Evidence map›Paper›PMID 27444235›Full record

Trial reportPatient education and counseling2016

An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: The role of written and spoken communication.

Laura M Curtis, Rebecca J Mullen, Allison Russell, Aimee Fata, Stacy C Bailey, Gregory Makoul, Michael S Wolf

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

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

14 citing papers in PubMed.

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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

7 authors.

Laura M CurtisHealth Literacy and Learning Program, Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, USA. Electronic address: l-curtis@northwestern.edu.
Rebecca J MullenHealth Literacy and Learning Program, Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, USA.
Allison RussellHealth Literacy and Learning Program, Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, USA.
Aimee FataHealth Literacy and Learning Program, Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, USA.
Stacy C BaileyDivision of Pharmaceutical Outcomes and Policy, University of North Carolina, Chapel Hill, USA.
Gregory MakoulPatientWisdom, New Haven, USA and Connecticut Institute for Primary Care Innovation, Hartford, USA.
Michael S WolfHealth Literacy and Learning Program, Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, USA.

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Using IT for Patient-Centered Communication and Decision Making about MedicationsR18HS017220 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOLF, MICHAEL S · 2007 to 2009
$1.2M
Promoting Health Literacy for Newly Prescribed Medications via the EMRR21CA132771 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOLF, MICHAEL S · 2008 to 2009
$374k
AHRQ HHS R18 HS017220NCI NIH HHS P30 CA060553NCI NIH HHS R21 CA132771
6 · The paper itself

Abstract

objectiveWe tested the feasibility and efficacy of an electronic health record (EHR) strategy that automated the delivery of print medication information at the time of prescribing.

methodsPatients (N=141) receiving a new prescription at one internal medicine clinic were recruited into a 2-arm physician-randomized study. We leveraged an EHR platform to automatically deliver 1-page educational 'MedSheets' to patients after medical encounters. We also assessed if physicians counseled patients via patient self-report immediately following visits. Patients' understanding was objectively measured via phone interview.

results122 patients completed the trial. Most intervention patients (70%) reported receiving MedSheets. Patients reported physicians frequently counseled on indication and directions for use, but less often for risks. In multivariable analysis, written information (OR 2.78, 95% CI 1.10-7.04) and physician counseling (OR 2.95, 95% CI 1.26-6.91) were independently associated with patient understanding of risk information. Receiving both was most beneficial; 87% of those receiving counseling and MedSheets correctly recalled medication risks compared to 40% receiving neither.

conclusionAn EHR can be a reliable means to deliver tangible, print medication education to patients, but cannot replace the salience of physician-patient communication. PRACTICE IMPLICATIONS: Offering both written and spoken modalities produced a synergistic effect for informing patients.

Indexed as

CommunicationDirective CounselingElectronic Health RecordsPrescriptionsWritingAdultAgedElectronic Data ProcessingFeasibility StudiesFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePrescription DrugsPatient educationPhysician counselingPrescription medications

Identifiers

PMID27444235
PMCPMC5300020

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.