Evidence map›Paper›PMID 39178891›Full record

ArticleApplied clinical informatics2024

"It Attracts Your Eyes and Brain": Refining Visualizations for Shared Decision-Making with Heart Failure Patients.

Sabrina Mangal, Maryam Hyder, Kate Zarzuela, William McDonald, Ruth M Masterson Creber, Ian M Kronish, Stefan Konigorski, Mathew S Maurer, Monika M Safford, Mark S Lachs and 1 more

Abstract read
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Sabrina MangalDepartment of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, Washington, United States.
Maryam HyderDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.
Kate ZarzuelaDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.
William McDonaldDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.
Ruth M Masterson CreberColumbia University School of Nursing, New York, New York, United States.
Ian M KronishDepartment of Medicine, Columbia University, New York, New York, United States.
Stefan KonigorskiDigital Health Cluster, Hasso Plattner Institute for Digital Engineering, University of Potsdam, Potsdam, Germany.
Mathew S MaurerDepartment of Medicine, Columbia University, New York, New York, United States.
Monika M SaffordDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.
Mark S LachsDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.
Parag GoyalDepartment of Medicine, Weill Cornell Medicine, New York, New York, United States.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
U.S. Deprescribing Research NetworkR24AG064025 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BOYD, CYNTHIA MELINDA, STEINMAN, MICHAEL A. · 2019 to 2023
$9.9M
Omics and Symptom Science Training ProgramT32NR016913 · NINR · UNIVERSITY OF WASHINGTON · PI CYNTHIA M DOUGHERTY, Margaret McLean Heitkemper · 2017 to 2026
$3.2M
The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
Improve the Meaning of Patient Reported Outcomes to Evaluate Effectiveness for Cardiac Care" (IMPROVE-Cardiac Care)R01HL161458 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MASTERSON CREBER, RUTH MARIE · 2022 to 2025
$2.6M
A Novel Deprescribing Intervention for Heart Failure with Preserved Ejection Fraction (HFpEF): A Prototype for Older Adults with Multimorbidity and PolypharmacyK76AG064428 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI GOYAL, PARAG · 2020 to 2024
$1.1M
Advancing the Conversations Helpful for Awareness of Illness Trajectory (CHAT) InterventionR21AG077092 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI GOYAL, PARAG, SHEN, MEGAN JOHNSON · 2023 to 2024
$486k
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NHLBI NIH HHS R01 HL161458NIA NIH HHS K76 AG064428NIA NIH HHS K76AG064428 ,R21AG077092,R24AG064025NIA NIH HHS R21 AG077092NIA NIH HHS R24 AG064025NINR NIH HHS T32 NR016913NINR NIH HHS T32NR016913
6 · The paper itself

Abstract

backgroundN-of-1 trials have emerged as a personalized approach to patient-centered care, where patients can compare evidence-based treatments using their own data. However, little is known about optimal methods to present individual-level data from medication-related N-of-1 trials to patients to promote decision-making.

objectivesWe conducted qualitative interviews with patients with heart failure with preserved ejection fraction undergoing N-of-1 trials to iterate, refine, and optimize a patient-facing data visualization tool for displaying the results of N-of-1 medication trials. The goal of optimizing this tool was to promote patients' understanding of their individual health information and to ultimately facilitate shared decision-making about continuing or discontinuing their medication.

methodsWe conducted 32 semistructured qualitative interviews with 9 participants over the course of their participation in N-of-1 trials. The N-of-1 trials were conducted to facilitate a comparison of continuing versus discontinuing a β-blocker. Interviews were conducted in person or over the phone after each treatment period to evaluate participant perspectives on a data visualization tool prototype. Data were coded using directed content analysis by two independent reviewers and included a third reviewer to reach a consensus when needed. Major themes were extracted and iteratively incorporated into the patient-facing data visualization tool.

resultsNine participants provided feedback on how their data were displayed in the visualization tool. After qualitative analysis, three major themes emerged that informed our final interface. Participants preferred: (1) clearly stated individual symptom scores, (2) a reference image with labels to guide their interpretation of symptom information, and (3) qualitative language over numbers alone conveying the meaning of changes in their scores (e.g., better, worse).

conclusionFeedback informed the design of a patient-facing data visualization tool for medication-related N-of-1 trials. Future work should include usability and comprehension testing of this interface on a larger scale.

Indexed as

Decision Making, SharedHeart FailureAgedClinical Trials as TopicDecision MakingFemaleHumansMaleMiddle Aged

Identifiers

PMID39178891
PMCPMC11617074

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.