Trial reportJournal of general internal medicine2021
Impact of Pre-visit Contextual Data Collection on Patient-Physician Communication and Patient Activation: a Randomized Trial.
Trial report in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03766841 (Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research), which is not on this map. Cited by 13 papers.
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.
Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research
Who cites it
13 citing papers in PubMed.
- Implementation and Evaluation of a Social Networking Service-Based Mobile Patient-Generated Health Data System With Direct Electronic Medical Record Integration: Prospective Observational Study.JMIR medical informatics · 2026Observational
- Mobile App-Supported Self-Management for Chronic Low Back Pain: Realist Evaluation.JMIR mHealth and uHealth · 2026Article
- Article
- Patients' Perceptions of Using a Digital Previsit Tool in Outpatient Settings (Part 2): Qualitative Study.JMIR human factors · 2025Article
- Comparison of SIREN social needs screening tools and Simplified Omaha System Terms: informing an informatics approach to social determinants of health assessments.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Managing Critical Patient-Reported Outcome Measures in Oncology Settings: System Development and Retrospective Study.JMIR medical informatics · 2022Article
- User Requirements for Comanaged Digital Health and Care: Review.Journal of medical Internet research · 2022Review
- Development of a Digital Tool for People With a Long-Term Condition Using Stroke as a Case Example: Participatory Design Approach.JMIR human factors · 2022Article
- The Potential of Pre-visit Patient Information.Journal of general internal medicine · 2022Article
- In Reply Letter to Editor.Journal of general internal medicine · 2022Article
- Patient coaching: What do patients want? A mixed methods study in waiting rooms of outpatient clinics.PloS one · 2022Article
- "Just Treat Me Delicately": A Qualitative Exploration of What Works to Engage Australian Men in Health Care Encounters.American journal of men's healthArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundPatient contextual data (PCD) are often missing from electronic health records, limiting the opportunity to incorporate preferences and life circumstances into care. Engaging patients through tools that collect and summarize such data may improve communication and patient activation. However, differential tool adoption by race might widen health care disparities.
objectiveDetermine if a digital tool designed to collect and present PCD improves communication and patient activation; secondarily, evaluate if use impacts outcomes by race. DESIGN, SETTING, AND
participantsA pragmatic, two-armed, non-blinded, randomized controlled trial conducted during 2019 in a primary care setting.
interventionThe PCD tool (PatientWisdom) invited patients to identify preferences, values, goals, and barriers to care. Patients were randomized to a standard pre-visit email or facilitated enrollment with dedicated outreach to encourage use of the tool. MAIN OUTCOMES AND MEASURES: Outcomes of interest were post-visit patient communication and patient activation measured by the Communication Assessment Tool (CAT) and Patient Activation Measure (PAM), respectively. Outcomes were evaluated using treatment-on-the-treated (TOT) and intention-to-treat (ITT) principles. KEY
resultsA total of 301 patients were enrolled. Facilitated enrollment resulted in a five-fold increase in uptake of the PCD tool. TOT analysis indicated that the PCD tool was associated with notable increases in specific CAT items rated as excellent: "treated me with respect" (+ 13 percentage points; p = 0.04), "showed interest in my ideas" (+ 14 percentage points; p = 0.03), "showed care and concern" (+ 16 percentage points; p = 0.02), and "spent about the right amount of time with me" (+ 11 percentage points; p = 0.05). There were no significant pre/post-visit differences in PAM scores between arms (- 4.41 percentage points; p = 0.58). ITT results were similar. We saw no evidence of the treatment effect varying by race in ITT or TOT analyses. CONCLUSIONS AND RELEVANCE: The inclusion of PCD enhanced essential aspects of patient-provider communication but did not affect patient activation. Outcomes did not differ by race.
trial registrationClincaltrials.gov identifier: NCT03766841.
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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.