Evidence map›Paper›PMID 23452167›Full record

ArticleJournal of the American Geriatrics Society2013

Challenges of antibiotic prescribing for assisted living residents: perspectives of providers, staff, residents, and family members.

Christine E Kistler, Philip D Sloane, Timothy F Platts-Mills, Anna S Beeber, Christine Khandelwal, David J Weber, C Madeline Mitchell, David Reed, Latarsha Chisholm, Sheryl Zimmerman

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06239688 (Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

NCT06239688 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2027Enrolled1,764ConditionsAging, Knowledge, Attitudes, Practice, Long-Term Care, DementiaArmsessentiALZ, Project ECHO
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
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  6. Article
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  8. Article
  9. Influences on the start, selection and duration of treatment with antibiotics in long-term care facilities.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Christine E KistlerDepartment of Family Medicine, University of North Carolina, Chapel Hill, NC 27599, USA. christine_kistler@med.unc.edu
Philip D Sloane
Timothy F Platts-Mills
Anna S Beeber
Christine Khandelwal
David J Weber
C Madeline Mitchell
David Reed
Latarsha Chisholm
Sheryl Zimmerman

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2RR025746 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$9.0M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
UNC Mentored Career Development Program in Comparative Effectiveness ResearchK12HS019468 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERGER, MORRIS · 2010 to 2010
$2.0M
Persistent Pain and Associated Physical Function Decline Among Elderly IndividualK23AG038548 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PLATTS-MILLS, TIMOTHY FORTESCUE · 2013 to 2016
$633k
AHRQ HHS K12 HS019468AHRQ HHS K12 HS19468-01NCATS NIH HHS KL2 TR001109NCRR NIH HHS KL2 RR025746NCRR NIH HHS UL1 RR025747NIA NIH HHS K23 AG038548PHS HHS HHSA290 2007 10014
6 · The paper itself

Abstract

objectivesTo better understand the antibiotic prescribing process in assisted living (AL) communities given the growing rate of antibiotic resistance.

designCross-sectional survey.

settingFour AL communities in North Carolina.

participantsAssisted living residents who received antibiotics (n = 30) from October 20, 2010, to March 31, 2011, a primary family member, staff, and the prescribing medical provider. MEASUREMENTS: Semistructured interviews that were conducted regarding prescribing included the information available at the time of prescribing and the perceptions of the quality of communication between providers, staff, residents and family members about the resident. Providers were asked an open-ended question regarding how to improve the communication process related to antibiotic prescribing for AL residents.

resultsFor the 30 residents who received antibiotic prescriptions, providers often had limited information about the case and lacked familiarity with the residents, the residents' families, and staff. They also felt that cases were less severe and less likely to require an antibiotic than did residents, families, and staff. Providers identified several ways to improve the communication process, including better written documentation and staff and family presence.

conclusionIn a small sample of AL communities, providers faced an array of challenges in making antibiotic prescribing decisions. This work confirms the complex nature of antibiotic prescribing in AL communities and indicates that further work is needed to determine how to improve the appropriateness of antibiotic prescribing.

Indexed as

Attitude of Health PersonnelPatient ParticipationPractice Patterns, Physicians'AgedAged, 80 and overAnti-Bacterial AgentsAssisted Living FacilitiesCommunicationCross-Sectional StudiesFemaleHumansMaleMiddle AgedNorth CarolinaPhysician-Patient RelationsProfessional-Family RelationsAnti-Bacterial Agents

Identifiers

PMID23452167
PMCPMC3628292

What OpenQuestion holds

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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.