Evidence map›Paper›PMID 33242009›Full record

ArticleJMIR formative research2020

Informing the Development of a Digital Health Platform Through Universal Points of Care: Qualitative Survey Study.

Michael P Craven, Jacob A Andrews, Alexandra R Lang, Sara K Simblett, Stuart Bruce, Sarah Thorpe, Til Wykes, Richard Morriss, Chris Hollis, RADAR-CNS Consortium

Open access · goldAbstract 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 3 institutions in 2 countries.

Michael P CravenNIHR Mindtech Medtech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.ORCID https://orcid.org/0000-0001-5682-6360
Jacob A AndrewsNIHR Mindtech Medtech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.ORCID https://orcid.org/0000-0001-8408-5782
Alexandra R LangHuman Factors Research Group, Faculty of Engineering, University of Nottingham, Nottingham, United Kingdom.ORCID https://orcid.org/0000-0002-7332-9443
Sara K SimblettInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-8075-8238
Stuart BrucePatient Advisory Board, RADAR-CNS, London, United Kingdom.ORCID https://orcid.org/0000-0001-7895-0581
Sarah ThorpePatient Advisory Board, RADAR-CNS, London, United Kingdom.ORCID https://orcid.org/0000-0001-8973-3777
Til WykesInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-5881-8003
Richard MorrissNIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, United Kingdom.ORCID https://orcid.org/0000-0003-2910-4121
Chris HollisNIHR Mindtech Medtech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.ORCID https://orcid.org/0000-0003-1083-6744
RADAR-CNS Consortium *London, United Kingdom.
University of Nottingham · GBAdvisory Board Company (United States) · USKing's College London · GB

Funding

Medical Research Council MR/K015516/1
6 · The paper itself

Abstract

backgroundEpilepsy, multiple sclerosis (MS), and depression are chronic conditions where technology holds potential in clinical monitoring and self-management. Over 5 years, the Remote Assessment of Disease and Relapse - Central Nervous System (RADAR-CNS) consortium has explored the application of remote measurement technology (RMT) to the management and self-management of patients in these clinical areas. The consortium is large and includes clinical and nonclinical researchers as well as a patient advisory board.

objectiveThis formative development study aimed to understand how consortium members viewed the potential of RMT in epilepsy, MS, and depression.

methodsIn this qualitative survey study, we developed a methodological tool, universal points of care (UPOC), to gather views on the potential use, acceptance, and value of a novel RMT platform across 3 chronic conditions (MS, epilepsy, and depression). UPOC builds upon use case scenario methodology, using expert elicitation and analysis of care pathways to develop scenarios applicable across multiple conditions. After developing scenarios, we elicited views on the potential of RMT in these different scenarios through a survey administered to 28 subject matter experts, consisting of 16 health care practitioners; 5 health care services researchers; and 7 people with lived experience of MS, epilepsy, or depression. Survey results were analyzed thematically and using an existing framework of factors describing links between design and context.

resultsThe survey elicited potential beneficial applications of the RADAR-CNS RMT system as well as patient, clinical, and nonclinical requirements of RMT across the 3 conditions of interest. Potential applications included recognition of early warning signs of relapse from subclinical signals for MS, seizure precipitant signals for epilepsy, and behavior change in depression. RMT was also thought to have the potential to overcome the problem of underreporting, which is especially problematic in epilepsy, and to allow the capture of secondary symptoms that are not generally collected in MS, such as mood.

conclusionsRespondents suggested novel and unanticipated uses of RMT, including the use of RMT to detect emerging side effects of treatment, enable behavior change for sleep regulation and activity, and offer a way to include family and other carers in a care network, which could assist with goal setting. These suggestions, together with others from this and related work, will inform the development of the system for its eventual application in research and clinical practice. The UPOC methodology was effective in directing respondents to consider the value of health care technologies in condition-specific experiences of everyday life and working practice.

Indexed as

depressioneHealthepilepsyhealth personnelmHealthmobile phonesmultiple sclerosisremote sensing technologywearable electronic devices

Identifiers

PMID33242009
PMCPMC7728533
OpenAlexW3107304319

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.