Evidence map›Paper›PMID 31981744›Full record

ArticleInternational journal of medical informatics2020

Converting and expanding a mobile support intervention: Focus group and field-testing findings from individuals in active tuberculosis treatment.

Sarah J Iribarren, Yvette Rodriguez, Lorelei Lin, Cristina Chirico, Vilda Discacciati, Rebecca Schnall, George Demiris

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

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

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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

7 authors at 4 institutions in 2 countries.

Sarah J IribarrenBiobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195, USA. Electronic address: sjiribar@uw.edu.
Yvette RodriguezUniversity of Washington, School of Nursing, 1959 NE Pacific Street, Seattle, WA, 98195, USA. Electronic address: yvettemr@uw.edu.
Lorelei LinUniversity of Washington, School of Nursing, 1959 NE Pacific Street, Seattle, WA, 98195, USA. Electronic address: loreleil@google.com.
Cristina ChiricoTuberculosis Control Program of the 5th Health Region, Ministry of Health of the Province of Buenos Aires, Hospital Cetrangolo, Buenos Aires, Argentina. Electronic address: mchirino@intramed.net.
Vilda DiscacciatiDivision of Family and Community Medicine, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1181ACH Buenos Aires, Argentina. Electronic address: vilda.discacciati@hospitalitaliano.org.ar.
Rebecca SchnallColumbia University, School of Nursing, Columbia University, New York, NY, USA. Electronic address: rb897@columbia.edu.
George DemirisUniversity of Pennsylvania, School of Nursing, Claire Fagin Hall, Rm 324, 418 Curie Blvd, Philadelphia PA, 19104, USA. Electronic address: gdemiris@nursing.upenn.edu.
University of Washington · USColumbia University · USHospital Italiano de Buenos Aires · ARUniversity of Pennsylvania · US

Funding

Omics and Symptom Science Training ProgramT32NR016913 · NINR · UNIVERSITY OF WASHINGTON · PI CYNTHIA M DOUGHERTY, Margaret McLean Heitkemper · 2017 to 2026
$3.2M
Development and Evaluation of an Interactive Mobile Health Intervention to Support Patients with Active TuberculosisK23NR017210 · NINR · UNIVERSITY OF WASHINGTON · PI IRIBARREN, SARAH JO HANNAH · 2017 to 2019
$437k
Mentoring and Research in Self-Management for Health Promotion and Disease PreventionK24NR018621 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHNALL, REBECCA · 2019 to 2022
$384k
NINR NIH HHS K23 NR017210NINR NIH HHS K24 NR018621NINR NIH HHS T32 NR016913
6 · The paper itself

Abstract

backgroundNon-adherence to tuberculosis (TB) treatment jeopardizes the individual's health and contributes to disease transmission and drug resistance. New patient-centered strategies are needed to improve TB treatment outcomes. PURPOSE: To convert and expand a texting-based intervention into a mobile optimized application (app), evaluate the feasibility of an added self-administered paper-based drug metabolite test, and identify needs and preferences to inform their iterative design.

methodsQualitative methods using focus groups and field testing with patients in active TB treatment were used to gather initial input on the converted intervention design, content and issues using at home test strips to report medication adherence. Seven participants were recruited from an outpatient clinic within a regional public reference hospital specialized in respiratory diseases in Argentina. Thematic analyses were conducted on the transcripts and session notes.

resultsParticipants considered interactive communication, access to answers to frequently asked questions, and tracking of progress in treatment as important. Participants reported having many questions and uncertainties at initiation of treatment and emphasized a need for reliable information, assurance and support from both providers and peers. Other suggestions included streamlining the graphical user interface for easier and shorter data entry times and usability.

conclusionsOverall feedback from the participants regarding the intervention was positive, reporting that it was useful and relevant, and they were eager to contribute their ideas for improvement and additional functionality. Valuable feedback to improve functionality and meet the needs of end-users were obtained to inform the generation of new design ideas for refinement and testing in a pilot study.

Indexed as

Drug MonitoringFocus GroupsAdultAmbulatory Care FacilitiesArgentinaFeedbackFemaleHumansMaleMobile ApplicationsText MessagingTuberculosisYoung AdultmHealthMobile application developmentPatient-centered designTreatment adherenceTuberculosis

Identifiers

PMID31981744
PMCPMC7211766
OpenAlexW2999291335

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.