Evidence map›Paper›PMID 22091493›Full record

ArticleJournal of the American Geriatrics Society2011

Categorizing the effect of comorbidity: a qualitative study of individuals' experiences in a low-vision rehabilitation program.

Heather E Whitson, Karen Steinhauser, Natalie Ammarell, Diane Whitaker, Scott W Cousins, Deidra Ansah, Linda L Sanders, Harvey J Cohen

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Heather E WhitsonCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina, USA. heather.whitson@duke.edu
Karen Steinhauser
Natalie Ammarell
Diane Whitaker
Scott W Cousins
Deidra Ansah
Linda L Sanders
Harvey J Cohen
Center for Human Reproduction · USEye Center · SADuke University · USDurham VA Medical Center · USEast Carolina University · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Taste and smell enhancement in older cancer patientsP60AG011268 · NIA · DUKE UNIVERSITY · PI COHEN, HARVEY JAY · 1992 to 2005
$5.8M
Developing Interventions to Improve Function in Seniors with Comorbid ConditionsK23AG032867 · NIA · DUKE UNIVERSITY · PI WHITSON, HEATHER E. · 2008 to 2012
$535k
NIA NIH HHS 5K23AG032867NIA NIH HHS 5P30AG028716NIA NIH HHS K23 AG032867NIA NIH HHS P30 AG028716NIA NIH HHS P60 AG011268
6 · The paper itself

Abstract

objectivesTo identify generalizable ways that comorbidity affects older adults' experiences in a health service program directed toward an index condition and to develop a framework to assist clinicians in approaching comorbidity in the design, delivery, and evaluation of such interventions.

designA qualitative data content analysis of interview transcripts to identify themes related to comorbidity.

settingAn outpatient low-vision rehabilitation program for macular disease.

participantsIn 2007/08, 98 individuals undergoing low-vision rehabilitation and their companions provided 624 semistructured interviews that elicited perceptions about barriers and facilitators of successful program participation.

resultsThe interviews revealed five broad themes about comorbidity: (i) "good days, bad days," reflecting participants' fluctuating health status during the program because of concurrent medical problems; (ii) "communication barriers." which were sometimes due to participant impairments and sometimes situational; (iii) "overwhelmed," which encompassed pragmatic and emotional concerns of participants and caregivers; (iv) "delays," which referred to the tendency of comorbidities to delay progress in the program and to confer added inconvenience during lengthy appointments; and (v) value of companion involvement in overcoming some barriers imposed by comorbid conditions.

conclusionThis study provides a taxonomy and conceptual framework for understanding consequences of comorbidity in the experience of individuals receiving a health service. If confirmed in individuals receiving interventions for other index diseases, the framework suggests actionable items to improve care and facilitate research involving older adults.

Indexed as

Patient SatisfactionActivities of Daily LivingAgedCommunication BarriersComorbidityFemaleHealth StatusHealth SurveysHumansMacular DegenerationMaleNorth CarolinaOccupational TherapyProspective StudiesSelf-Help DevicesVision, Low

Identifiers

PMID22091493
PMCPMC3662468
OpenAlexW2071589675

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.