Evidence map›Paper›PMID 28849368›Full record

ArticleJournal of general internal medicine2017

Understanding What Is Most Important to Individuals with Multiple Chronic Conditions: A Qualitative Study of Patients' Perspectives.

Catherine Y Lim, Andrew B L Berry, Tad Hirsch, Andrea L Hartzler, Edward H Wagner, Evette J Ludman, James D Ralston

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
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  15. "You Can See the Connections": Facilitating Visualization of Care Priorities in People Living with Multiple Chronic Health Conditions.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Catherine Y LimKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA. lim.ca@ghc.org.
Andrew B L BerryUniversity of Washington, Seattle, WA, USA.
Tad HirschUniversity of Washington, Seattle, WA, USA.
Andrea L HartzlerKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
Edward H WagnerKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
Evette J LudmanKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
James D RalstonKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.

Funding

Understanding and Honoring Patients with Multiple Chronic ConditionsR01HS022364 · AHRQ · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI RALSTON, JAMES D. · 2014 to 2016
$1.5M
AHRQ HHS R01 HS022364
6 · The paper itself

Abstract

backgroundTo improve care for individuals living with multiple chronic conditions, patients and providers must align care planning with what is most important to patients in their daily lives. We have a limited understanding of how to effectively encourage communication about patients' personal values during clinical care.

objectiveTo identify what patients with multiple chronic conditions describe as most important to their well-being and health.

designWe interviewed individuals with multiple chronic conditions in their homes and analyzed results qualitatively, guided by grounded theory.

participantsA total of 31 patients (mean age 68.7 years) participated in the study, 19 of which included the participation of family members. Participants were from Kaiser Permanente Washington, an integrated health care system in Washington state. APPROACH: Qualitative analysis of home visits, which consisted of semi-structured interviews aided by photo elicitation. KEY

resultsAnalysis revealed six domains of what patients described as most important for their well-being and health: principles, relationships, emotions, activities, abilities, and possessions. Personal values were interrelated and rarely expressed as individual values in isolation.

conclusionsThe domains describe the range and types of personal values multimorbid older adults deem important to well-being and health. Understanding patients' personal values across these domains may be useful for providers when developing, sharing, and following up on care plans.

Indexed as

Attitude to HealthSocial ValuesActivities of Daily LivingAgedAged, 80 and overCommunicationComorbidityDistrict of ColumbiaEmotionsFemaleHumansInterpersonal RelationsMaleMiddle AgedMultiple Chronic ConditionsProfessional-Family Relationschronic diseasecommunicationcomorbidityqualitative researchvalues

Identifiers

PMID28849368
PMCPMC5698221

What OpenQuestion holds

Textmetadata
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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.