Evidence map›Paper›PMID 30912032›Full record

ArticleJournal of general internal medicine2019

Development and Feasibility of SymTrak, aMulti-domain Tool for Monitoring Symptoms of Older Adults in Primary Care.

Patrick O Monahan, Kurt Kroenke, Christopher M Callahan, Tamilyn Bakas, Amanda Harrawood, Phillip Lofton, Danielle Frye, Claire Draucker, Timothy Stump, Debra Saliba and 4 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Patrick O MonahanIndiana University School of Medicine, Indianapolis, IN, USA. pmonahan@iu.edu.
Kurt KroenkeIndiana University School of Medicine, Indianapolis, IN, USA.
Christopher M CallahanIndiana University School of Medicine, Indianapolis, IN, USA.
Tamilyn BakasIndiana University School of Nursing, Indianapolis, IN, USA.
Amanda HarrawoodIndiana University Center for Aging Research, Indianapolis, IN, USA.
Phillip LoftonIndiana University Center for Aging Research, Indianapolis, IN, USA.
Danielle FryeIndiana University Center for Aging Research, Indianapolis, IN, USA.
Claire DrauckerIndiana University School of Nursing, Indianapolis, IN, USA.
Timothy StumpIndiana University School of Medicine, Indianapolis, IN, USA.
Debra SalibaUniversity of California Borun Center and Veterans Administration, Los Angeles, CA, USA.
James E GalvinCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.
Amanda KeeganIndiana University Center for Aging Research, Indianapolis, IN, USA.
Mary G AustromIndiana University Department of Psychiatry, Indianapolis, IN, USA.
Malaz BoustaniIndiana University School of Medicine, Indianapolis, IN, USA.

Funding

Develop and Validate Tool to Monitor Patient Centered Outcomes Through CaregiversR01AG043465 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI MONAHAN, PATRICK O. · 2013 to 2015
$1.5M
NIA NIH HHS R01 AG043465
6 · The paper itself

Abstract

backgroundA clinically practical, brief, user-friendly, multi-domain self-report and caregiver-report tool is needed for tracking actionable symptoms in primary care for elderly patients with multiple chronic conditions (MCCs).

objectiveDevelop and assess usability, administration time, and internal reliability of SymTrak. DESIGN AND

participantsPhase I: legacy instruments, content validity, analyses of existing data, focus groups (physicians, nurses, patients, informal caregivers), and Think Aloud interviews (patients, caregivers) were used to develop SymTrak. Phase II (pilot feasibility study): 81 (27 patient-caregiver dyads, 27 patients without an identified caregiver) participants were self-administered SymTrak in clinic. MAIN MEASURES: SymTrak and demographic questions. KEY

resultsConsistent themes emerged from phase I focus groups. Ambiguous wording was corrected with Think Aloud feedback. In phase II, patients and caregivers preferred circling words instead of numbers for item response options. SymTrak self-administration completion time in clinic was brief; mean was 2.4, 3.0, and 3.3 min for the finalized circlingwords version, respectively, for caregivers, dyadic patients, and patients without a caregiver; and the maximum was 6.2 min for any participant. Usability questionnaire ratings were high. Cronbach's alpha for the SymTrak 23-item total score was 0.86, 0.79, and 0.81 for caregivers, dyadic patients, and patients without a caregiver, respectively.

conclusionsSymTrak demonstrates content validity, positive qualitative findings, high perceived usability, brief self-administered completion time, and good internal reliability.

Indexed as

AgedAged, 80 and overCaregiversFeasibility StudiesFemaleFocus GroupsHumansMaleMiddle AgedPilot ProjectsPrimary Health CarePsychometricsReproducibility of ResultsSelf Reportagingchronic diseaseprimary carepsychometricsself-managementsymptoms

Identifiers

PMID30912032
PMCPMC6544681

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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.