title: Adapting comparative effectiveness research summaries for delivery to patients and providers through a patient portal.
abstract: Despite increases in the scientific evidence for a variety of medical treatments, a gap remains in the adoption of best medical practices. This manuscript describes a process for adapting published summary guides from comparative effectiveness research to render them concise, targeted to audience, and easily actionable; and a strategy for disseminating such evidence to patients and their physicians through a web-based portal and linked electronic health record. This project adapted summary guides about oral medications for adults with type 2 diabetes to a fifth-grade literacy level and modified the resulting materials based on evaluations with the Suitability Assessment of Materials instrument. Focus groups and individual interviews with patients, diabetes providers, and health literacy experts were employed to evaluate and enhance the adapted summary guide. We present the lessons learned as general guidelines for the creation of concise, targeted, and actionable evidence and its delivery to both patients and providers through increasingly prevalent health information technologies.
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: Amanda M
authors.initials: AM
authors.lastname: McDougald Scott
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: Gretchen Purcell
authors.initials: GP
authors.lastname: Jackson
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: Yun-Xian
authors.initials: YX
authors.lastname: Ho
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: Zhou
authors.initials: Z
authors.lastname: Yan
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: Coda
authors.initials: C
authors.lastname: Davison
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
authors.forename: S Trent
authors.initials: ST
authors.lastname: Rosenbloom
mesh_terms: D000284:Administration, Oral; D000328:Adult; D057186:Comparative Effectiveness Research; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004059:Diffusion of Innovation; D057286:Electronic Health Records; D019983:Guideline Adherence; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007407:Interviews as Topic; D033283:Patient Access to Records; D017410:Practice Guidelines as Topic; D014481:United States; D016270:United States Agency for Healthcare Research and Quality
chemical_list: D007004:Hypoglycemic Agents