Evidence map›Paper›PMID 27817986›Full record

ArticlePatient education and counseling2017

Examining the context and helpfulness of family companion contributions to older adults' primary care visits.

Jennifer L Wolff, Yue Guan, Cynthia M Boyd, Judith Vick, Halima Amjad, David L Roth, Laura N Gitlin, Debra L Roter

Registry-linked trialAbstract 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. It is linked to trial NCT02986958 (Involving Family to Improve Primary Care Visits for Cognitively Impaired Patients), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT02986958 nacompletednot on this map

Involving Family to Improve Primary Care Visits for Cognitively Impaired Patients

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2016 to 2017Enrolled93ConditionsCognitive ImpairmentArmsPre-visit patient-family agenda-setting checklist, Usual care
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  4. Investigating the Factors Behind Patients' Desire and Decision to be Accompanied: A Cross-Sectional Analysis.Health expectations : an international journal of public participation in health care and health policy · 2025
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  6. Caregiver Contributions to Older Veterans' Mental Health Utilization: New Opportunities for Exploring Caregiving Roles and Impacts.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
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  13. Influence of Care Network Characteristics on Physician Visit Experiences for Black, White, and Hispanic Older Adults With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
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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

8 authors at 3 institutions in 1 country.

Jennifer L WolffDepartment of Health Policy and Management and Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 692, Baltimore, MD 21205, United States; Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Baltimore, MD 21224-2734, United States; Center on Aging and Health, Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, United States; Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205-2110, United States. Electronic address: jwolff2@jhu.edu.
Yue GuanProgram in Personalized & Genomic Medicine, Division of Endocrinology, Diabetes & Nutrition, Department of Medicine, University of Maryland School of Medicine, 685 W. Baltimore St., MSTF 3-14D, Baltimore, MD 21201, United States. Electronic address: yguan@medicine.umaryland.edu.
Cynthia M BoydDepartment of Health Policy and Management and Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 692, Baltimore, MD 21205, United States; Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Baltimore, MD 21224-2734, United States; Center on Aging and Health, Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, United States; Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205-2110, United States. Electronic address: cyboyd@jhmi.edu.
Judith VickJohns Hopkins University School of Medicine, Edward D. Miller Research Building, 733 North Broadway, Suite 137, Baltimore, MD 21205-2196, United States.
Halima AmjadDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Baltimore, MD 21224-2734, United States; Center on Aging and Health, Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, United States; Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205-2110, United States. Electronic address: hamjad1@jhmi.edu.
David L RothDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Baltimore, MD 21224-2734, United States; Center on Aging and Health, Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, United States; Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205-2110, United States. Electronic address: droth@jhu.edu.
Laura N GitlinDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Baltimore, MD 21224-2734, United States; Center on Aging and Health, Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 2-700, Baltimore, MD 21205-2223, United States; Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205-2110, United States. Electronic address: lgitlin1@jhu.edu.
Debra L RoterDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 750, Baltimore, MD 21205205, United States. Electronic address: droter@jhsph.edu.
Johns Hopkins Medicine · USJohns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

Strengthening Informal Support Resources with Strategic Methodological AdvancesP30AG048773 · NIA · JOHNS HOPKINS UNIVERSITY · PI ROTH, DAVID L · 2014 to 2018
$2.0M
Optimizing Family Involvement in Late-Life Depression CareK01MH082885 · NIMH · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2009 to 2013
$755k
Involving Family to Improve Primary Care Visits for Cognitively Impaired PatientsR21AG049967 · NIA · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2015 to 2016
$446k
NIA NIH HHS P30 AG048773NIA NIH HHS R21 AG049967NIMH NIH HHS K01 MH082885
6 · The paper itself

Abstract

objectiveOlder adults commonly involve family (broadly defined) in their care. We examined communication behaviors of family companions during older adults' primary care visits, including whether these behaviors vary with respect to how older adults manage their health, preferences for involving family in medical decision-making, and ratings of companion helpfulness.

methodsAnalysis of audio-taped primary care visits of older patients who were accompanied by a family companion (n=30 dyads) and linked patient surveys.

resultsFamily companions predominantly facilitated doctor and patient information exchange. More than half of companion communication behaviors were directed at improving doctor understanding of the patient. Companions were more verbally active during visits of patients who delegated the management of their health to others than visits of patients who co-managed or self-managed their health. Companions were rated as more helpful by patients who preferred active involvement of family in medical decision-making.

conclusionFamily companion participation and helpfulness in primary care communication varies by patients' preferences for involving family in medical decision-making and approach to manage their health. PRACTICE IMPLICATIONS: Research to examine the effects of clarifying patient and family companion expectations for primary care visits could inform strategies to improve the patient-centeredness of medical communication.

Indexed as

Clinical Decision-MakingCommunicationFriendsPatient PreferenceAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedOffice VisitsPatient-Centered CarePatient SatisfactionPhysician-Patient RelationsPrimary Health CareFamily caregiverPatient-provider communicationPhysician officePrimary health care

Identifiers

PMID27817986
PMCPMC5350029
OpenAlexW2536378951

What OpenQuestion holds

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Registered trials

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.