Evidence map›Paper›PMID 27609321›Full record

ArticlePatient education and counseling2017

Family presence and participation during medical visits of heart failure patients: An analysis of survey and audiotaped communication data.

Crystal W Cené, Beth Haymore, Jeffrey P Laux, Feng-Chang Lin, Dana Carthron, Debra Roter, Lisa A Cooper, Patricia P Chang, Brian C Jensen, Paula F Miller and 1 more

Abstract read
In one paragraph

Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

11 authors.

Crystal W CenéDepartment of Medicine, Division of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill School of Medicine, NC, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. Electronic address: crystal_cene@med.unc.edu.
Beth HaymoreCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Jeffrey P LauxNorth Carolina Translational & Clinical Sciences Institute, University of North Carolina at Chapel Hill School, Chapel Hill, NC, USA; Department of Biostatistics, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Feng-Chang LinNorth Carolina Translational & Clinical Sciences Institute, University of North Carolina at Chapel Hill School, Chapel Hill, NC, USA; Department of Biostatistics, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Dana CarthronCollege of Nursing, Michigan State University, East Lansing, Michigan, USA.
Debra RoterDepartment of Health Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Lisa A CooperDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Patricia P ChangDepartment of Medicine, Division of Cardiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Brian C JensenDepartment of Medicine, Division of Cardiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Paula F MillerDepartment of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Giselle Corbie-SmithCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA; Department of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA; Center for Health Equity Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
Mentoring in community influences on CVD riskK24HL105493 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CORBIE, GISELLE · 2010 to 2019
$1.5M
Family members influence quality and delivery of care for heart failure patientsK23HL107614 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CENE, CRYSTAL WILEY · 2011 to 2013
$405k
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NHLBI NIH HHS K23 HL107614NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24 HL105493
6 · The paper itself

Abstract

objectiveTo describe the frequency, roles, and utility of family companion involvement in the care of patients with Heart Failure (HF) care and to examine the association between audiotaped patient, companion, and provider communication behaviors.

methodsWe collected survey data and audiotaped a single medical visit for 93 HF patients (36 brought a companion into the examination room) and their cardiology provider. Communication data was analyzed using the Roter Interaction Analysis System.

resultsThere were 32% more positive rapport-building statements (p<0.01) and almost three times as many social rapport-building statements (p<0.01) from patients and companions in accompanied visits versus unaccompanied patient visits. There were less psychosocial information giving statements in accompanied visits compared to unaccompanied patient visits (p<0.01.) Providers made 25% more biomedical information giving statements (p=0.04) and almost three times more social rapport-building statements (p<0.01) in accompanied visits. Providers asked fewer biomedical and psychosocial questions in accompanied versus unaccompanied visits. Providers made 16% fewer partnership-building statements in accompanied versus unaccompanied visits (p=0.01).

conclusionsOur findings are mixed regarding the benefits of accompaniment for facilitating patient-provider communication based on survey and audiotaped data. PRACTICE IMPLICATIONS: Strategies to enhance engagement during visits, such as pre-visit question prompt lists, may be beneficial.

Indexed as

CommunicationOffice VisitsPatient ParticipationTape RecordingAdultAgedCross-Sectional StudiesFamilyFemaleHeart FailureHumansMaleMiddle AgedNorth CarolinaPatient SatisfactionPhysician-Patient RelationsFamilyHeart failurePatient-provider communicationSocial supportVisit companions

Identifiers

PMID27609321
PMCPMC5322738

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Registered trials

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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.