Evidence map›Paper›PMID 25669876›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2016

It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters.

Bryan R Hansen, Nancy A Hodgson, Laura N Gitlin

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors Association · 2021
    Pooled it
  2. A Multidimensional Narrative Review of Disparities in Hospice Care Use.The American journal of hospice & palliative care · 2026
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  12. Adaptation of an Evidence-Based Intervention for Disability Prevention, Implemented by Community Health Workers Serving Ethnic Minority Elders.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
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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

3 authors.

Bryan R HansenThe Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Nancy A HodgsonThe Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Laura N GitlinThe Johns Hopkins University School of Nursing, Baltimore, MD, USA lgitlin1@jhu.edu.

Funding

Treating Depression in African American Elders: A Community-Academic PartnershipR01MH079814 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2007 to 2011
$2.9M
Supporting Mental Health of African American EldersR24MH074779 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2005 to 2009
$2.1M
NIMH NIH HHS R01 MH079814NIMH NIH HHS R24 MH074779
6 · The paper itself

Abstract

purposeTo examine perceptions of older African Americans' encounters with health care providers and ways to enhance trust.

methodTranscribed semi-structured interviews with African American senior center members were analyzed, using Pattern Coding method.

resultsFour themes emerged: "Added Insult of Ageism," "Alternative Remedies," "Good Providers in a 'Broken' System," and "The Foundation of Trust Is Person Recognition." Provider behaviors leading to mistrust included erroneously assuming stereotypical preferences and competence, spending inadequate time listening to patients, disregarding patient preferences, and insufficiently explaining treatments. DISCUSSION: Of importance to improving trust among older African American patients is valuing individual histories and preferences by reallocating scarce time to person-centered listening, individualizing treatments, more completely explaining interventions, and assuring that patients understand and agree with treatment plans.

Indexed as

Physician-Patient RelationsAgedAged, 80 and overAgeismBlack or African AmericanCommunicationComplementary TherapiesCultural CompetencyDelivery of Health CareEmpathyFemaleHumansInterviews as TopicMaleMiddle AgedPatient-Centered Carehealth care providerhealth disparityolder adulttrust

Identifiers

PMID25669876
PMCPMC4530080

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.