Evidence map›Paper›PMID 24612316›Full record

ArticleJournal of advanced nursing2014

Challenges in efficacy research: the case of feeding alternatives in patients with dementia.

Jane Zapka, Elaine Amella, Gayenell Magwood, Mohan Madisetti, Donald Garrow, Melissa Batchelor-Aselage

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Aspiration pneumonia in nursing literature-a mapping review.Frontiers in rehabilitation sciences · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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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

6 authors.

Jane ZapkaDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Elaine AmellaCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Gayenell MagwoodCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Mohan MadisettiCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Donald GarrowGulf Comprehensive Gastroenterology, Englewood, Florida, USA.
Melissa Batchelor-AselageDuke University School of Nursing, Durham, North Carolina, USA.

Funding

Feeding in Elderly Late-Stage Dementia: The FIELD TrialR21AG032083 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI AMELLA, ELAINE J · 2009 to 2010
$320k
NIA NIH HHS R21 AG032083NIA NIH HHS R21AG032083
6 · The paper itself

Abstract

aimsTo explore factors at the family caregiver and nursing home administrative levels that may affect participation in a clinical trial to determine the efficacy of hand feeding vs. percutaneous gastrostomy tube feeding in persons with late-stage dementia.

backgroundDecision-making regarding use of tube feeding vs. hand feeding for persons with late-stage dementia is fraught with practical, emotional and ethical issues and is not informed by high levels of evidence.

designQualitative case study.

methodsTranscripts of focus groups with family caregivers were reviewed for themes guided by behavioural theory. Analyses of notes from contacts with nursing home administrators and staff were reviewed for themes guided by an organizational readiness model. Data were collected between the years 2009-2012.

resultsFactors related to caregiver willingness to participate included understanding of the prognosis of dementia, perceptions of feeding needs and clarity about research protocols. Nursing home willingness to participate was influenced by corporate approval, concerns about legal and regulatory issues, and prior relationships with investigators.

conclusionParticipation in rigorous trials requires lengthy navigation of complex corporate requirements and training competent study staff. Objective deliberation by caregivers will depend on appropriate recruitment timing, design of recruitment materials and understanding of study requirements. The clinical standards and policy environment and the secular trends there-in have relevance to the responses of people at all levels.

Indexed as

Feeding BehaviorCross-Sectional StudiesDementiaFocus GroupsHumanscaregivingdecision-makingdementianursing home carenutritionresearch in practice

Identifiers

PMID24612316
PMCPMC4130777

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.