Evidence map›Paper›PMID 19682120›Full record

ArticleJournal of the American Geriatrics Society2009

Understanding advance care planning as a process of health behavior change.

Terri R Fried, Karen Bullock, Lynne Iannone, John R O'Leary

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 7 pooled it
16.4field-weighted citation impact, top 1% 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.

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

106 citing papers in PubMed, 7 syntheses or guidelines pooled it, 293 citations in OpenAlex.

  1. Pooled it
  2. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Complex advance care planning intervention in general practice (ACP-GP): a cluster-randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Trial
  11. Trial
  12. Unraveling patients' readiness in advance care planning conversations: a qualitative study as part of the ACTION Study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. PEC innovation · 2026
    Article
  20. Article

46 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Terri R FriedDepartment of Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA. terri.fried@yale.edu
Karen Bullock
Lynne Iannone
John R O'Leary
Yale University · USHartford Hospital · USUniversity of Connecticut · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Treatment Goals at the End of LifeR01AG019769 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2002 to 2008
$2.4M
Expanding Treatment Options for Older PersonsK24AG028443 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2007 to 2011
$914k
NIA NIH HHS K24 AG028443NIA NIH HHS K24 AG28443NIA NIH HHS P30 AG021342NIA NIH HHS P30AG21342NIA NIH HHS R01 AG019769NIA NIH HHS R01 AG19769
6 · The paper itself

Abstract

objectivesTo explore whether models of health behavior change can help to inform interventions for advance care planning (ACP).

designQualitative cross-sectional study.

settingCommunity.

participantsSixty-three community-dwelling persons aged 65 and older and 30 caregivers with experience as surrogate decision-makers. MEASUREMENTS: In focus groups conducted separately with older persons and caregivers, participants were asked to discuss ways they had planned for future declines in health and why they had or had not engaged in such planning. Transcripts were analyzed using grounded theory.

resultsFour themes illustrated the potential of applying models of health behavior change to improve ACP. (1) Participants demonstrated variable readiness to engage in ACP and could be in different stages of readiness for different components of ACP, including consideration of treatment goals, completion of advance directives, and communication with families and physicians. (2) Participants identified a wide range of benefits of and barriers to ACP. (3) Participants used a variety of processes of change to progress through stages of readiness, and ACP was only one of a broader set of behaviors that participants engaged in to prepare for declines in their health or for death. (4) Experience with healthcare decision-making for loved ones was a strong influence on perceptions of susceptibility and engagement in ACP. DISCUSSION: The variability in participants' readiness, barriers and benefits, perceptions of susceptibility, and use of processes to increase readiness for participating in each component of ACP suggests the utility of customized, stage-specific interventions based on individualized assessments to improve ACP.

Indexed as

Advance Care PlanningHealth BehaviorAdvance DirectivesAgedAged, 80 and overAgingCaregiversCross-Sectional StudiesDecision MakingFemaleFocus GroupsGeriatric AssessmentGoalsHumansMaleMiddle Aged

Identifiers

PMID19682120
PMCPMC2783892
OpenAlexW1497519747

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.