Evidence map›Paper›PMID 29846623›Full record

Trial reportInflammatory bowel diseases2018

Age Modifies the Association Between Depressive Symptoms and Adherence to Self-Testing With Telemedicine in Patients With Inflammatory Bowel Disease.

Kenechukwu Chudy-Onwugaje, Ameer Abutaleb, Andrea Buchwald, Patricia Langenberg, Miguel Regueiro, David A Schwartz, J Kathleen Tracy, Leyla Ghazi, Seema A Patil, Sandra Quezada and 6 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Inflammatory bowel diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Remote Monitoring and Telemedicine in IBD: Are We There Yet?Current gastroenterology reports · 2020
    Review
  6. 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

16 authors.

Kenechukwu Chudy-OnwugajeDivision of Gastroenterology and Hepatology, Department of Medicine.
Ameer AbutalebDivision of Gastroenterology and Hepatology, Department of Medicine.
Andrea BuchwaldDepartment of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland.
Patricia LangenbergDepartment of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland.
Miguel RegueiroDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
David A SchwartzDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University, Nashville, Tennessee.
J Kathleen TracyDepartment of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland.
Leyla GhaziDepartment of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Seema A PatilDivision of Gastroenterology and Hepatology, Department of Medicine.
Sandra QuezadaDivision of Gastroenterology and Hepatology, Department of Medicine.
Katharine RussmanDivision of Gastroenterology and Hepatology, Department of Medicine.
Sara HorstDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University, Nashville, Tennessee.
Dawn BeaulieuDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University, Nashville, Tennessee.
Charlene QuinnDepartment of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland.
Guruprasad JambaulikarDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Raymond K CrossDivision of Gastroenterology and Hepatology, Department of Medicine.

Funding

Research Training in Gastroenterology and HepatologyT32DK067872 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI RAUFMAN, JEAN-PIERRE · 2005 to 2024
$7.2M
TELEmedicine in Patients with Inflammatory Bowel Disease: TELE-IBDR01HS018975 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI CROSS, RAYMOND KEITH · 2012 to 2014
$1.1M
AHRQ HHS R01 HS018975NIDDK NIH HHS T32 DK067872
6 · The paper itself

Abstract

Background: Depression is common in patients with inflammatory bowel disease (IBD) and is known to be associated with poor adherence in the usual care setting. In the last decade, there has been an increase in the use of information technology (IT) for the delivery of IBD care, but the association between depressive symptoms (DS) and adherence to self-testing in this context is not known. We aimed to investigate this association among IBD patients managed via a text messaging-based telemedicine system. Methods: This was a prospective study of participants in the 2 intervention arms of the Telemedicine for Patients with IBD (TELE-IBD) trial. Depressive symptoms were measured at baseline, and then participants received periodic text messages to initiate IBD-specific self-testing. Treatment plans were similarly conveyed, and adherence to self-testing was evaluated at the end of 1 year. Regression analyses were performed, and age-stratified models were constructed to evaluate for effect modification. Results: Of the 193 study participants, 48% had DS at baseline. Overall, there was no significant association between DS and adherence to self-testing. However, upon stratification by age, adherence increased with depressive symptoms in those that were 40 years and younger (P = 0.02), but there was no association between depressive symptoms and adherence in the older group (P = 0.53). Conclusions: Younger IBD patients with DS have high adherence when managed in a text messaging-based telemedicine program. Telemedicine interventions have the potential to improve health outcomes in this demographic-a group that is often thought to be difficult to manage due to nonadherence.

Indexed as

Self CareTelemedicineAdolescentAdultAgedAge FactorsDepressionFemaleHumansInflammatory Bowel DiseasesLogistic ModelsMaleMiddle AgedPatient ComplianceProspective StudiesQuality of Life

Identifiers

PMID29846623
PMCPMC6262196

What OpenQuestion holds

Textmetadata
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.