ArticleBMJ open2019
Changing conversations in primary care for patients living with chronic conditions: pilot and feasibility study of the ICAN Discussion Aid.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02390570 (Incorporating Patient Capacity Into the Clinical Landscape), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Incorporating Patient Capacity Into the Clinical Landscape
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decision aids for the care of patients with multimorbidity: a systematic review.BMC primary care · 2025Pooled it
- The Health and Life in Balance intervention to improve patient capacity for older people with multimorbidity: a pragmatic mixed methods non-randomised pilot study.BMC primary care · 2025Trial
- Care for patients living with chronic conditions using the ICAN Discussion Aid: A mixed methods cluster-randomized trial.PloS one · 2024Trial
- Exploration of treatment burden during transition onto kidney replacement therapy: A longitudinal qualitative study.PloS one · 2026Article
- Review
- Use of the FebriDx point-of-care test for lower respiratory tract infections in primary care: a qualitative interview study.BJGP open · 2024Article
- Feasibility and Acceptability of an Agenda-Setting Kit in the Care of People With Type 2 Diabetes: The QBSAFE ASK Feasibility Study.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Shared decision-making as a method of care.BMJ evidence-based medicine · 2023Article
- Refining a primary care shared decision-making aid for lifestyle change: a mixed-methods study.BJGP open · 2022Article
- Value of Patient-Centered Glycemic Control in Patients with Type 2 Diabetes.Current diabetes reports · 2021Review
- The Development of the Rheumatology Informatics System for Effectiveness Learning Collaborative for Improving Patient-Reported Outcome Collection and Patient-Centered Communication in Adult Rheumatology.ACR open rheumatology · 2021Article
- Prevalence of Treatment Burden in the Last Three Years of Life.Journal of palliative medicine · 2021Article
- Implementation and preliminary testing of a theory-guided nursing discharge teaching intervention for adult inpatients aged 50 and over with multimorbidity: a pragmatic feasibility study protocol.Pilot and feasibility studies · 2021Article
- Healthcare professionals' perspective on treatment burden and patient capacity in low-income rural populations: challenges and opportunities.BMC family practice · 2021Article
- Understanding and identifying ways to improve hospital-based cancer care and treatment for people with dementia: an ethnographic study.Age and ageing · 2021Article
- Development of the Short Treatment Burden Questionnaire (STBQ) including a Global Treatment Burden Question (GTBQ): Cognitive interviews with adults living with multimorbidity.Journal of multimorbidity and comorbidityArticle
- Focusing on burden and capacity to support self-management of chronic health conditions: A pilot trial of care coordination in rural Australia.Journal of multimorbidity and comorbidityArticle
- Validation of the Global Treatment Burden Question (GTBQ): A novel single-item measure for use in clinical and research settings.Journal of multimorbidity and comorbidityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
purposeTo pilot test the impact of the ICAN Discussion Aid on clinical encounters.
methodsA pre-post study involving 11 clinicians and 100 patients was conducted at two primary care clinics within a single health system in the Midwest. The study examined clinicians' perceptions about ICAN feasibility, patients' and clinicians' perceptions about encounter success, videographic differences in encounter topics, and medication adherence 6 months after an ICAN encounter.
results39/40 control encounters and 45/60 ICAN encounters yielded usable data. Clinicians reported ICAN use was feasible. In ICAN encounters, patients discussed diet, being active and taking medications more. Clinicians scored themselves poorer regarding visit success than their patients scored them; this effect was more pronounced in ICAN encounters. ICAN did not improve 6-month medication adherence or lengthen visits.
conclusionThis pilot study suggests that using ICAN in primary care is feasible, efficient and capable of modifying conversations. With lessons learned in this pilot, we are conducting a randomised trial of ICAN versus usual care in diverse clinical settings. TRIAL REGISTRATION NUMBER: NCT02390570.
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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.