Evidence map›Paper›PMID 24097838›Full record

ArticleThe American journal of hospice & palliative care2015

Barriers to end-of-life care for African Americans from the providers' perspective: opportunity for intervention development.

Ramona L Rhodes, Kim Batchelor, Simon C Lee, Ethan A Halm

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05165888 (Targeting Bias to Reduce Disparities in End of Life Care), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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.

NCT05165888 nacompletednot on this mapstarted 2022, after this paper: background citation

Targeting Bias to Reduce Disparities in End of Life Care: Clinician Communication Behavior in Simulated Patient Encounters Study

TypeinterventionalSponsorMontefiore Medical CenterRan2022 to 2024Enrolled22ConditionsTerminal Illness, Critical IllnessArmsCommunication and Bias Mitigation Training, Communication skills training
3 · Its place in the literature

Who cites it

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

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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

4 authors.

Ramona L RhodesDivision of General Internal Medicine, UT Southwestern Medical Center at Dallas, Dallas, TX, USA Department of Clinical Sciences, UT Southwestern Medical Center at Dallas, Dallas, TX, USA Geriatrics Section, UT Southwestern Medical Center at Dallas, Dallas, TX, USA Ramona.Rhodes@UTSouthwestern.edu.
Kim BatchelorDivision of General Internal Medicine, UT Southwestern Medical Center at Dallas, Dallas, TX, USA.
Simon C LeeDepartment of Clinical Sciences, UT Southwestern Medical Center at Dallas, Dallas, TX, USA.
Ethan A HalmDivision of General Internal Medicine, UT Southwestern Medical Center at Dallas, Dallas, TX, USA Department of Clinical Sciences, UT Southwestern Medical Center at Dallas, Dallas, TX, USA.

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
UT-Southwestern Clinical and Translational Alliance for Research (UT-STAR) (TL1)KL2TR000453 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2012 to 2012
$456k
NCATS NIH HHS KL2 TR000453NCATS NIH HHS KL2TR000453NCATS NIH HHS UL1 TR001105
6 · The paper itself

Abstract

Research has shown that African Americans (AAs) are less likely to complete advance directives and enroll in hospice. We examined barriers to use of these end-of-life (EOL) care options by conducting semi-structured interviews with hospice and palliative medicine providers and leaders of a national health care organization. Barriers identified included: lack of knowledge about prognosis, desires for aggressive treatment, family members resistance to accepting hospice, and lack of insurance. Providers believed that acceptance of EOL care options among AAs could be improved by increasing cultural sensitivity though education and training initiatives, and increasing staff diversity. Respondents did not have programs currently in place to increase awareness of EOL care options for underrepresented minorities, but felt that there was a need to develop these types of programs. These data can be used in future research endeavors to create interventions designed to increase awareness of EOL care options for AAs and other underrepresented minorities.

Indexed as

Black or African AmericanTerminal CareAttitude to HealthFamilyFemaleHealth Knowledge, Attitudes, PracticeHospice CareHumansInsurance CoverageInterviews as TopicMalePatient Acceptance of Health CareReligion and MedicineTrustAfrican Americansbarriersdisparitieshospice and palliative careinterventionsunderutilization

Identifiers

PMID24097838
PMCPMC5508735

What OpenQuestion holds

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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.