Trial reportPatient education and counseling2018
Patient priorities and the doorknob phenomenon in primary care: Can technology improve disclosure of patient stressors?
Trial report in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.
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.
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.
Developing a Customized Care Intervention to Improve Mental Health Outcomes in Multimorbidity
Use of a Peer Intervention to Improve Access Among Rural Women Veterans With Psychological Distress and Unmet Social Needs
Who cites it
10 citing papers in PubMed, 30 citations in OpenAlex.
- Tool to improve patient-provider interactions in adult primary care: Randomized controlled pilot study.Canadian family physician Medecin de famille canadien · 2022Trial
- Perceived Connections Between Personal Values and Health in High-Risk Patients with Multimorbidity: A Qualitative Study.Journal of general internal medicine · 2026Article
- Embedding a Choice Experiment in an Online Decision Aid or Tool: Scoping Review.Journal of medical Internet research · 2025Article
- Structured communication methods for mental health consultations in primary care: a scoping review.BMC primary care · 2023Article
- Dealing with requests for euthanasia in incompetent patients with dementia. Qualitative research revealing underexposed aspects of the societal debate.Age and ageing · 2023Article
- Digital Health Interventions for Depression and Anxiety Among People With Chronic Conditions: Scoping Review.Journal of medical Internet research · 2022Article
- I am ready to see you now, Doctor! A mixed-method study of the Let's Discuss Health website implementation in Primary Care.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- URMC Universal Depression Screening Initiative: Patient Reported Outcome Assessments to Promote a Person-Centered Biopsychosocial Population Health Management Strategy.Frontiers in psychiatry · 2021Article
- The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial.JMIR research protocols · 2020Article
- How Do Treatment Priorities Differ Between Patients in HIV Care and Their Providers? A Mixed-Methods Study.AIDS and behavior · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivePatients with multiple chronic conditions face many stressors (e.g. financial, safety, transportation stressors) that are rarely prioritized for discussion with the primary care provider (PCP). In this pilot randomized controlled trial we examined the effects of a novel technology-based intervention called Customized Care on stressor disclosure.
methodsThe main outcomes were stressor disclosure, patient confidence and activation, as assessed by self-report and observational methods (transcribed and coded audio-recordings of the office visit).
resultsSixty patients were enrolled. Compared with care as usual, intervention patients were 6 times more likely to disclose stressors to the PCP (OR=6.16, 95% CI [1.53, 24.81], p=0.011) and reported greater stressor disclosure confidence (exp[B]=1.06, 95% CI [1.01, 1.12], p=0.028). No differences were found in patient activation or the length of the office visit.
conclusionCustomized Care improved the likelihood of stressor disclosure without affecting the length of the PCP visit. PRACTICE IMPLICATIONS: Brief technology-based interventions, like Customized Care could be made available through patient portals, or on smart phones, to prime patient-PCP discussion about difficult subjects, thereby improving the patient experience and efficiency of the visit.
Indexed as
Identifiers
What OpenQuestion holds
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.