Evidence map›Paper›PMID 24158972›Full record

ArticleResearch in gerontological nursing

Biobehavioral measures as outcomes: a cautionary tale.

Christine R Kovach, Diana Lynn Woods, Elizabeth C Devine, Brent R Logan, Hershel Raff

Abstract read
In one paragraph

Article in Research in gerontological nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

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

  1. Use of Salivary Diurnal Cortisol as an Outcome Measure in Randomised Controlled Trials: a Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Pooled it
  2. Review
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

5 authors.

Christine R Kovach
Diana Lynn Woods
Elizabeth C Devine
Brent R Logan
Hershel Raff

Funding

Effect of a Pain Protocol on Discomfort in DementiaR01NR007765 · NINR · UNIVERSITY OF WISCONSIN MILWAUKEE · PI KOVACH, CHRISTINE R · 2002 to 2010
$3.1M
Center for Enhancement of Self-Management in Individuals and FamiliesP20NR010674 · NINR · UNIVERSITY OF WISCONSIN MILWAUKEE · PI SCHIFFMAN, RACHEL F. · 2007 to 2011
$1.4M
NINR NIH HHS 1P20NR010674NINR NIH HHS 5R01NR07765NINR NIH HHS P20 NR010674NINR NIH HHS R01 NR007765
6 · The paper itself

Abstract

This article discusses the use of biobehavioral measures as outcomes for health care intervention studies. Effect size (ES) values for salivary cortisol and observation-based measures of pain and agitation were examined. Effects pre to post treatment were assessed separately for nursing home residents with and without acute psychotic symptoms. This study revealed large positive effects on both pain and agitation measures in the group with acute psychotic symptoms and small-to-medium positive effects on these same measures in the group without acute psychotic symptoms. In both of these groups, the ES values were not consistently positive on the cortisol measures. Prior to determining whether a measure can be used to estimate minimum clinically important differences, it is essential to consider if the biomarker will be responsive to therapy in the populations and contexts being studied.

Indexed as

Nursing HomesOutcome Assessment, Health CareAgedAged, 80 and overBiomarkersDementiaFemaleHumansHydrocortisoneObservationPain ManagementPain MeasurementPsychomotor AgitationBiomarkersHydrocortisone

Identifiers

PMID24158972
PMCPMC3965632

What OpenQuestion holds

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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.