Evidence map›Paper›PMID 37314850›Full record

Trial reportJournal of medical Internet research2023

A Practice-Proven Adaptive Case Management Approach for Innovative Health Care Services (Health Circuit): Cluster Randomized Clinical Pilot and Descriptive Observational Study.

Carmen Herranz, Laura Martín-Moreno Banegas, Fernando Dana Muzzio, Antoni Siso-Almirall, Josep Roca, Isaac Cano

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled TrialObservational Study
In one paragraph

Trial report in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.4field-weighted citation impact, top 6% 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.

NCT04056663 nacompletednot on this map

Health-circuit Evaluation as a Digital Support for the Management of Patients at Risk of Hospitalization

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2019 to 2020Enrolled400ConditionsMultiple Chronic Conditions, Chronic DiseaseArmsHealth-Circuit mobile application
NCT06421402 enrolling by invitationnot on this map

Knowledge for Improving Indoor Air Quality and Health: Follow up of 200 High-risk Chronic Respiratory Patients During 24 Months.

Typeobservational_patient_registrySponsorInstitut d'Investigacions Biomèdiques August Pi i SunyerRan2023 to 2026Enrolled200ConditionsSevere Asthma, COPDArmsAir quality monitoring at patient's home, Questionnaires: Baseline & every six months, Lung function Testing: Baseline & every six months & during exacerbations, EMR & registry data, Communication channel - Health Circuit Mobile App (Herranz C. JMIR 2023)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
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

6 authors at 4 institutions in 1 country.

Carmen HerranzConsorci d'Atenció Primaria de Salut Barcelona Esquerra, Barcelona, Spain.ORCID 0000-0002-8251-5483
Laura Martín-Moreno BanegasInstitut Català de Salut, Barcelona, Spain.ORCID 0009-0003-3112-3775
Fernando Dana MuzzioHospital Clínic of Barcelona, Barcelona, Spain.ORCID 0000-0001-8356-7421
Antoni Siso-AlmirallConsorci d'Atenció Primaria de Salut Barcelona Esquerra, Barcelona, Spain.ORCID 0000-0001-9832-2689
Josep RocaHospital Clínic of Barcelona, Barcelona, Spain.ORCID 0000-0003-4768-8722
Isaac CanoPhysiopathological Mechanisms of Respiratory Illnesses Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.ORCID 0000-0003-2938-7459
Consorci d’Atenció Primària de Salut Barcelona Esquerra · ESHospital Clínic de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESInstitut Català de la Salut · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital health tools may facilitate the continuity of care. Enhancement of digital aid is imperative to prevent information gaps or redundancies, as well as to facilitate support of flexible care plans.

objectiveThe study presents Health Circuit, an adaptive case management approach that empowers health care professionals and patients to implement personalized evidence-based interventions, thanks to dynamic communication channels and patient-centered service workflows; analyze the health care impact; and determine its usability and acceptability among health care professionals and patients.

methodsFrom September 2019 to March 2020, the health impact, usability (measured with the system usability scale; SUS), and acceptability (measured with the net promoter score; NPS) of an initial prototype of Health Circuit were tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (study 1). From July 2020 to July 2021, a premarket pilot study of usability (with the SUS) and acceptability (with the NPS) was conducted among 104 high-risk patients undergoing prehabilitation before major surgery (study 2).

resultsIn study 1, Health Circuit resulted in a reduction of emergency room visits (4/7, 13% vs 7/16, 44%), enhanced patients' empowerment (P<.001) and showed good acceptability and usability scores (NPS: 31; SUS: 54/100). In study 2, the NPS was 40 and the SUS was 85/100. The acceptance rate was also high (mean score of 8.4/10).

conclusionsHealth Circuit showed potential for health care value generation and good acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios.

trial registrationClinicalTrials.gov NCT04056663; https://clinicaltrials.gov/ct2/show/NCT04056663.

Indexed as

Case ManagementHealth ServicesDelivery of Health CareHealth PersonnelHumansPilot Projectsacceptabilityaidcarecollaborative toolscontinuum of care managementdigital aiddigital health transformationhealth care serviceHealth Circuithealth managementinnovative healthcare servicesmanagementprototypesupportsurgerytestingusability

Identifiers

PMID37314850
PMCPMC10337458
OpenAlexW4377192716

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.