Evidence map›Paper›PMID 30924783›Full record

ArticleJMIR formative research2019

Challenges in the Development of e-Quit worRx: An iPad App for Smoking Cessation Counseling and Shared Decision Making in Primary Care.

Charles R Doarn, Mary Beth Vonder Meulen, Harini Pallerla, Shauna P Acquavita, Saundra Regan, Nancy Elder, Matthew R Tubb

Abstract read
In one paragraph

Article in JMIR formative research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Charles R DoarnDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0002-7092-8774
Mary Beth Vonder MeulenDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0002-4531-0737
Harini PallerlaDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0002-2539-905X
Shauna P AcquavitaSchool of Social Work, College of Allied Health Sciences, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0001-6353-5174
Saundra ReganDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0002-1783-4293
Nancy ElderDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0003-4530-5505
Matthew R TubbDepartment of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID http://orcid.org/0000-0002-4543-2742

Funding

AHRQ HHS R21 HS023994
6 · The paper itself

Abstract

backgroundSmoking is the leading preventable cause of morbidity and mortality in the United States, killing more than 450,000 Americans. Primary care physicians (PCPs) have a unique opportunity to discuss smoking cessation evidence in a way that enhances patient-initiated change and quit attempts. Patients today are better equipped with technology such as mobile devices than ever before.

objectiveThe aim of this study was to evaluate the challenges in developing a tablet-based, evidence-based smoking cessation app to optimize interaction for shared decision making between PCPs and their patients who smoke.

methodsA group of interprofessional experts developed content and a graphical user interface for the decision aid and reviewed these with several focus groups to determine acceptability and usability in a small population.

resultsUsing a storyboard methodology and subject matter experts, a mobile app, e-Quit worRx, was developed through an iterative process. This iterative process helped finalize the content and ergonomics of the app and provided valuable feedback from both patients and provider teams. Once the app was made available, other technical and programmatic challenges arose.

conclusionsSubject matter experts, although generally amenable to one another's disciplines, are often challenged with effective interactions, including language, scope, clinical understanding, technology awareness, and expectations. The successful development of this app and its evaluation in a clinical setting highlighted those challenges and reinforced the need for effective communications and team building.

Indexed as

decision aidmobile healthprimary caresmoking cessation

Identifiers

PMID30924783
PMCPMC6460307

What OpenQuestion holds

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LicenceCC BY
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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.