Evidence map›Paper›PMID 30858257›Full record

Trial reportAnnals of family medicine2019

Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial.

Richard W Grant, Courtney Lyles, Connie S Uratsu, Michelle T Vo, Elizabeth A Bayliss, Michele Heisler

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02707146 (Aligning the Visit Priorities of Complex Patients and Their Primary Care Providers), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT02707146 nacompletednot on this map

Aligning the Visit Priorities of Complex Patients and Their Primary Care Providers

TypeinterventionalSponsorKaiser PermanenteRan2016 to 2018Enrolled750ConditionsPrimary Health Care, Quality of Health Care, Comorbidity, CommunicationArmsVisit Planner, Attention Control Pamphlet, iPad
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Article
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  9. Supporting collaborative reflection on personal values and health.Proceedings of the ACM on human-computer interaction · 2021
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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

6 authors.

Richard W GrantDivision of Research, Kaiser Permanente Northern California, Oakland, California Richard.W.Grant@kp.org.
Courtney LylesDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Connie S UratsuDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Michelle T VoDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Elizabeth A BaylissInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Michele HeislerCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Multi-Component Behavioral Intervention for Complex Patients with CVD RiskR01HL117939 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2014 to 2018
$3.4M
Pre-Visit Prioritization for Complex Primary Care Patients with DiabetesR01DK099108 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2013 to 2017
$3.0M
Mentored Research to Improve Care for Complex Patients with DiabetesK24DK109114 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2016 to 2020
$914k
NHLBI NIH HHS R01 HL117939NIDDK NIH HHS K24 DK109114NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R01 DK099108
6 · The paper itself

Abstract

purposeTime during primary care visits is limited. We tested the hypothesis that a waiting room health information technology (IT) tool to help patients identify and voice their top visit priorities would lead to better visit interactions and improved quality of care.

methodsWe designed a waiting room tool, the Visit Planner, to guide adult patients through the process of identifying their top priorities for their visit and effectively expressing these priorities to their clinician. We tested this tool in a cluster-randomized controlled trial with usual care as the control. Eligible patients had at least 1 clinical care gap (eg, overdue for cancer screening, suboptimal chronic disease risk factor control, or medication nonadherence).

resultsThe study (conducted March 31, 2016 through December 31, 2017) included 750 English- or Spanish-speaking patients. Compared with usual care patients, intervention patients more often reported "definitely" preparing questions for their doctor (59.5% vs 45.1%,

conclusionsA simple waiting room-based tool significantly improved visit communication. Patients using the Visit Planner were more prepared and more likely to begin the visit by communicating their top priorities. These changes did not, however, lead to further reduction in aggregate clinical care gaps beyond the improvements seen in the usual care arm.

Indexed as

CommunicationMedical InformaticsPatient SatisfactionPhysician-Patient RelationsPrimary Health CareQuality of Health CareAdultAgedAppointments and SchedulesFemaleHumansMaleMiddle Agedcompeting demandscomplex patientsdoctor-patient communicationhealth IToffice visitspractice-based researchpractice gapsprimary carepriorities

Identifiers

PMID30858257
PMCPMC6411400

What OpenQuestion holds

Textmetadata
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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.