Evidence map›Paper›PMID 33275108›Full record

ArticleJournal of medical Internet research2020

Improving Provision of Preanesthetic Information Through Use of the Digital Conversational Agent "MyAnesth": Prospective Observational Trial.

Fabrice Ferré, Nicolas Boeschlin, Bruno Bastiani, Adeline Castel, Anne Ferrier, Laetitia Bosch, Fabrice Muscari, Matt Kurrek, Olivier Fourcade, Antoine Piau and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

11 authors at 4 institutions in 2 countries.

Fabrice FerréDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0001-6648-7454
Nicolas BoeschlinDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0001-9181-0444
Bruno BastianiUnité Mixte de Recherche Éducation, Formation, Travail, Savoirs (UMR EFTS), Université Toulouse Jean Jaurès, Toulouse, France.ORCID 0000-0003-1432-2345
Adeline CastelDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0002-2472-5773
Anne FerrierDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0001-6908-3367
Laetitia BoschDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0002-6777-7768
Fabrice MuscariDépartement de chirurgie digestive et transplantation d'organes, CHU Rangueil, Toulouse, France.ORCID 0000-0001-6754-1686
Matt KurrekDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0003-0819-0171
Olivier FourcadeDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0002-0101-8208
Antoine PiauDépartement de Gériatrie, CHU Rangueil, Toulouse, France.ORCID 0000-0003-2849-3057
Vincent MinvilleDépartement d'Anesthésie-Réanimation, Hopital Pierre-Paul Riquet, CHU Purpan, Toulouse, France.ORCID 0000-0003-0516-4939
Centre Hospitalier Universitaire de Toulouse · FRHôpital Rangueil · FRUniversité Fédérale de Toulouse Midi-Pyrénées · FRUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to time limitations, the preanesthetic consultation (PAC) is not the best time for patients to integrate information specific to their perioperative care pathway.

objectiveThe main objectives of this study were to evaluate the effectiveness of a digital companion on patients' knowledge of anesthesia and their satisfaction after real-life implementation.

methodsWe conducted a prospective, monocentric, comparative study using a before-and-after design. In phase 1, a 9-item self-reported anesthesia knowledge test (Delphi method) was administered to patients before and after their PAC (control group: PAC group). In phase 2, the study was repeated immediately after the implementation of a digital conversational agent, MyAnesth (@+PAC group). Patients' satisfaction and their representations for anesthesia were also assessed using a Likert scale and the Abric method of hierarchized evocation.

resultsA total of 600 tests were distributed; 205 patients and 98 patients were included in the PAC group and @+PAC group, respectively. Demographic characteristics and mean scores on the 9-point preinformation test (PAC group: 4.2 points, 95% CI 3.9-4.4; @+PAC: 4.3 points, 95% CI 4-4.7; P=.37) were similar in the two groups. The mean score after receiving information was better in the @+PAC group than in the PAC group (6.1 points, 95% CI 5.8-6.4 points versus 5.2 points, 95% CI 5.0-5.4 points, respectively; P<.001), with an added value of 0.7 points (95% CI 0.3-1.1; P<.001). Among the respondents in the @+PAC group, 82% found the information to be clear and appropriate, and 74% found it easily accessible. Before receiving information, the central core of patients' representations for anesthesia was focused on the fear of being put to sleep and thereafter on caregiver skills and comfort.

conclusionsThe implementation of our digital conversational agent in addition to the PAC improved patients' knowledge about their perioperative care pathway. This innovative audiovisual support seemed clear, adapted, easily accessible, and reassuring. Future studies should focus on adapting both the content and delivery of a digital conversational agent for the PAC in order to maximize its benefit to patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAnesthesiaCommunicationFemaleHumansMaleMiddle AgedProspective StudiesTelemedicineYoung AdultAbric methodanesthesiachatbotdigital conversational agentdigital healtheHealthpreanesthetic consultation

Identifiers

PMID33275108
PMCPMC7748965
OpenAlexW3049715045

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.