Evidence map›Paper›PMID 36310680›Full record

ArticleCardiovascular digital health journal2022

Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal.

Michael Fitzpatrick, Hammad Sadiq, Sanjeev Rampam, Almaz Araia, Megan Miller, Kevin Rivera Vargas, Patrick Fry, Anne Marie Smith, Mary Martin Lowe, Christina Catalano and 5 more

Abstract read
In one paragraph

Article in Cardiovascular digital health journal, 2022. 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

15 authors.

Michael FitzpatrickDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Hammad SadiqDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Sanjeev RampamDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Almaz AraiaDepartment of Practice Improvement and Policy, Heart Rhythm Society, Washington, District of Columbia.
Megan MillerDepartment of Medicinal Chemistry, University of Florida College of Pharmacy, Jacksonville, Florida.
Kevin Rivera VargasDepartment of Medicinal Chemistry, University of Florida College of Pharmacy, Jacksonville, Florida.
Patrick FryDepartment of Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Anne Marie SmithDepartment of Practice Improvement and Policy, Heart Rhythm Society, Washington, District of Columbia.
Mary Martin LoweLearning Advisors LLC, Chicago, Illinois.
Christina CatalanoDepartment of Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Charles HarrisonDepartment of Medicine, University of Florida College of Medicine, Jacksonville, Florida.
John CatanzaroDepartment of Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Sybil CrawfordDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
David McManusDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Alok KapoorDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The main approach to preventing stroke in patients with atrial fibrillation (AF) is anticoagulation (AC), but only about 60% of at-risk individuals are on AC. Patient-facing electronic health record-based interventions have produced mixed results. Little is known about the impact of health portal-based messaging on AC use. Objective: The purpose of this study was describe a protocol we will use to measure the association between AC use and patient portal message opening. We also will measure patient attitudes toward education materials housed on a professional society Web site. Methods: We will send portal messages to patients aged ≥18 years with AF 1 week before an office/teleconference visit with a primary care or cardiology provider. The message will be customized for 3 groups of patients: those on AC; those at elevated risk but off AC; and those not currently at risk but may be at risk in the future. Within the message, we will embed a link to UpBeat.org, a Web site of the Heart Rhythm Society containing patient educational materials. We also will embed a link to a survey. Among other things, the survey will request patients to rate their attitude toward the Heart Rhythm Society Web pages. To measure the effectiveness of the intervention, we will track AC use and its association with message opening, adjusting for potential confounders. Conclusion: If we detect an increase in AC use correlates with message opening, we will be well positioned to conduct a future comparative effectiveness trial. If patients rate the UpBeat.org materials highly, patients from other institutions also may benefit from receiving these materials.

Indexed as

AnticoagulationAtrial fibrillationElectronic medical recordsPatient portal message

Identifiers

PMID36310680
PMCPMC9596318

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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.