Evidence map›Paper›PMID 27339715›Full record

Trial reportTranslational behavioral medicine2016

The E-Coach technology-assisted care transition system: a pragmatic randomized trial.

Christine S Ritchie, Thomas K Houston, Joshua S Richman, Heather J Sobko, Eta S Berner, Benjamin B Taylor, Amanda H Salanitro, Julie L Locher

Abstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Translational behavioral medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 14 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

35 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  13. Coaching Through Technology: A Systematic Review into Efficacy and Effectiveness for the Ageing Population.International journal of environmental research and public health · 2020
    Pooled it
  14. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
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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

8 authors.

Christine S RitchieDivision of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Thomas K HoustoneHealth Quality Enhancement Research Initiative, Bedford VAMC, Bedford, MA, USA. Thomas.Houston@umassmed.edu.
Joshua S RichmanBirmingham VA Medical Center, Birmingham, AL, USA.
Heather J SobkoSouthern Research Institute, Birmingham, AL, USA.
Eta S BernerHealth Informatics, Department of Health Services Administration, UAB School of Health Professions, Birmingham, AL, USA.
Benjamin B TaylorDivision of General Internal Medicine, UAB Department of Medicine, Birmingham, AL, USA.
Amanda H SalanitroGeriatric Research, Education, and Clinical Center, VA Tennessee and Valley Healthcare System and Section of Hospital Medicine, Vanderbilt University, Nashville, TN, USA.
Julie L LocherUAB School of Public Health, Birmingham, AL, USA.

Funding

E-Coaching: IVR-Enhanced Care Transition Support for Complex PatientsR18HS017786 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RITCHIE, CHRISTINE S · 2008 to 2010
$1.2M
Translational Nutrition and Aging Research Academic Career Leadership AwardK07AG043588 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCHER, JULIE L. · 2012 to 2016
$583k
AHRQ HHS R18 HS017786NIA NIH HHS K07 AG043588
6 · The paper itself

Abstract

Care transitions from the hospital to home remain a vulnerable time for many patients, especially for those with heart failure (CHF) and chronic obstructive pulmonary disease (COPD). Despite regular use in chronic disease management, it remains unclear how technology can best support patients during their transition from the hospital. We sought to evaluate the impact of a technology-supported care transition support program on hospitalizations, days out of the community and mortality. Using a pragmatic randomized trial, we enrolled patients (511 enrolled, 478 analyzed) hospitalized with CHF/COPD to "E-Coach," an intervention with condition-specific customization and in-hospital and post-discharge support by a care transition nurse (CTN), interactive voice response post-discharge calls, and CTN follow-up versus usual post-discharge care (UC). The primary outcome was 30-day rehospitalization. Secondary outcomes included (1) rehospitalization and death and (2) days in the hospital and out of the community. E-Coach and UC groups were similar at baseline except for gender imbalance (p = 0.02). After adjustment for gender, our primary outcome, 30-day rehospitalization rates did not differ between the E-Coach and UC groups (15.0 vs. 16.3 %, adjusted hazard ratio [95 % confidence interval]: 0.94 [0.60, 1.49]). However, in the COPD subgroup, E-Coach was associated with significantly fewer days in the hospital (0.5 vs. 1.6, p = 0.03). E-Coach, an IVR-augmented care transition intervention did not reduce rehospitalization. The positive impact on our secondary outcome (days in hospital) among COPD patients, but not in CHF, may suggest that E-Coach may be more beneficial among patients with COPD.NIH trial registry number: NCT01135381Trial Protocol: http://dx.doi.org/ 10.1016/j.cct.2012.08.007.

Indexed as

AgedChronic DiseaseFemaleHeart FailureHospitalizationHumansMaleMiddle AgedMonitoring, AmbulatoryPatient DischargePatient TransferPulmonary Disease, Chronic ObstructiveSelf CareTelemedicineCare transitionsSelf-managementTelehealth

Identifiers

PMID27339715
PMCPMC4987612

What OpenQuestion holds

Textmetadata
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.