Evidence map›Paper›PMID 28465280›Full record

ArticleJMIR medical informatics2017

Design, Implementation, and Evaluation of Self-Describing Diabetes Medical Records: A Pilot Study.

Azadeh Kamel Ghalibaf, Zahra Mazloum Khorasani, Mahdi Gholian-Aval, Hamed Tabesh, Mahmood Tara

Abstract read
In one paragraph

Article in JMIR medical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Azadeh Kamel GhalibafSchool of Medicine, Department of Medical Informatics, Mashhad University of Medical Sciences, Mashhad, Islamic Republic Of Iran.ORCID http://orcid.org/0000-0002-3961-4718
Zahra Mazloum KhorasaniSchool of Medicine, Endocrine Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic Of Iran.ORCID http://orcid.org/0000-0003-4154-3469
Mahdi Gholian-AvalSchool of Health, Department of Health Education and Health Promotion, Mashhad University of Medical Sciences, Mashhad, Islamic Republic Of Iran.ORCID http://orcid.org/0000-0002-6182-4965
Hamed TabeshSchool of Medicine, Department of Medical Informatics, Mashhad University of Medical Sciences, Mashhad, Islamic Republic Of Iran.ORCID http://orcid.org/0000-0003-3081-0488
Mahmood TaraSchool of Medicine, Department of Medical Informatics, Mashhad University of Medical Sciences, Mashhad, Islamic Republic Of Iran.ORCID http://orcid.org/0000-0003-3945-7772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEach patient's medical record consists of data specific to that patient and is therefore an appropriate source to adapt educational information content.

objectivesThis study aimed to design and implement an information provision system based on the medical records of diabetic patients and to investigate the attitudes of users toward using this product.

methodsThe study was organized into three phases: need analysis, design and implementation, and final evaluation. The aim of the need analysis phase was to investigate the questioning behavior of the patient in the real-world context. The design and implementation phase consisted of four stages: determining the minimum dataset for diabetes medical records, collecting and validating content, designing and implementing a diabetes electronic medical record system, and data entry. Evaluating the final system was done based on the constructs of the technology acceptance model in the two dimensions of perceived usefulness and perceived ease of use. A semistructured interview was used for this purpose.

resultsThree main categories were extracted for the patient's perceived usefulness of the system: raising the self-awareness and knowledge of patients, improving their self-care, and improving doctor-patient interaction. Both patients and physicians perceived the personalized sense of information as a unique feature of the application and believed that this feature could have a positive effect on the patient's motivation for learning and using information in practice. Specialists believed that providing personal feedback on the patient's lab test results along with general explanations encourages the patients to read the content more precisely. Moreover, accessing medical records and helpful notes was a new and useful experience for the patients.

conclusionsOne of the key perceived benefits of providing tailored information in the context of medical records was raising patient awareness and knowledge. The results obtained from field observations and interviews have shown that patients were ready to accept the system and had a positive attitude when it was put into practice. The findings related to user attitude can be used as a guideline to design the next phase of the research (ie, investigation of system effectiveness on patient outcomes).

Indexed as

diabetes electronic medical recordinformation tailoringpatient educationtechnology acceptance model

Identifiers

PMID28465280
PMCPMC5434252

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Registered trials

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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.