Evidence map›Paper›PMID 28678426›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2018

Using CollaboRATE, a brief patient-reported measure of shared decision making: Results from three clinical settings in the United States.

Rachel C Forcino, Paul J Barr, A James O'Malley, Roger Arend, Molly G Castaldo, Elissa M Ozanne, Sanja Percac-Lima, Cheryl D Stults, Ming Tai-Seale, Rachel Thompson and 1 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 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.

NCT04510948 nacompletednot on this mapstarted 2020, after this paper: background citation

Patient Priority Care for Older Adults With Multiple Chronic Conditions Achieved Through Primary and Specialty Care Alignment

TypeinterventionalSponsorThe Cleveland ClinicRan2020 to 2023Enrolled264ConditionsMultiple Chronic ConditionsArmsPatient Priorities Care
NCT04891224 nacompletednot on this mapstarted 2021, after this paper: background citation

Implementation and Evaluation of the Pathway Platform: A Digitally Enabled Care Pathway to Improve Depression Key Performance Indicators and Patient Outcomes in Primary Care Clinics

TypeinterventionalSponsorWake Forest University Health SciencesRan2021 to 2023Enrolled89ConditionsMajor Depressive DisorderArmsPathway Platform mobile app
NCT04979546 nacompletednot on this mapstarted 2021, after this paper: background citation

Using Patient-Reported Outcomes To Improve the Care of People With Multiple Sclerosis: A Randomized Trial

TypeinterventionalSponsorUniversity of AlbertaRan2021 to 2024Enrolled237ConditionsMultiple Sclerosis, Anxiety, Depression, Patient SatisfactionArmsIntensive Use of Patient Reported Outcome Measures and Open PROM Availability to Treating Neurologist, Conservative Use of Patient Reported Outcome Measures and Blinded PROM Availability to Treating Neurologist
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Role of procedure-specific consent forms in clinical practice: a systematic review.Annals of the Royal College of Surgeons of England · 2025
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  13. Translation and Psychometric Evaluation in Cancer Care of the German Version of collaboRATEHealth expectations : an international journal of public participation in health care and health policy · 2025
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  19. A Perioperative Mental Health Intervention for Depressed and Anxious Older Surgical Patients: Results From a Feasibility Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
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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

11 authors.

Rachel C ForcinoThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.ORCID 0000-0001-9938-4830
Paul J BarrThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
A James O'MalleyThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
Roger ArendDartmouth-Hitchcock Patient and Family Advisory Council, Lebanon, NH, USA.
Molly G CastaldoDartmouth Master of Health Care Delivery Science Program, Hanover, NH, USA.
Elissa M OzanneDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
Sanja Percac-LimaHarvard Medical School, Boston, MA, USA.
Cheryl D StultsPalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Ming Tai-SealePalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Rachel ThompsonThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
Glyn ElwynThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCollaboRATE is a brief patient survey focused on shared decision making. This paper aims to (i) provide insight on facilitators and challenges to implementing a real-time patient survey and (ii) evaluate CollaboRATE scores and response rates across multiple clinical settings with varied patient populations.

methodAll adult patients at three United States primary care practices were eligible to complete CollaboRATE post-visit. To inform key learnings, we aggregated all mentions of unanticipated decisions, problems and administration errors from field notes and email communications. Mixed-effects logistic regression evaluated the impact of site, clinician, patient age and patient gender on the CollaboRATE score.

resultsWhile CollaboRATE score increased only slightly with increasing patient age (OR 1.018, 95% CI 1.014-1.021), female patient gender was associated with significantly higher CollaboRATE scores (OR 1.224, 95% CI 1.073-1.397). Clinician also predicts CollaboRATE score (random effect variance 0.146). Site-specific factors such as clinical workflow and checkout procedures play a key role in successful in-clinic implementation and are significantly related to CollaboRATE scores, with Site 3 scoring significantly higher than Site 1 (OR 1.759, 95% CI 1.216 to 2.545) or Site 2 (z=-2.71, 95% CI -1.114 to -0.178). DISCUSSION: This study demonstrates that CollaboRATE can be used in diverse primary care settings. A clinic's workflow plays a crucial role in implementation. Patient experience measurement risks becoming a burden to both patients and administrators. Episodic use of short measurement tools could reduce this burden.

Indexed as

Decision MakingPatient Reported Outcome MeasuresCooperative BehaviorHumansPatient-Centered CarePatient ParticipationPrimary Health CareSex FactorsSurveys and QuestionnairesUnited Statespatient experience measureshared decision-makingsurvey

Identifiers

PMID28678426
PMCPMC5750739

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.