Evidence map›Paper›PMID 19205027›Full record

Trial reportResearch in nursing & health2009

Randomized controlled trial of SPIRIT: an effective approach to preparing African-American dialysis patients and families for end of life.

Mi-Kyung Song, Sandra E Ward, Mary Beth Happ, Beth Piraino, Heidi S Donovan, Anne-Marie Shields, Mary C Connolly

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Research in nursing & health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02445937 (Stepped Wedge Trial of an Intervention to Support Proxy Decision Makers in ICUs), which is not on this map. Cited by 48 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 8 pooled it
–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.

NCT02445937 nacompletednot on this mapstarted 2015, after this paper: background citation

Stepped Wedge Trial of an Intervention to Support Proxy Decision Makers in ICUs

TypeinterventionalSponsorUniversity of PittsburghRan2015 to 2019Enrolled848ConditionsAnxiety, DepressionArmsPARTNER II
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Advance care planning for haemodialysis patients.The Cochrane database of systematic reviews · 2016
    Pooled it
  7. Use of Decision Aids with Minority Patients: a Systematic Review.Journal of general internal medicine · 2016
    Pooled it
  8. Pooled it
  9. Implementation of An Advance Care Planning Intervention in Dialysis Clinics.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Advance care planning and end-of-life decision making in dialysis: a randomized controlled trial targeting patients and their surrogates.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2015
    Trial
  20. Trial
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

7 authors.

Mi-Kyung SongSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.
Sandra E Ward
Mary Beth Happ
Beth Piraino
Heidi S Donovan
Anne-Marie Shields
Mary C Connolly

Funding

Improving End-of-Life Communication with ESRD African American PatientsR21NR009662 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SONG, MI-KYUNG · 2006 to 2007
$382k
Symptom Management, Patient-Caregiver Communication, and Outcomes in ICUK24NR010244 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HAPP, MARY E · 2007 to 2009
$338k
NINR NIH HHS 1R21 NR 009662NINR NIH HHS K24 NR 010244NINR NIH HHS R21 NR009662
6 · The paper itself

Abstract

This randomized controlled trial tested an intervention, Sharing Patients' Illness Representations to Increase Trust (SPIRIT), designed to enhance communication regarding end-of-life care between African Americans with end-stage renal disease (ESRD) and their chosen surrogate decision makers (N = 58 dyads). We used surveys and semi-structured interviews to determine the feasibility, acceptability, and preliminary effects of SPIRIT on patient and surrogate outcomes at 1 week and 3 months post-intervention. We also evaluated patients' deaths and surrogates' end-of-life decision making to assess surrogates' perceptions of benefits and limitations of the SPIRIT while facing end-of-life decisions. We found that SPIRIT promoted communication between patients and their surrogates and was effective and well received by the participants.

Indexed as

Black or African AmericanCommunicationAdvance Care PlanningAgedAttitude to HealthConflict, PsychologicalDecision MakingFamilyFeasibility StudiesFemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedNursing Assessment

Identifiers

PMID19205027
PMCPMC2719959

What OpenQuestion 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 OpenQuestion graph.