Evidence map›Paper›PMID 28162812›Full record

ArticlePatient education and counseling2017

Intensity of exposure to a patient activation intervention and patient engagement in medical visit communication.

Chidinma Ibe, Janice Bowie, Debra Roter, Kathryn A Carson, Bone Lee, Dwyan Monroe, Lisa A Cooper

Abstract read
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In one paragraph

Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chidinma IbeDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Electronic address: cibe2@jhu.edu.
Janice BowieDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Debra RoterDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Kathryn A CarsonWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Bone LeeDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Dwyan MonroeInstitute for Public Health Innovation, Washington, D.C., USA.
Lisa A CooperDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA; Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA; Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined associations between intensity of exposure to a community health worker (CHW) delivered communication activation intervention targeting low-income patients with hypertension.

methodsWe analyzed question-asking behaviors of patients assigned to the intervention arms (n=140) in a randomized controlled trial. Intensity of exposure to the intervention was operationalized as the duration of face-to-face coaching and number of protocol-specified topics discussed. Mixed effects models characterized the relationship between intensity of exposure and patients' communication in a subsequent medical visit.

resultsThe number of topics discussed during the coaching session was positively associated with patients' asking psychosocial-related questions during their visit. The duration of the coaching session was positively associated with patients' use of communication engagement strategies to facilitate their participation in the visit dialogue. Exposure to a physician trained in patient-centered communication did not influence these relationships.

conclusionsA dose-response relationship was observed between exposure to a CHW- delivered communication activation intervention and patient-provider communication. PRACTICE IMPLICATIONS: This study supports the use of CHWs in activating patients toward greater communication in the therapeutic exchange.

Indexed as

CommunicationPatient ParticipationAdultAgedAntihypertensive AgentsCommunity Health WorkersDelivery of Health CareFemaleHumansHypertensionMaleMiddle AgedPatient-Centered CarePhysician-Patient RelationsPrimary Health CareAntihypertensive AgentsCommunity health workersHypertensionPatient activationPatient-centered communicationPatient-physician communication

Identifiers

PMID28162812
OpenAlexW2567853574

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.