Evidence map›Paper›PMID 37586416›Full record

ArticleApplied clinical informatics2023

A Digital Health Intervention to Improve the Clinical Care of Inflammatory Bowel Disease Patients.

Rishika Chugh, Andrew W Liu, Yelena Idomsky, Olivia Bigazzi, Ali Maiorano, Eli Medina, Logan Pierce, Anobel Y Odisho, Uma Mahadevan

Abstract read
In one paragraph

Article in Applied clinical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

9 authors.

Rishika ChughDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, California, United States.
Andrew W LiuCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Yelena IdomskyDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, California, United States.
Olivia BigazziCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Ali MaioranoCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Eli MedinaCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Logan PierceCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Anobel Y OdishoCenter for Digital Health Innovation, University of California San Francisco, California, United States.
Uma MahadevanDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, California, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a chronic condition that requires close monitoring. Digital health virtual care platforms can enable self-monitoring and allow providers to remotely surveil patients and efficiently identify those with active disease.

objectivesThe primary aim was to design and implement an IBD remote monitoring program, identify predictors of patient engagement, and determine who found the chat to be a valuable tool.

methodsWe developed the IBD Virtual Care Chat, an electronic health record (EHR)-integrated chat to monitor electronic patient reported outcomes (ePROs), medication changes, and disease activity, and subsequently report concerning findings to providers via the EHR. All patients in the IBD practice over age 18 with a clinical encounter in the preceding 12 months were eligible to be enrolled. The primary aim was to identify predictors of patient engagement and determine who found the chat to be a valuable tool.

resultsBetween May 2021 and March 2022, 2,934 patients were enrolled. A total of 1,160 engaged at least once and 687 (23.4%) continually engaged, submitting at least three ePROs. Disease severity (based on Harvey-Bradshaw Index or Simple Clinical Colitis Activity Index) did not impact ePRO submissions. Patients were significantly more likely to be continually engaged if they self-reported the presence of extraintestinal manifestations (7%, 95% confidence interval: 0.01-0.14;

conclusionOur program demonstrates the potential for EHR-integrated digital health as part of routine IBD care to achieve sustained engagement with high patient satisfaction.

Indexed as

ColitisInflammatory Bowel DiseasesAdolescentHumansPatient ParticipationSelf ReportSeverity of Illness Index

Identifiers

PMID37586416
PMCPMC10599806

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.