Evidence map›Paper›PMID 28107400›Full record

ArticlePloS one2017

When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons.

Sasmita Kusumastuti, Esther van Fenema, Eugenie C F Polman-van Stratum, Wilco Achterberg, Jolanda Lindenberg, Rudi G J Westendorp

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

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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 4 institutions in 2 countries.

Sasmita KusumastutiDepartment of Public Health, and Center for Healthy Aging University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7748-1514
Esther van FenemaDepartment of Psychiatry, Leiden University Medical Centre, Leiden, the Netherlands.
Eugenie C F Polman-van StratumLeyden Academy on Vitality and Ageing, Leiden, the Netherlands.
Wilco AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands.
Jolanda LindenbergLeyden Academy on Vitality and Ageing, Leiden, the Netherlands.ORCID http://orcid.org/0000-0003-2547-9903
Rudi G J WestendorpDepartment of Public Health, and Center for Healthy Aging University of Copenhagen, Copenhagen, Denmark.
Leyden Academy on Vitality and Ageing · NLUniversity of Copenhagen · DKLeiden University · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextMany medical schools have initiated care internships to familiarize their students with older persons and to instil a professional attitude.

objectiveTo examine the impact of care internships on the image that first-year medical students have of older persons and to explore the underlying concepts that may play a role in shaping this image.

designSurvey before and after a two-week compulsory care internship using the Aging Semantic Differential (ASD; 32 adjectives) and the Attitudes toward Old People (AOP; 34 positions) questionnaires.

participantsBefore and after a care internship involving interpersonal contact, 252 and 244 first-year medical students at the Leiden University Medical Centre (LUMC) in the academic year 2012-2013 participated.

methodDescriptive statistics, analyses of variance, and principal component analysis were used; clusters of adjectives and positions were reduced into concepts to examine dominant patterns of views. Changes in image were investigated as mean differences of the total and concept scores.

resultsBoth the ASD and the AOP questionnaires showed a poor general image of older persons that significantly worsened after the care internship (p < 0.01). The percentage of students considering over 75 years as being old increased from 17.2% to 31.2% (p < 0.01) and those who thought they would find as much satisfaction in care for older as for younger patients decreased from 78.5% to 62.1% (p < 0.001). Exploratory principal component analysis showed particularly low scores on 'comportment' and 'pleasurable interaction' whereas the scores on 'personality traits' and 'habitual behaviour' significantly deteriorated (both p < 0.001). These patterns were irrespective of the student's gender and previous contact experience.

conclusionMedical schools should carefully consider care internships to ensure that students do not worsen their views on older patients, which may occur due to inadequate contact depth and quality within a rather unsupportive context.

Indexed as

Attitude of Health PersonnelAdultAgedAnalysis of VarianceFemaleHumansMaleMiddle AgedPrincipal Component AnalysisStudents, MedicalYoung Adult

Identifiers

PMID28107400
PMCPMC5249097
OpenAlexW2577290743

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.