Evidence map›Paper›PMID 29389994›Full record

Observational studyPloS one2018

Factors associated with patient recall of key information in ambulatory specialty care visits: Results of an innovative methodology.

M Barton Laws, Yoojin Lee, Tatiana Taubin, William H Rogers, Ira B Wilson

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
12.4field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

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  19. Communicating cancer treatment with pictogram-based timeline visualizations.Journal of the American Medical Informatics Association : JAMIA · 2025
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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

5 authors at 2 institutions in 1 country.

M Barton LawsBrown University School of Public Health, Department of Health Services, Policy and Practice, Providence, Rhode Island, United States of America.ORCID 0000-0002-0790-5879
Yoojin LeeBrown University School of Public Health, Department of Health Services, Policy and Practice, Providence, Rhode Island, United States of America.
Tatiana TaubinBrown University School of Public Health, Department of Health Services, Policy and Practice, Providence, Rhode Island, United States of America.
William H RogersTufts Medical Center, Institute for Clinical Research and Health Policy Studies, Boston, Massachusetts, United States of America.
Ira B WilsonBrown University School of Public Health, Department of Health Services, Policy and Practice, Providence, Rhode Island, United States of America.
Brown University · USTufts Medical Center · US

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

While some studies have assessed patient recall of important information from ambulatory care visits, none has done so recently. Furthermore, little is known about features of clinical interactions which are associated with patient understanding and recall, without which shared decision making, a widely shared ideal for patient care, cannot occur. Our objective was to evaluate characteristics of patients and outpatient encounters associated with patient recall of information after one week, along with observation of elements of shared decision making. This was an observational study based on coded transcripts of 189 outpatient encounters, and post-visit interviews with patients 1 week later. Coding used three previously validated systems, adopted for this study. Forty-nine percent of decisions and recommendations were recalled accurately without prompting; 36% recalled with a prompt; 15% recalled erroneously or not at all. Provider behaviors hypothesized to be associated with patient recall, such as open-questioning and "teach back," were rare. Patients with less than high school education recalled 38% of items freely and accurately, while patients with a college degree recalled 65% (p < .0001). In a multivariate model, the total number of items to be recalled per visit, and percentage of utterances in decision-making processes by the provider ("verbal dominance"), were significant predictors of poorer recall. The item count was associated with poorer recall for lower, but not higher, educated patients.

Indexed as

MedicineMental RecallOrganizational InnovationAdultAgedAmbulatory Care FacilitiesFemaleHumansMaleMiddle Aged

Identifiers

PMID29389994
PMCPMC5794108
OpenAlexW2789788656

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.