A Randomized Controlled Pilot Trial of the Functional Assessment Screening Tablet to Engage Patients at the Point of Care

Hess, Rachel; Tindle, Hilary A.; Conroy, Molly B.; Clark, Sunday; Yablonsky, Eric

doi:10.1007/s11606-014-2984-9

Cited by 9 publications

(17 citation statements)

References 25 publications

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“…Little increase in both patients’ and doctors’ reports of discussion on various health topics for patients with prior access to their HRA was found 25. Harari et al21 also reported no HRA effect on patients’ self-efficacy related to patient/doctor interactions (Table 2).…”

Section: Resultsmentioning

confidence: 96%

“…Seven articles concerned personalized risk information presented on computer 20–23,25,29,30. Developments in information technology have made it possible to combine health behavior change theory, communication theory, social marketing principles, and computer-based programs and algorithms to produce personally relevant health messages for individuals.…”

Section: Resultsmentioning

confidence: 99%

“…Although authors suggest that computerized HRAs in clinical settings are best used to complement face-to-face consultations with clinicians, making them “more efficient and satisfying for both sides” by “increasing patients knowledge and power to enable them to be active partners in their care”,30 an RCT using computer-generated risk information on tablet PCs just prior to a doctor’s appointment does not support this 25. Little increase in both patients’ and doctors’ reports of discussion on various health topics for patients with prior access to their HRA was found 25.…”

Section: Resultsmentioning

confidence: 99%

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Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

Harris

Noble

Lowers

2017

PPA

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Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk assessment of patients based on a range of data concerned with lifestyle, behavior, and health status has assumed a growing importance in many health systems. It is a mechanism whereby responsibility for self (preventive) care can be shifted to patients, provided that risk assessment data is communicated to patients in a way which is engaging and motivates change. This study aimed to look at whether the form in which tailored risk information was presented in a clinical setting (for example, using photographs, online data, diagrams etc.), was associated with differences in patients’ responses and preferences to the material presented. We undertook a systematic review using electronic searching of nine databases, along with handsearching specialist journals and backward and forward citation searching. We identified eleven studies (eight with a randomized controlled trial design). Seven studies involved the use of computerized health risk assessments in primary care. Beneficial effects were relatively modest, even in studies merely aiming to enhance patient–clinician communication or to modify patients’ risk perceptions. In our paper, we discuss the apparent importance of the accompanying discourse between patient and clinician, which appears to be necessary in order to impart meaning to information on “risk,” irrespective of whether the material is personalized, or even presented in a vivid way. Thus, while expanding computer technologies might be able to generate a highly personalized account of patients’ risk in a time efficient way, the need for face-to-face interactions to impart meaning to the data means that these new technologies cannot fully address the resource issues attendant with this type of approach.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

Harris

Noble

Lowers

2017

PPA

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“…Documented primary care providers' delivery of the 5As (Ask, Advise, Assess, Assist, and Arrange) to 47 study participants across 3 consecutive primary care visits at preintervention, intervention, and postintervention based on 141 progress notes extracted from electronic health records. trials that promote smoking cessation or providers delivering 5As in clinic settings, 24 this is the first study to our knowledge that specifically targeted non-English speaking Asian American smokers in primary care.…”

Section: Discussionmentioning

confidence: 99%

“…For example, a pilot study testing "FAST-Feedback" that provided guidelinebased feedback to both patients and providers on a range self-reported health behaviors showed increased discussions on mental health but no difference in smoking-related discussions. 24 In addition, a text-based computer-facilitated 5A intervention is being tested among English-and Spanish-speaking primary care patients. 32 A unique feature of the iMD intervention is that it uses tailored and interactive videos with education contents delivered in languages (Korean and Vietnamese) and images tailored to the Asian culture.…”

Section: Discussionmentioning

confidence: 99%

Interactive Mobile Doctor (iMD) to Promote Patient-Provider Discussion on Tobacco Use among Asian American Patients in Primary Care: A Pilot Study

et al. 2018

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This study examined the feasibility, acceptability, and efficacy of an interactive "Mobile Doctor" intervention (iMD) for Korean and Vietnamese American men, population groups with high smoking prevalence rates. Methods: The iMD delivers 5As (Ask, Advise, Assess, Assist, and Arrange) via tailored in-language video messages on a mobile tablet to Korean and Vietnamese male daily smokers right before a health care visit. A single-group trial was conducted with Korean-and Vietnamese-speaking patients at a federally qualified health center. Outcomes were assessed by self-reported surveys obtained postvisit and 3-month follow-up, and by examining electronic health record (EHR) progress notes from 3 consecutive primary care visits to evaluate impacts. Results: Among 47 male daily smokers (87% participation rate), 98% were limited English proficient and 53% had no intent to quit smoking within 6 months. On average, iMD took 12.9 minutes to complete. All participants reported discussing smoking with their providers during the visit, and more than 90% thought iMD was at least somewhat helpful in their decision about quitting and in communicating with their providers. EHR-documented 5As were significantly higher at the iMD visit for Assess (38.3%), Assist (59.6%), and Arrange (36.2%) compared with other visits without iMD. At 3 months, 51% made at least 1 24-hour quit attempt since the intervention. The self-reported 7-day point prevalence abstinence was 19%. Conclusions: iMD is feasible and acceptable to Korean and Vietnamese male smokers, including those who were not intending to quit smoking. It is a promising tool for increasing patient-provider discussion of tobacco use and possibly smoking cessation among Asian American male smokers. (J Am Board Fam Med 2018;31:869-880.)

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Using a wireless touch screen tablet personal computer is feasible to assess the quality of Breast Cancer Survivorship

Koh

Choi

Cheon

et al. 2018

Journal of Cancer Research and Practice

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A Randomized Controlled Pilot Trial of the Functional Assessment Screening Tablet to Engage Patients at the Point of Care

Cited by 9 publications

References 25 publications

Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

Interactive Mobile Doctor (iMD) to Promote Patient-Provider Discussion on Tobacco Use among Asian American Patients in Primary Care: A Pilot Study

Using a wireless touch screen tablet personal computer is feasible to assess the quality of Breast Cancer Survivorship

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A Randomized Controlled Pilot Trial of the Functional Assessment Screening Tablet to Engage Patients at the Point of Care

Cited by 9 publications

References 25 publications

Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients&rsquo; preferences and responses

Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients&rsquo; preferences and responses

Interactive Mobile Doctor (iMD) to Promote Patient-Provider Discussion on Tobacco Use among Asian American Patients in Primary Care: A Pilot Study

Using a wireless touch screen tablet personal computer is feasible to assess the quality of Breast Cancer Survivorship

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Product

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Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses