Evidence map›Paper›PMID 28280400›Full record

ArticleOpen access rheumatology : research and reviews2017

Telemedicine delivery of patient education in remote Ontario communities: feasibility of an Advanced Clinician Practitioner in Arthritis Care (ACPAC)-led inflammatory arthritis education program.

Kelly Warmington, Carol Flewelling, Carol A Kennedy, Rachel Shupak, Angelo Papachristos, Caroline Jones, Denise Linton, Dorcas E Beaton, Sydney Lineker

Open access · goldAbstract read
In one paragraph

Article in Open access rheumatology : research and reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

9 authors at 6 institutions in 4 countries.

Kelly WarmingtonLearning Institute, The Hospital for Sick Children.
Carol FlewellingTelemedicine Program.
Carol A KennedyMusculoskeletal Health & Outcomes Research, St. Michael's Hospital; Institute for Work & Health.
Rachel ShupakMartin Family Centre for Arthritis Care & Research, St. Michael's Hospital.
Angelo PapachristosMartin Family Centre for Arthritis Care & Research, St. Michael's Hospital.
Caroline JonesMartin Family Centre for Arthritis Care & Research, St. Michael's Hospital.
Denise LintonMusculoskeletal Health & Outcomes Research, St. Michael's Hospital.
Dorcas E BeatonMusculoskeletal Health & Outcomes Research, St. Michael's Hospital; Institute for Work & Health; Graduate Department of Health Policy, Management and Evaluation; Graduate Department of Rehabilitation Science; Department of Occupational Science and Occupational Therapy, University of Toronto.
Sydney LinekerThe Arthritis Society (Ontario Division), Toronto, ON, Canada.
St. Michael's Hospital · CAInstitute for Work & Health · CAArthritis Society · CAItalian Institute of Telemedicine · ITSt Michael’s Hospital · IEUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTelemedicine-based approaches to health care service delivery improve access to care. It was recognized that adults with inflammatory arthritis (IA) living in remote areas had limited access to patient education and could benefit from the 1-day Prescription for Education (RxEd) program. The program was delivered by extended role practitioners with advanced training in arthritis care. Normally offered at one urban center, RxEd was adapted for videoconference delivery through two educator development workshops that addressed telemedicine and adult education best practices. This study explores the feasibility of and participant satisfaction with telemedicine delivery of the RxEd program in remote communities. MATERIALS AND

methodsParticipants included adults with IA attending the RxEd program at one of six rural sites. They completed post-course program evaluations and follow-up interviews. Educators provided post-course feedback to identify program improvements that were later implemented.

resultsIn total, 123 people (36 in-person and 87 remote, across 6 sites) participated, attending one of three RxEd sessions. Remote participants were satisfied with the quality of the video-conference (% agree/strongly agree): could hear the presenter (92.9%) and discussion between sites (82.4%); could see who was speaking at other remote sites (85.7%); could see the slides (95.3%); and interaction between sites adequately facilitated (94.0%). Educator and participant feedback were consistent. Suggested improvements included: use of two screens (speaker and slides); frontal camera angles; equal interaction with remote sites; and slide modifications to improve the readability on screen. Interview data included similar constructive feedback but highlighted the educational and social benefits of the program, which participants noted would have been inaccessible if not offered via telemedicine.

conclusionStudy findings confirm the feasibility of delivering the RxEd program to remote communities by using telemedicine. Future research with a focus on the sustainability of this and other models of technology-supported patient education for adults with IA across Ontario is warranted.

Indexed as

feasibilitypatient satisfactionrheumatoid arthritistele-educationtelehealth

Identifiers

PMID28280400
PMCPMC5338940
OpenAlexW2594212082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.