Evidence map›Paper›PMID 39642632›Full record

Trial reportPatient education and counseling2025

The feasibility of sharing digital audio-recordings of clinic visits online with older adults in primary care settings: A multisite trial.

Paul J Barr, Meredith Masel, Reed W Bratches, Elizabeth Carpenter-Song, A James O'Malley, Martha L Bruce, James S Goodwin, Sunil Kripalani, Susan Tarczewski, Sonya Williams and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Patient education and counseling, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Pharmacy (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Review
  4. 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

16 authors.

Paul J BarrThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; The Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA. Electronic address: Paul.j.barr@dartmouth.edu.
Meredith MaselOliver Center for Patient Safety and Quality Healthcare, The University of Texas Medical Branch, Galveston, TX, USA; Department of Population Health & Health Disparities, UTMB School of Public & Population Health, Galveston, TX, USA; Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Reed W BratchesThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; The Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Division of Nursing, The University of Alabama, Birmingham, AL, USA.
Elizabeth Carpenter-SongThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Department of Anthropology, Dartmouth College, Hanover, NH, USA.
A James O'MalleyThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Martha L BruceThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Department of Psychiatry, Geisel School of Medicine at Dartmouth and Dartmouth Health, Lebanon, NH, USA.
James S GoodwinDepartment of Population Health & Health Disparities, UTMB School of Public & Population Health, Galveston, TX, USA.
Sunil KripalaniVanderbilt Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Center for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Susan TarczewskiThe Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Sonya WilliamsVanderbilt Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, TN, USA.
Isamar OrtizSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Adam WrightDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Mukaila A RajiSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Hyunouk HongDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Parul M GoyalDepartment of Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Kerri L CavanaughVanderbilt Center for Effective Health Communication, Vanderbilt University Medical Center, Nashville, TN, USA; Division of Nephrology & Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
The effect of clinic visit audio recordings for self-management in older adultsR01AG074959 · NIA · DARTMOUTH COLLEGE · PI PAUL JAMES BARR, Kerri Cavanaugh · 2022 to 2026
$3.3M
The impact of sharing audio recorded clinic visits on self-management in older adults: a multisite trialR56AG061522 · NIA · DARTMOUTH COLLEGE · PI BARR, PAUL JAMES, CAVANAUGH, KERRI · 2019 to 2020
$1.6M
Improving patient and caregiver engagement through the application of data science methods to audio recorded clinic visits stored in personal health librariesR01LM012815 · NLM · DARTMOUTH COLLEGE · PI BARR, PAUL JAMES, HASSANPOUR, SAEED · 2017 to 2020
$1.4M
Expanding Multilevel Multicomponent Mentorship in Kidney Disease ResearchK26DK138374 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kerri Cavanaugh · 2023 to 2026
$562k
NCATS NIH HHS UL1 TR001439NCATS NIH HHS UL1 TR002243NCI NIH HHS P30 CA023108NIA NIH HHS R01 AG074959NIA NIH HHS R56 AG061522NIDA NIH HHS P30 DA029926NIDDK NIH HHS K26 DK138374NLM NIH HHS R01 LM012815
6 · The paper itself

Abstract

objectiveThe objective of this trial was to determine the feasibility, acceptability, and preliminary effectiveness of sharing audio recordings of primary care visits with older adults with multimorbidity.

methodsWe used a two-arm, randomized, controlled, feasibility trial with 3-month follow-up. Patients aged ≥ 65 years-with diabetes and hypertension-were recruited from academic primary care settings in New Hampshire, Tennessee, and Texas. Patients were randomized to receive online access to audio recordings of scheduled visits for three-months or care as usual (after visit summaries). Primary outcomes were acceptability and feasibility assessed using several indicators: acceptabilityrecruitment of 90 patients; recording use; and the Appropriateness of Intervention Measure (AIM; >3), feasibility- retention rate; protocol adherence; and the Feasibility of Intervention Measure (FIM; >3). Interviews were conducted with clinicians (n = 14) and patients (n = 19). Exploratory outcomes included patient activation, satisfaction, adherence, and quality of life.

resultsWe met recruitment (n = 91) and retention (98 %) targets and exceeded feasibility (Median FIM 4; IQR 3 - 4) and acceptability (Median AIM 4; IQR 3 - 4) metrics. Fidelity to protocol was high (92 %), and 40 of 45 patients (85 %) accessed their recordings. Interviewees noted the benefits of visit recording, including greater recall, understanding, and family engagement. Recording had little perceived impact on the visit interaction, and concerns about visit recording were minimal. Exploratory outcomes revealed better PROMIS Mental Health Scores for patients receiving Audio compared to Usual Care at 3 months: 51.5 (SD 7.7) vs. 47.7 (SD 9.9), P = 0.04.

conclusionsSharing visit recordings online with older adults is feasible and acceptable. A larger trial is needed to determine the impact of sharing recordings on patient health outcomes. PRACTICE IMPLICATIONS: Recording is a highly scalable approach to supporting older adults and their care partners in managing care. Advances in natural language processing may unlock further opportunities for this innovative strategy.

Indexed as

Feasibility StudiesPrimary Health CareTape RecordingAgedAged, 80 and overDiabetes MellitusFemaleHumansHypertensionInternetMaleMultimorbidityPatient SatisfactionQuality of LifeOlder adultsPatient centered communicationTechnology

Identifiers

PMID39642632
PMCPMC11701810

What OpenQuestion holds

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Registered trials

None linked

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.