Trial reportJournal of the American Geriatrics Society2014
A tool to strengthen the older patient-companion partnership in primary care: results from a pilot study.
Trial report in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Involving Family to Improve Primary Care Visits for Cognitively Impaired Patients
Involving Family to Improve Communication in Breast Cancer Care
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.BMC health services research · 2021Pooled it
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- Sharing in care: engaging care partners in the care and communication of breast cancer patients.Breast cancer research and treatment · 2019Trial
- Patient-Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial.Journal of general internal medicine · 2018Trial
- Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure.Journal of health communication · 2018Trial
- Factors influencing willingness to use medical visit companion services among older Chinese adults: a Logistic-ISM model approach.BMC geriatrics · 2026Article
- Evaluating the role of visit audio recordings in triadic dementia care: study protocol.BMC geriatrics · 2025Article
- Feasibility and Acceptability of the "About Me" Care Card as a Tool for Engaging Older Adults in Conversations About Cognitive Impairment.Annals of family medicine · 2025Article
- Care partners and consumer health information technology: A framework to guide systems-level initiatives in support of digital health equity.Learning health systems · 2024Article
- Sharing Health Care Wishes in Primary Care (SHARE) among older adults with possible cognitive impairment in primary care: Study protocol for a randomized controlled trial.Contemporary clinical trials · 2023Article
- SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care.Contemporary clinical trials · 2022Article
- SHARING Choices: A Pilot Study to Engage Family in Advance Care Planning of Older Adults With and Without Cognitive Impairment in the Primary Care Context.The American journal of hospice & palliative care · 2021Article
- Challenges and approaches to involving family caregivers in primary care.Patient education and counseling · 2021Article
- Decision regret in implantable cardioverter-defibrillator recipients : A cross-sectional analysis on patients that regret their decision after ICD implantation.Herzschrittmachertherapie & Elektrophysiologie · 2020Article
- Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary's Survey.Journal of immigrant and minority health · 2018Article
- "Let him speak:" a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment.International journal of geriatric psychiatry · 2018Article
- Family members' experiences supporting adults with chronic illness: A national survey.Families, systems & health : the journal of collaborative family healthcare · 2017Article
- Non-adherence to medication regimens among older African-American adults.BMC geriatrics · 2017Article
- Examining the context and helpfulness of family companion contributions to older adults' primary care visits.Patient education and counseling · 2017Article
- Family presence and participation during medical visits of heart failure patients: An analysis of survey and audiotaped communication data.Patient education and counseling · 2017Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo determine the acceptability of a pre-consultation checklist for older adults who attend medical visits with an unpaid companion and to evaluate its effects on visit communication.
designRandomized controlled pilot study.
settingAcademic geriatrics ambulatory clinic.
participantsThirty-two individuals aged 65 and older and their unpaid companions.
interventionA self-administered checklist was compared with usual care. The checklist was designed to elicit and align patient and companion perspectives regarding health concerns to discuss with the doctor and stimulate discussion about the companion's role in the visit. MEASUREMENT: PRIMARY OUTCOME: ratio of patient-centered communication, coded from visit audiotapes. SECONDARY OUTCOMES: checklist acceptability; visit duration; patient-companion verbal activity; patient- and physician-reported perspectives of the visit.
resultsAll intervention patients and companions (n = 17) completed the checklist, and all participants (n = 32 dyads) completed the study. Patients and companions stated that the checklist was easy to complete (88%) and useful (91%), and they uniformly (100%) recommended it to other patients. Communication was significantly more patient-centered in intervention group visits (ratio of 1.22 vs 0.71; P = .03). Visit duration (35.0 and 30.6 minutes; P = .34) and percentage of total verbal activity contributed by patients and companions (58.2% and 56.3% of visit statements; P = .50) were comparable in the intervention and control groups, respectively. Physicians were more likely to indicate that intervention companions "helped them provide good care to the patient" (94% vs 60%; P = .02). Intervention patients were more likely to indicate that they "better understood their doctor's advice and explanations" because their companion was present (82% vs 47%; P = .03).
conclusionA checklist to elicit and align perspectives of older adults and their companions resulted in enhanced patient-centered medical visit communication.
Indexed as
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What OpenQuestion holds
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.