing, 617 W 168th St., New York, NY 10032, United States.
Jennifer PreyDepartment of Biomedical Informatics, 20, Presbyterian Building, 622 W 168th St., New York, NY 10032, United States.
Beatriz RyanThe Value Institute at New York Presbyterian Hospital, 622 W 168th St., New York, NY 10032, United States.
Irma AlarconDepartment of Biomedical Informatics, 20, Presbyterian Building, 622 W 168th St., New York, NY 10032, United States.
Min QianMailman School of Public Health, 722 W. 168th St. R645, New York, NY 10032, United States.
Suzanne BakkenColumbia University, School of Nursing, 617 W 168th St., New York, NY 10032, United States.
Steven FeinerDepartment of Computer Science, Columbia University, 500 W. 120th St., 450 CS Building, New York, NY 10027, United States.
George HripcsakDepartment of Biomedical Informatics, 20, Presbyterian Building, 622 W 168th St., New York, NY 10032, United States.
Fernanda PolubriaginofDepartment of Biomedical Informatics, 20, Presbyterian Building, 622 W 168th St., New York, NY 10032, United States.
Susan RestainoNew York Presbyterian Hospital, 622 W 168th St. #137, New York, NY 10032, United States.
Rebecca SchnallColumbia University, School of Nursing, 617 W 168th St., New York, NY 10032, United States.
Philip StrongEl Camino Hospital, 2500 Grant Rd., Mountain View, CA 94040, United States.
David VawdreyThe Value Institute at New York Presbyterian Hospital, 622 W 168th St., New York, NY 10032, United States.

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Addressing Hospital Patient Information Needs Using a PHR PortalR01HS021816 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI VAWDREY, DAVID K. · 2013 to 2016
$2.0M
AHRQ HHS R01 HS021816AHRQ HHS R01-HS021816NINR NIH HHS T32 NR007969NINR NIH HHS T32NR007969
6 · The paper itself

Abstract

backgroundPatients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients' information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. METHODS/

designThis pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants.

conclusionThis study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings.

Indexed as

HospitalizationPatient PortalsAdolescentAdultAgedAged, 80 and overClinical ProtocolsComputers, HandheldFemaleHumansMaleMiddle AgedPatient Access to RecordsPatient ParticipationYoung AdultInpatient portalMedical informaticsPatient activationPatient-centered carePatient engagementPragmatic clinical trialRandomized controlled trial

Identifiers

PMID26795675
PMCPMC4818160

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.