Evidence map›Paper›PMID 37353220›Full record

Trial reportAmerican journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists2023

Description of patient questions received by clinical pharmacists in the Nudge Study.

Joel C Marrs, Steven T Orlando, Joseph J Saseen, Sylvie Novins-Montague, Lisa Caputo Sandy, Joy Waughtal, Thomas J Glorioso, P Michael Ho

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Joel C MarrsDepartment of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center, Nashville, TN, and Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.ORCID 0000-0003-0392-3866
Steven T OrlandoVeteran Affairs Eastern Colorado Health Care System, Aurora, CO, USA.ORCID 0000-0002-7680-6495
Joseph J SaseenDepartment of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, and Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.ORCID 0000-0003-0341-5140
Sylvie Novins-MontagueACCORDS (Adult and Child Consortium for Health Outcomes Research and Delivery Science), Aurora, CO, USA.
Lisa Caputo SandyDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.ORCID 0000-0002-9422-3816
Joy WaughtalmHealth Impact Laboratory, Colorado School of Public Health, Aurora, CO, USA.ORCID 0000-0002-7554-3304
Thomas J GloriosoUS Department of Veterans Affairs, Washington, DC, USA.ORCID 0000-0002-7152-3998
P Michael HoVeteran Affairs Eastern Colorado Health Care System, Aurora, CO, and Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.ORCID 0000-0002-7775-6266

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Personalized Patient data and behavioral nudges to improve adherence to chronic cardiovascular medicationsUH3HL144163 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALLEN, LARRY ALEXANDER, BULL, SHEANA S · 2019 to 2022
$5.7M
Personalized Patient data and behavioral nudges to improve adherence to chronic cardiovascular medicationsUG3HL144163 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BULL, SHEANA S, HO, P. MICHAEL · 2018 to 2018
$789k
NCCIH NIH HHS U24 AT009676NHLBI NIH HHS UG3 HL144163NHLBI NIH HHS UH3 HL144163
6 · The paper itself

Abstract

purposeThe Nudge Study is a patient level-randomized trial testing different text message medication refill reminders sent to patients assigned to 4 arms: (1) usual care, (2) generic text, (3) optimized text, and (4) optimized text plus chatbot. This report describes the frequency and types of patient questions sent to clinical pharmacists (CPs) following text reminders.

methodsPatients were enrolled from Denver Health and Hospital Authority (DHHA) and Veterans Affairs Eastern Colorado Health Care System (VA ECHCS) from October 1, 2019, through May 30, 2021. Included patients responded to at least 1 text or interactive voice response (IVR) message. Patients were dichotomized as those who posed at least 1 question to a CP and those who posed no questions.

resultsOf the 6,325 patients enrolled in an intervention arm, 3,323 (52.5%) responded to at least 1 text or IVR message, and among those responding, 305 (9.2%) responded with a pharmacist question. Patient factors associated with submitting a CP question included age (45-74 years), enrollment from DHHA, and receipt of the optimized text or optimized text plus chatbot message versus the generic text. Questions to CP were in the following categories: medication related (48.2%), refill logistics (38.4%), cost (9.2%), and other (17.7%).

conclusionIn a text messaging intervention focused on medication refills, there were few questions directed to the CP. Patients assigned to receive optimized texts were more likely to have questions. We hypothesize that this may suggest greater patient engagement regarding their condition, resulting in more questions.

Indexed as

PharmacistsText MessagingAgedColoradoHumansMiddle AgedReminder SystemsSoftwarecardiovascularclinical pharmacistmedication adherencepatient centered outcomes researchpopulation healthpragmatic trial

Identifiers

PMID37353220
PMCPMC10845234

What OpenQuestion holds

Textmetadata
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.