Evidence map›Paper›PMID 26862682›Full record

ArticleJournal of palliative medicine2016

A Hospital-Based Advance Care Planning Intervention for Patients with Heart Failure: A Feasibility Study.

Bahman Sadeghi, Anne M Walling, Patrick S Romano, Sangeeta C Ahluwalia, Michael K Ong

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of palliative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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, 2 syntheses or guidelines pooled it, 28 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

5 authors at 3 institutions in 1 country.

Bahman Sadeghi1 Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California , Los Angeles, Los Angeles, California.
Anne M Walling1 Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California , Los Angeles, Los Angeles, California.
Patrick S Romano3 Departments of Internal Medicine and Pediatrics, University of California , Davis, Davis, California.
Sangeeta C Ahluwalia4 Rand Corporation , Santa Monica, California.
Michael K Ong1 Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California , Los Angeles, Los Angeles, California.
VA Greater Los Angeles Healthcare System · USRAND Corporation · USUniversity of California, Los Angeles · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Variations in Care: Comparing Heart Failure Care Transition Intervention EffectsR01HS019311 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ONG, MICHAEL K · 2010 to 2010
$9.9M
Research ProjectU54CA153499 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHEN, MOON SHAO-CHUANG, CHOW, EDWARD A. · 2010 to 2015
$6.7M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NCI NIH HHS U54 CA153499
6 · The paper itself

Abstract

backgroundEarly discussions about advance care planning (ACP) have been associated with improved patient and caregiver outcomes for patients with serious illness. Many patients with heart failure (HF) may benefit from more timely ACP, in part due to the unpredictable trajectory of the disease.

objectivesThe purpose of this study was to evaluate the feasibility of implementing a multiple-component hospital-based intervention on completion of ACP forms among HF patients.

methodsA brief hospital-based ACP intervention was led by a nonclinician health educator that included (1) an educational video about shared decision making and (2) a protocol to engage HF providers in patients' ACP decision making after the hospitalization. We surveyed patients regarding attitudes toward the ACP intervention and studied completion rates of advance directives (ADs) or physician orders for life sustaining treatment (POLST) forms six months following discharge.

resultsThe educational video component of this intervention was considered helpful by 92% of participants, and 70% said they were more likely to talk with their physician about their end-of-life preferences after watching the video and interacting with the health educator. Of 37 participants, 49% had evidence of completion of an AD or POLST in their medical records six months after the index hospitalization compared to 32% before the intervention. The number of patients having a signed scanned POLST form increased from 10 (27%) before the intervention to 16 (43%) six months after the intervention (p = 0.03).

conclusionsA hospital-based ACP intervention using nonclinician health educators is feasible to implement and has the potential to facilitate the ACP process.

Indexed as

Patient Education as TopicAdvance Care PlanningAgedAged, 80 and overDecision MakingFeasibility StudiesFemaleHeart FailureHospitalsHumansMaleMiddle AgedVideo Recording

Identifiers

PMID26862682
PMCPMC4827309
OpenAlexW2257256241

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.