Evidence map›Paper›PMID 27664940›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2017

Long-Term Follow-up of a Randomized Controlled Trial Evaluating a Mobile Health Intervention for Self-Management in Lung Transplant Recipients.

E M Rosenberger, A J DeVito Dabbs, A F DiMartini, D P Landsittel, J M Pilewski, M A Dew

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00818025 (Phase III Trial of Pocket PATH), which is not on this map. Cited by 28 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 9 pooled it
7.0field-weighted citation impact, top 3% of its field
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.

NCT00818025 nacompletednot on this map

Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-Care

TypeinterventionalSponsorUniversity of PittsburghRan2009 to 2013Enrolled211ConditionsLung DiseaseArmsPocket PATH (Personal Assistant for Tracking Health)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 9 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  10. Trial
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  12. Article
  13. Review
  14. Post-lung transplant surveillance in 2026: current practice, variability, and the need for standardization.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  15. Article
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  18. Observational
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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

6 authors at 1 institution in 1 country.

E M RosenbergerDepartment of Clinical and Translational Science, University of Pittsburgh School of Medicine, Pittsburgh, PA.ORCID http://orcid.org/0000-0001-6387-4950
A J DeVito DabbsDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA.
A F DiMartiniDepartments of Psychiatry and Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
D P LandsittelDepartments of Medicine, Biostatistics, and Clinical and Translational Science, University of Pittsburgh School of Medicine, Pittsburgh, PA.
J M PilewskiDepartments of Medicine, Pediatrics, and Cell Biology and Physiology, University of Pittsburgh School of Medicine, Pittsburgh, PA.
M A DewDepartments of Psychiatry, Psychology, Epidemiology, Biostatistics, and Clinical and Translational Science, University of Pittsburgh, Pittsburgh, PA.ORCID http://orcid.org/0000-0002-4666-1870
University of Pittsburgh · US

Funding

Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-CareR01NR010711 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DE VITO DABBS, ANNETTE J · 2008 to 2012
$3.5M
MAJOR DEPRESSION, ANXIETY, AND LUNG TRANSPLANTATIONR01MH059229 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 1999 to 2003
$1.4M
University of Pittsburgh Clinical and Translational Science InstituteTL1TR000145 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$872k
NCATS NIH HHS TL1 TR000145NIMH NIH HHS R01 MH059229NINR NIH HHS R01 NR010711
6 · The paper itself

Abstract

Mobile health interventions may help transplant recipients follow their complex medical regimens. Pocket Personal Assistant for Tracking Health (Pocket PATH) is one such intervention tailored for lung transplant recipients. A randomized controlled trial showed Pocket PATH's superiority to usual care for promoting the self-management behaviors of adherence, self-monitoring and communication with clinicians during posttransplant year 1. Its long-term impact was unknown. In this study, we examined associations between Pocket PATH exposure during year 1 and longer term clinical outcomes-mortality and bronchiolitis obliterans syndrome (BOS)-among 182 recipients who survived the original trial. Cox regression assessed whether (a) original group assignment and (b) performance of self-management behaviors during year 1 predicted time to outcomes. Median follow-up was 5.7 years after transplant (range 4.2-7.2 years). Pocket PATH exposure had no direct effect on outcomes (p-values >0.05). Self-monitoring was associated with reduced mortality risk (hazard ratio [HR] 0.45; 95% confidence interval [CI] 0.22-0.91; p = 0.027), and reporting abnormal health indicators to clinicians was associated with reduced risks of mortality (HR 0.15; 95% CI 0.04-0.65; p = 0.011) and BOS (HR 0.27; 95% CI 0.08-0.86; p = 0.026), regardless of intervention group assignment. Although Pocket PATH did not have a direct impact on long-term outcomes, early improvements in self-management facilitated by Pocket PATH may be associated with long-term clinical benefit.

Indexed as

Quality of LifeSelf-ManagementTransplant RecipientsBronchiolitis ObliteransFemaleFollow-Up StudiesGraft SurvivalHumansLung TransplantationMaleMiddle AgedPrognosisTelemedicineallied health/nursingbronchiolitis obliterans (BOS)clinical research/practicecompliance/adherencelung transplantation/pulmonologypatient survivalsocial sciences

Identifiers

PMID27664940
PMCPMC5365382
OpenAlexW2522387792

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 Socratic graph.