Evidence map›Paper›PMID 26833180›Full record

ArticleThe journal of spinal cord medicine2017

Relational empathy and holistic care in persons with spinal cord injuries.

Sherri L LaVela, Allen W Heinemann, Bella Etingen, Ana Miskovic, Sara M Locatelli, David Chen

Abstract read
In one paragraph

Article in The journal of spinal cord medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Sherri L LaVelaa Department of Veterans Affairs (VA) , Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) , Edward Hines Jr. VA Hospital, Hines , IL , USA.
Allen W Heinemannd Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago , Chicago , IL , USA.
Bella Etingena Department of Veterans Affairs (VA) , Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) , Edward Hines Jr. VA Hospital, Hines , IL , USA.
Ana Miskovicd Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago , Chicago , IL , USA.
Sara M Locatellib Center of Innovation for Complex Chronic Healthcare , Edward Hines Jr. VA Hospital, Hines , IL , USA.
David Chene Department of Physical Medicine & Rehabilitation , Feinberg School of Medicine, Northwestern University , Chicago , IL , USA.
Shirley Ryan AbilityLab · USEdward Hines, Jr. VA Hospital · USQuality Enhancement Research Initiative · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDescribe perceptions of persons with SCI on their receipt of holistic care and relational empathy during health care encounters.

designMailed survey. PARTICIPANTS/

settingIndividuals with SCI who received care from the largest suppliers of SCI care and rehabilitation (Veterans Health Administration and SCI Model Systems). OUTCOME MEASURES: Using a survey and administrative databases, we collected demographic and injury characteristics, health status, health conditions, and the main outcome: Consultation and Relational Empathy (CARE) measure.

resultsThe sample included 450 individuals with SCI (124 Veterans and 326 civilians). Response rate was 39% (450/1160). Analyses were conducted on patients with complete data (n = 389). Veterans and civilians with SCI differed across many demographic characteristics, age at injury, and etiology, but mean CARE scores were equivalent. Fewer than half of the full SCI cohort had CARE scores above the normative value of 43. Having a recent pressure ulcer showed a trend for lower odds of having a normative or higher CARE score. Odds of having an above-normative CARE score were nearly 2 times greater for individuals with tetraplegia, and odds were higher for those with higher physical and mental health status.

conclusionsHigher physical and mental health status and tetraplegia were each independently associated with greater perceptions of holistic care and empathy in the therapeutic patient-provider relationship. Limited empathy, communication, and holistic care may arise when providers focus on disease/disease management, rather than on patients as individuals. Frequent health care use and secondary conditions may affect empathy and holistic care in encounters, making it essential to understand and employ efforts to improve the therapeutic relationship between patients with SCI and their providers.

Indexed as

EmpathyHolistic HealthHolistic NursingNurse-Patient RelationsPhysician-Patient RelationsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedSpinal Cord InjuriesCommunicationEmpathyHolistic healthPhysician patient relationshipSpinal cord injuries

Identifiers

PMID26833180
PMCPMC5376142
OpenAlexW2257592393

What OpenQuestion holds

Textmetadata
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.