Evidence map›Paper›PMID 25377153›Full record

ArticleInternational journal of psychiatry in medicine2014

A mixed methods exploration of family involvement in medical care for older adults with serious mental illness.

Kelly A Aschbrenner, Renee Pepin, Kim T Mueser, John A Naslund, Stephanie A Rolin, Marjan J Faber, Stephen J Bartels

Abstract read
In one paragraph

Article in International journal of psychiatry in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. 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

7 authors at 3 institutions in 2 countries.

Kelly A AschbrennerDartmouth College, Lebanon, New Hampshire.
Renee PepinDartmouth College, Lebanon, New Hampshire.
Kim T MueserBoston University, Massachusetts.
John A NaslundDartmouth College, Lebanon, New Hampshire.
Stephanie A RolinDartmouth College, Lebanon, New Hampshire.
Marjan J FaberUniversity Nijmegen Medical Centre, Netherlands.
Stephen J BartelsDartmouth College, Lebanon, New Hampshire.
Dartmouth College · USBoston University · USRadboud University Medical Center · NL

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Early Career Development Program for Patient-Centered Outcomes ResearchK12HS021695 · AHRQ · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2012 to 2013
$890k
AHRQ HHS K12 HS021695AHRQ HHS K12HS021695-01NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectiveMany older persons with serious mental illness (SMI) suffer from high rates of comorbid medical conditions. Although families play a critical role in psychiatric illness management among adults with SMI, their contributions to improving health outcomes in this population has received little attention. This study explored family involvement in medical care for older adults with SMI.

methodsThis mixed methods study involved analysis of quantitative data collected from older adults with SMI and cardiovascular risk (n = 28) participating in a pilot study of an intervention designed to improve patient-centered primary care augmented by qualitative interviews with their relatives (n = 13) to explore family involvement in medical care.

resultsApproximately 89% of older adults with SMI reported family involvement in at least one aspect of their medical care (e.g., medication reminders, medical decision making). However, many family members reported that they were rarely involved in their relative's medical visits, and most did not perceive a need to be involved during routine care. Family members identified obesity as their relative's primary health concern and many wanted guidance from providers on effective strategies for supporting weight loss.

conclusionsAlthough many family members did not perceive a need to be involved in their relative's routine medical visits, they expressed interest in talking with providers about how to help their relative change unhealthy behaviors. Educating patients, families, and providers about the potential benefits of family involvement in medical care, including routine medical visits for persons with SMI and cardiovascular health risk may promote patient- and family-centered collaboration in this high-risk population.

Indexed as

Cardiovascular DiseasesCaregiversMental DisordersPatient-Centered CareAgedConsumer Health InformationCooperative BehaviorFamilyFemaleHealth Services Needs and DemandHealthy People ProgramsHumansMaleMiddle AgedObesityPilot Projectsfamiliesmedical careolder adultsserious mental illness

Identifiers

PMID25377153
PMCPMC4825808
OpenAlexW2052747547

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.