Evidence map›Paper›PMID 38376004›Full record

ArticleACR open rheumatology2024

"How are you?" Perspectives From Patients and Health Care Providers of Text Messaging to Support Rheumatoid Arthritis Care: A Thematic Analysis.

Saania N Zafar, Glen Hazlewood, Kiran Dhiman, Alexandra Charlton, Karen L Then, Erika Dempsey, Richard Lester, Alison M Hoens, Diane Lacaille, Cheryl Barnabe and 3 more

Abstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Content validity testing of the INTERMED Self-Assessment in a sample of adults with rheumatoid arthritis and rheumatology healthcare providers.Health expectations : an international journal of public participation in health care and health policy · 2024
    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

13 authors.

Saania N ZafarUniversity of Calgary, Calgary, Alberta, Canada, and Arthritis Research Canada, Vancouver, British Columbia, Canada.
Glen HazlewoodUniversity of Calgary and Alberta Health Services, Calgary, Alberta, Canada, and Arthritis Research Canada, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-7709-3741
Kiran DhimanUniversity of Calgary, Calgary, Alberta, Canada.
Alexandra CharltonAlberta Health Services, Calgary, Alberta, Canada.
Karen L ThenAlberta Health Services and University of Calgary, Calgary, Alberta, Canada.
Erika DempseyAlberta Health Services and University of Calgary, Calgary, Alberta, Canada.
Richard LesterUniversity of British Columbia and WelTel Inc, Vancouver, British Columbia, Canada.
Alison M HoensArthritis Research Canada and University of British Columbia, Vancouver, British Columbia, Canada.
Diane LacailleArthritis Research Canada and University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-4065-4151
Cheryl BarnabeUniversity of Calgary and Alberta Health Services, Calgary, Alberta, Canada, and Arthritis Research Canada, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-3761-237X
James RankinUniversity of Calgary, Calgary, Alberta, Canada, and Thompson Rivers University, Kamloops, British Columbia, Canada.
Dianne MosherAlberta Health Services and University of Calgary, Calgary, Alberta, Canada.
Claire E H BarberUniversity of Calgary and Alberta Health Services, Calgary, Alberta, Canada, and Arthritis Research Canada, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-3062-5488

Funding

Institute of Musculoskeletal Health and Arthritis STAR-19-0611
6 · The paper itself

Abstract

objectivePatients with rheumatoid arthritis (RA) may need to access rheumatology care between scheduled visits. WelTel is a virtual care platform that supports secure two-way text-messaging between patients and their health care team. The objective of the present study was to explore perspectives and experiences of health care providers (HCPs) and patients related to the use of WelTel as an adjunct to routine care.

methodsSeventy patients with RA were enrolled in a six-month WelTel pilot project launched in September 2021. Patients received monthly "How are you?" text message check-ins and could message their health care team during clinic hours to request health advice. The current project is a qualitative study of the WelTel pilot. A subgroup of pilot participants was purposively sampled and invited to participate in interviews. A thematic analysis of transcripts was conducted using a deductive approach leveraging quality of care domains.

resultsThirteen patients (62% female, mean age 62 years, 10 White) completed interviews. Patients' views suggested that text messaging with the rheumatology team supported high-quality care across multiple quality domains including patient-centeredness, timeliness, efficiency, safety, effectiveness, equity, and appropriateness. Seven HCPs (57.1% female, one pharmacist and six rheumatologists) completed interviews. HCPs' perspectives varied based on their experience with the WelTel platform. Additional themes reported by HCPs included perceived increased workload and burnout.

conclusionsPatients with RA perceived text-based messaging as supporting high-quality care. The impact of increased communications on HCP burnout and workload requires consideration, and future studies should evaluate the effect of texting on patient outcomes.

Identifiers

PMID38376004
PMCPMC11089442

What OpenQuestion holds

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LicenceCC BY-NC
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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.