Evidence map›Paper›PMID 24170705›Full record

ArticleJournal of the American Association of Nurse Practitioners2014

Multimedia decision support intervention: a promising approach to enhance the intention to complete an advance directive among hospitalized adults.

Ronald L Hickman, Amy R Lipson, Melissa D Pinto, Grant Pignatiello

Abstract read
In one paragraph

Article in Journal of the American Association of Nurse Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Article
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.

Ronald L HickmanSchool of Nursing, Case Western Reserve University, Cleveland, Ohio, University Hospitals Case Medical Center, Cleveland, Ohio, School of Nursing, Emory University, Atlanta, Georgia.
Amy R Lipson
Melissa D Pinto
Grant Pignatiello

Funding

Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
NCATS NIH HHS KL2 TR000440NCRR NIH HHS L30 RR033212NCRR NIH HHS L30RR033212NIMH NIH HHS L30 MH091738NIMH NIH HHS L30MH091738PHS HHS 2KLTR000440-06
6 · The paper itself

Abstract

purposeWe examined the acceptability and initial efficacy of a multimedia decision support (MDS) intervention to improve intention to complete an advanced directive (AD) among hospitalized adults following an episode of critical illness. DATA SOURCES: We used comparative quasi-experimental posttest only design. Forty-nine hospitalized adults, recovering from a critical illness, received either MDS or AD educational brochure. Demographic characteristics and self-report measures of AD knowledge were captured at baseline and used as covariates. Helpfulness of the intervention (acceptability) and the outcome variable, intention to complete an AD decision, were assessed after exposure to the MDS intervention or educational brochure (information-only control condition).

conclusionsThe MDS was a more acceptable form of education compared to a brochure. After adjusting for covariates, participants exposed to the MDS intervention were 24.7 times more likely to intend to complete an AD compared to those who were assigned to the information-only control condition. IMPLICATIONS FOR PRACTICE: This pilot study establishes the acceptability and initial efficacy of the MDS intervention among individuals with critical illness, who are at high risk for hospital readmission life-sustaining treatment. This study illuminates a teachable moment in which patients are more receptive to interventions to complete an AD.

Indexed as

Advance DirectivesDecision Support TechniquesAgedFemaleHospitalizationHumansMaleMiddle AgedMultimediaPilot ProjectsAdvance directivescritical illnessdecision supporteducational interventionshospitalized adults

Identifiers

PMID24170705
PMCPMC3883992

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.