Evidence map›Paper›PMID 30446358›Full record

ArticlePatient education and counseling2019

"Am I OK?" using human centered design to empower rheumatoid arthritis patients through patient reported outcomes.

Dana Ragouzeos, Julie Gandrup, Beth Berrean, Jing Li, Marie Murphy, Laura Trupin, Jinoos Yazdany, Gabriela Schmajuk

Abstract read
In one paragraph

Article in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

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

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

  1. Pooled it
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  13. Observational
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  15. Patient and clinician perspectives on a patient-facing dashboard that visualizes patient reported outcomes in rheumatoid arthritis.Health expectations : an international journal of public participation in health care and health policy · 2020
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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

8 authors.

Dana RagouzeosSOM Tech, School of Medicine, University of California San Francisco, 654 Minnesota St, San Francisco, CA, 94107, United States. Electronic address: Dana.ragouzeos@ucsf.edu.
Julie GandrupDivision of Rheumatology, University of California San Francisco, San Francisco, CA, United States. Electronic address: julie.gandrup@gmail.com.
Beth BerreanSOM Tech, School of Medicine, University of California San Francisco, 654 Minnesota St, San Francisco, CA, 94107, United States. Electronic address: beth.berrean@ucsf.edu.
Jing LiDivision of Rheumatology, University of California San Francisco, 3333 California Street, Suite 270, San Francisco, CA, 94118, United States. Electronic address: jing.li2@ucsf.edu.
Marie MurphyUCSF, PRL Institute for Health Policy Studies, 3333 California Street, Suite 265, San Francisco, CA, 94118, United States. Electronic address: Marie.murphy@ucsf.edu.
Laura TrupinDivision of Rheumatology, University of California San Francisco, 3333 California Street, Suite 270, San Francisco, CA, 94118, United States. Electronic address: Laura.trupin@ucsf.edu.
Jinoos YazdanyDivision of Rheumatology, Department of Medicine, University of California San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, United States. Electronic address: Jinoos.yazdany@ucsf.edu.
Gabriela SchmajukDivision of Rheumatology, University of California San Francisco, Veterans Affairs Medical Center-San Francisco, 4150 Clement St., Mailstop 111R, San Francisco, CA, 94121, United States. Electronic address: Gabriela.schmajuk@ucsf.edu.

Funding

RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
A rational approach to liver toxicity monitoring in methotrexate usersK23AR063770 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SCHMAJUK, GABRIELA · 2013 to 2017
$670k
NIAMS NIH HHS K23 AR063770NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155
6 · The paper itself

Abstract

objectiveUse of patient reported outcomes (PROs) in the routine care of rheumatoid arthritis (RA) has been shown to improve health outcomes, However, integration of PROs into the clinical visit is inconsistent. We aimed to develop a "dashboard" for RA patients to display relevant PRO measures for discussion during a routine RA clinical visit.

methodsPatients (N = 45) and providers (N = 12) were recruited from rheumatology clinics at a university center and a safety net hospital. Using a human-centered design process involving patients, clinicians, designers, and health-IT experts, we performed interviews, clinic observations, and focus groups, which subsequently guided an iterative phase of prototype testing.

resultsRA patients and their providers shared the goals of assessing wellbeing and developing a personalized treatment plan. We found conflicting views of which data were most important for guiding decision-making and for answering the patient's overarching question of "Am I OK?"

conclusionThe final dashboard simplified the display of PRO data and correlated it longitudinally to the patient's medication regimen. It also included laboratory values relevant for RA care. PRACTICE IMPLICATIONS: By presenting data graphically, the dashboard may provide a platform for patients and providers to communicate around PROs and shared goals.

Indexed as

CommunicationPatient ParticipationPatient Reported Outcome MeasuresProfessional-Patient RelationsAdultAgedArthritis, RheumatoidClinical Decision-MakingDecision MakingFemaleFocus GroupsHealth LiteracyHumansInterviews as TopicMaleMiddle AgedDashboardHuman-centered designLow-literacyPatient reported outcomesRheumatoid arthritisShared decision-making

Identifiers

PMID30446358
PMCPMC6421089

What OpenQuestion holds

Textmetadata
LicenceTDM
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.