Evidence map›Paper›PMID 26916967›Full record

ArticlePediatric transplantation2016

Development and field testing of Teen Pocket PATH(®), a mobile health application to improve medication adherence in adolescent solid organ recipients.

Diana A Shellmer, Mary Amanda Dew, George Mazariegos, Annette DeVito Dabbs

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Mobile Apps for Increasing Treatment Adherence: Systematic Review.Journal of medical Internet research · 2019
    Pooled it
  3. Trial
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  5. Voice-Activated Self-Monitoring Application (VoiS): User Acceptance and Satisfaction in the Field.Proceedings : Annual International Computer Software and Applications Conference. COMPSAC · 2025
    Article
  6. Review
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  12. Review
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  17. Designing for impact: identifying stakeholder-driven interventions to support recovery after major cancer surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Diana A ShellmerDepartment of Pediatric Transplant Surgery, School of Medicine University of Pittsburgh, Pittsburgh, PA, USA.
Mary Amanda DewDepartments of Psychiatry, Psychology, Epidemiology and Biostatistics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
George MazariegosDepartment of Pediatric Transplant Surgery, School of Medicine University of Pittsburgh, Pittsburgh, PA, USA.
Annette DeVito DabbsDepartment of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
University of Pittsburgh · US

Funding

Chronic Graft Destruction: Interplay of Allo- and Autoantibodies and NonadherenceU01AI104336 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEBBER, STEVEN A. · 2013 to 2018
$4.8M
Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-CareR01NR010711 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DE VITO DABBS, ANNETTE J · 2008 to 2012
$3.5M
Handheld Computing for Adolescent Transplant Recipients and CaregiversK01NR013189 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHELLMER, DIANA A · 2011 to 2013
$249k
NIAID NIH HHS 5U01AI104336-02NIAID NIH HHS U01 AI104336NINR NIH HHS K01 NR013189NINR NIH HHS R01 NR010711PHS HHS NINR K01 NR013189-01PHS HHS NINR R01 NR010711-02S2
6 · The paper itself

Abstract

Applying principles of user-centered design, we iteratively developed and tested the prototype of TPP, an mHealth application to promote medication adherence and enhance communication about medication management between adolescents and primary caregivers. A purposive sample of seven adolescent solid organ transplant recipients who were ≥ one yr post-transplant and their primary caregivers participated. Participants completed up to three face-to-face laboratory usability sessions, a 6-week field test, and a debriefing session. Primary caregivers participated in an additional usability telephone session. Participants completed usability and satisfaction measures. Sample included liver (n = 4), heart (n = 2), and lung (n = 1) recipients aged 11-18 yr (57% were female, 86% were Caucasian), and nine primary caregivers aged 42-61 yr (88.9% were parents, 88% were female, 88% were Caucasian). Ninety percent of the adolescents endorsed the graphs or logs of missed/late medication dosing as useful and 100% endorsed the remaining features (e.g., medication list, dose time reminders/warnings) as useful. All adolescents expressed interest in using TPP for monitoring medications and satisfaction with the automatic messaging between adolescent and caregiver versions of the application. Adolescents unanimously found TPP easy to use. TPP shows promise as an mHealth adherence tool.

Indexed as

Medication AdherenceOrgan TransplantationReminder SystemsAdolescentAdolescent MedicineAdultCaregiversChildFemaleHealth PromotionHumansImmunosuppressive AgentsMaleMiddle AgedPatient SatisfactionSelf CareImmunosuppressive Agentsadherenceheart transplantationliver transplantationlung transplantationmedication managementmobile healthpediatric transplantation

Identifiers

PMID26916967
PMCPMC5499533
OpenAlexW2415720635

What OpenQuestion holds

Textmetadata
LicenceTDM
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.