Evidence map›Paper›PMID 39510789›Full record

Trial reportBMJ open2024

Avoiding anti-inflammatories: a randomised controlled trial testing the effect of an eHealth information package on primary healthcare patient medication knowledge and behaviour in Aotearoa New Zealand.

Sharon Leitch, Jiaxu Zeng, Alesha Smith, Tim Stokes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. 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

4 authors.

Sharon LeitchGeneral Practice and Rural Health, University of Otago Dunedin School of Medicine, Dunedin, New Zealand sharon.leitch@otago.ac.nz.ORCID 0000-0001-9939-8773
Jiaxu ZengPreventive and Social Medicine, University of Otago Division of Health Sciences, Dunedin, Otago, New Zealand.ORCID 0000-0001-8306-9019
Alesha SmithSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID 0000-0003-1056-9527
Tim StokesGeneral Practice & Rural Health, University of Otago Dunedin School of Medicine, Dunedin, New Zealand.ORCID 0000-0002-1127-1952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient medication knowledge and health literacy affect patient safety. Taking angiotensin-converting enzyme inhibitors (ACE-i) or angiotensin II receptor blockers (ARBs), with diuretics and non-steroidal anti-inflammatory medications (NSAIDs) is nephrotoxic. Patients may not know of this risk. An eHealth information package was developed to inform patients at risk of taking this combination of medication.

objectiveTo assess the impact of the eHealth information package on patient knowledge and behaviour.

designThis was a two-arm, parallel, randomised control trial. A knowledge quiz and NSAID use survey were undertaken at baseline, and repeated after two weeks. The intervention group accessed the information package after completing the baseline assessment. The control group received normal care. SETTING AND

participantsPrimary healthcare patients prescribed an ACE-i or ARB plus a diuretic in Aotearoa New Zealand.

interventionA novel eHealth information package was made available to participants in the intervention group consisting of a downloadable PDF and online education activity. This took approximately 15 min for participants to complete. PRIMARY OUTCOME MEASURES: Change in knowledge scores and in NSAID use between pre-intervention and post-intervention assessment. SECONDARY OUTCOME MEASURES: Self-reported patient intentions regarding future NSAID use

resultsThe 201 participants who completed the study had high baseline NSAID medication knowledge, which did not substantially change at follow-up. The intervention group had a 0.35 (95% CI: -0.18, 0.88) higher knowledge score than the control group. NSAID use decreased over the study; the intervention group had 62% lower odds of NSAID use at follow-up assessment compared with the control group (OR=0.37, 95% CI: 0.14, 1.03). There was no substantial difference between study groups at follow-up for self-reported action. The information package was considered acceptable and useful.

conclusionThis tailored eHealth information package may reduce NSAID use in patients at increased risk from NSAID-related harm. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trial Registry (ACTRN:12622001132730).

Indexed as

Anti-Inflammatory Agents, Non-SteroidalHealth Knowledge, Attitudes, PracticeTelemedicineAdultAgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsDiureticsFemaleHealth LiteracyHumansMaleMiddle AgedNew ZealandPatient Education as TopicPrimary Health CareAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAnti-Inflammatory Agents, Non-SteroidalDiureticseHealthHealth LiteracyPatient-Centered CarePrimary Health CareSafety

Identifiers

PMID39510789
PMCPMC11552570

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.