Evidence map›Paper›PMID 32459179›Full record

ArticleJMIR formative research2020

Improving Quality of Care in Rheumatoid Arthritis Through Mobile Patient-Reported Outcome Measurement: Focus Group Study.

Sonali Desai, Emma Stevens, Srinivas Emani, Peter Meyers, Maura Iversen, Daniel H Solomon

Abstract read
In one paragraph

Article in JMIR formative research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Sonali Desai *Brigham & Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-4144-624X
Emma StevensBrigham & Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-0338-4439
Srinivas EmaniDivision of General Medicine, Department of Medicine, Brigham & Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-6217-5792
Peter MeyersPartners Healthcare, Boston, MA, United States.ORCID https://orcid.org/0000-0002-0085-276X
Maura IversenDepartment of Physical Therapy, Movement & Rehabilitation Services, Bouve College of Health Sciences, Northeastern University, Boston, MA, United States.ORCID https://orcid.org/0000-0003-4708-9914
Daniel H SolomonDivision of Rheumatology, Brigham & Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0001-8202-5428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcomes (PROs) for chronic disease management can be integrated into the routine workflow by leveraging mobile technology.

objectiveThe objective of our study was to describe the process of our quality improvement (QI) efforts using tablets for PRO collection in a busy, academic rheumatology practice to support a treat-to-target (TTT) approach for rheumatoid arthritis (RA) management.

methodsOur QI team designed a process for routine collection of PROs for RA patients at the Arthritis Center, employing information technology and an electronic medical record (EMR) system. Patients received a tablet at the clinic check-in desk to complete the Routine Assessment of Patient Index Data 3 (RAPID3) survey, a validated RA PRO. RAPID3 scores were uploaded to the EMR in real time and available for use in shared decision making during routine office visits. Weekly data were collected on RAPID3 completion rates and shared with front desk staff and medical assistants to drive improvement. Patients in our patient family advisory council and focus groups provided informal feedback on the process.

resultsFrom May 1, 2017, to January 31, 2019, a total of 4233 RAPID3 surveys were completed by 1691 patients. The mean age of patients was 63 (SD 14) years; 84.00% (1420/1691) of the patients were female, and 83.00% (1403/1691) of the patients were white. The rates of RAPID3 completion increased from 14.3% (58/405) in May 2017 to 68.00% (254/376) in September 2017 and were sustained over time through January 2019. Informal feedback from patients was positive and negative, relating to the usability of the tablet and the way rheumatologists used and explained the RAPID3 data in shared decision making during the office visit.

conclusionsWe designed a sustainable and reliable process for collecting PROs from patients with RA in the waiting room and integrated these data through the EMR during office visits.

Indexed as

quality improvementrheumatoid arthritis

Identifiers

PMID32459179
PMCPMC7316226

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