Evidence map›Paper›PMID 38715972›Full record

ArticleDigital health

Multiplatform web app (My Way Up) plus motivational interviewing for improving treatment retention in patients with onset of alcohol-related liver disease and alcohol use disorder - an example of participatory research.

Elsa Caballeria, Mercè Balcells-Oliveró, Ramón Bataller, Pol Bruguera, Noel Cabrera, Alexandra Estruch, Neus Freixa, Óscar Garcia-Pañella, Mireia Graell, Jordi Gratacós-Gines and 8 more

Abstract read
In one paragraph

Article in Digital health. 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

18 authors.

Elsa CaballeriaHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.ORCID https://orcid.org/0000-0003-4361-6422
Mercè Balcells-OliveróHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Ramón BatallerLiver Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain.
Pol BrugueraHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Noel CabreraDepartment of Psychiatry and Psychology, Institute of Neuroscience, Hospital Clínic de Barcelona, Barcelona, Catalonia, Spain.
Alexandra EstruchCookie Box, S.L, Barcelona, Spain.
Neus FreixaHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Óscar Garcia-PañellaCookie Box, S.L, Barcelona, Spain.
Mireia GraellHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Jordi Gratacós-GinesLiver Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1181-7238
Pablo GuzmanHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Anna Hernández-RubioDepartment of Internal Medicine, Hospital Universitari Germans Trias I Pujol, Internal Medicine, Addiction Unit, Badalona, Spain.ORCID https://orcid.org/0000-0001-8612-7827
Anna LligoñaHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Martina Pérez-GuaschLiver Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain.
María Teresa Pons-CabreraHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.
Elisa PoseLiver Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain.
Paola ZuluagaDepartment of Internal Medicine, Hospital Universitari Germans Trias I Pujol, Internal Medicine, Addiction Unit, Badalona, Spain.
Hugo López-PelayoHealth and Addictions Research Group (Grup de Recerca Emergent), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the aim of improving treatment retention in patients with the onset of alcohol-related liver disease (ArLD), we designed a blended intervention (brief motivational intervention + 'serious game' (SG)). We present the participatory design methodology and outcomes and the usability assessment of the intervention. Methods: (1) The design of the SG was based on the outcomes of two 3-h co-creation sessions with 37 participants (healthcare and technology professionals, patients, and patients' relatives). The brief face-to-face motivational intervention was based on the 5 As Model and adapted to the ArLD population. (2) Usability pilot study: 20 participants (10 ArLD patients + 10 healthcare professionals) received the intervention. System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ) were applied to assess the SG usability and patients' satisfaction with it. Weekly semi-structured interviews on the phone were conducted to identify the preferred elements in the SG and those aspects that should be improved. Results: (1) Design: an SG in the form of a gamified web app, consisting of a daily activity for six weeks and adapted brief motivational interviewing. (2) Usability pilot study: usability results were excellent for both patients and healthcare professionals (SUS median score = 85). The general usability, the quality of the information provided by the SG and the quality of the interface were very positively rated in the PSSUQ (overall median score = 2, IQR = 1-2). The best-rated aspects were the provision of feedback, the use of metaphors and the application of audiovisual material. Changes in the design, response mechanics and content were applied after the study. Conclusions: The usability and acceptability of an intervention for increasing retention to treatment in patients with recent onset of ArLD and AUD were excellent for patients and healthcare professionals. A randomized-controlled trial is required to test the efficacy of this approach.

Indexed as

adherencealcohol liver diseasealcohol use disorderDigital healthMIretention to treatmentserious games

Identifiers

PMID38715972
PMCPMC11075580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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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.