Evidence map›Paper›PMID 35606139›Full record

Trial reportAnnals of family medicine

A Virtual Community of Practice to Improve Primary Health Care Professionals' Attitudes Toward Patient Empowerment (e-MPODERA): A Cluster Randomized Trial.

Carola Orrego, Lilisbeth Perestelo-Pérez, Ana Isabel González-González, Marta Ballester-Santiago, Débora Koatz, Valeria Pacheco-Huergo, Amado Rivero-Santana, Vanesa Ramos-García, Nuria Mora Fernández, Alezandra Torres-Castaño and 1 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Carola OrregoAvedis Donabedian Research Institute (FAD), Barcelona, Spain corrego@fadq.org.
Lilisbeth Perestelo-PérezRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Bilbao, Spain.
Ana Isabel González-GonzálezRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Bilbao, Spain.
Marta Ballester-SantiagoAvedis Donabedian Research Institute (FAD), Barcelona, Spain.
Débora KoatzAvedis Donabedian Research Institute (FAD), Barcelona, Spain.
Valeria Pacheco-HuergoAvedis Donabedian Research Institute (FAD), Barcelona, Spain.
Amado Rivero-SantanaServicio de Evaluación y Planificación del Servicio Canario de la Salud (SESCS), Tenerife, Spain.
Vanesa Ramos-GarcíaFundación Canaria Instituto de Investigación Sanitaria de Canarias (FISC), Tenerife, Spain.
Nuria Mora FernándezAvedis Donabedian Research Institute (FAD), Barcelona, Spain.
Alezandra Torres-CastañoFundación Canaria Instituto de Investigación Sanitaria de Canarias (FISC), Tenerife, Spain.
Carlos Bermejo-CajaUniversitat Autònoma de Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the effectiveness of a virtual community of practice (vCoP) in improving primary health care professionals' (HCPs') attitudes toward empowering patients with chronic disease.

methodsWe conducted a cluster randomized controlled trial. Practices were units of randomization, and primary HCPs and patients were units of analysis. Sixty-three practices in Madrid, Catalonia, and the Canary Islands were randomly allocated to the intervention or control groups. Randominzation of practices was performed after HCP and patient recruitment. The patients and statistician were anonymized to group allocation; it was not possible to anonymize HCPs. The intervention was a 12-month multicomponent tailored vCoP built on the Web 2.0 concept and focused on skills toward patient empowerment. The primary outcome was Patient-Provider Orientation Scale (PPOS) score at baseline and at 12 months. The secondary outcome was the Patient Activation Measure (PAM) score.

resultsA total of 321 HCPs and 1,921 patients were assessed. The intervention had a positive effect on PPOS total score (0.14 points higher in the vCoP arm; 95% CI, 0.03-0.25;

conclusionsA vCoP led to a minor increase in the PPOS Sharing component and the total score but not in the Caring component. However, considerable uncertainty remains, given the observed attrition and other limitations of the study. Further research is needed on the effectiveness of the vCoP model and on how to improve HCP engagement.

Indexed as

Attitude of Health PersonnelPatient ParticipationChronic DiseaseHealth PersonnelHumanschronic diseasespatient-centered carepatient empowermentvirtual community of practice

Identifiers

PMID35606139
PMCPMC9199051

What OpenQuestion holds

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Registered trials

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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.