Evidence map›Paper›PMID 29298192›Full record

ArticleHome healthcare now

Helping Older Adults Improve Their Medication Experience (HOME) by Addressing Medication Regimen Complexity in Home Healthcare.

Orla C Sheehan, Hadi Kharrazi, Kimberly J Carl, Bruce Leff, Jennifer L Wolff, David L Roth, Jennifer Gabbard, Cynthia M Boyd

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Home healthcare now. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06335953 (Demonstration of ALIGN), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT06335953 nacompletednot on this map

Demonstration of ALIGN: Aligning Medications With What Matters Most

TypeinterventionalSponsorJohns Hopkins UniversityRan2024 to 2025Enrolled474ConditionsPolypharmacy, Alzheimer's Disease and Related Dementias, Mild Cognitive ImpairmentArmsPharmacist-led deprescribing intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Article
  9. A Qualitative View of Homecare Support Workers on Unmet Health Needs of People with Dependency.International journal of environmental research and public health · 2020
    Article
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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 1 institution in 1 country.

Orla C SheehanOrla C. Sheehan, MD, PhD, is an Assistant Professor, Division of Geriatric Medicine and Gerontology, Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland. Hadi Kharrazi, MHI, MD, PhD, is an Assistant Professor, Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland. Kimberly J. Carl, RN, is Director, Home Health Services, Johns Hopkins Home Care Group, Baltimore, Maryland. Bruce Leff, MD, is a Professor, Division of Geriatric Medicine and Gerontology, Center for Transformative Geriatric Research, Johns Hopkins University, Baltimore, Maryland. Jennifer L. Wolff, PhD, is a Professor, Health Policy and Management, School of Public Health, Johns Hopkins University, Baltimore, Maryland. David L. Roth, PhD, is a Professor, Center on Aging and Health, Division of Geriatrics and Gerontology, Johns Hopkins University, Baltimore, Maryland. Jennifer Gabbard, MD, is an Assistant Professor, Wake Forest University, Section of Gerontology and Geriatrics, Winston-Salem, North Carolina. Cynthia M. Boyd, MD, MPH, is a Professor, Division of Geriatric Medicine and Gerontology, Center for Transformative Geriatric Research, Johns Hopkins University, Baltimore, Maryland.
Hadi Kharrazi
Kimberly J Carl
Bruce Leff
Jennifer L Wolff
David L Roth
Jennifer Gabbard
Cynthia M Boyd
Johns Hopkins University · US

Funding

Strengthening Informal Support Resources with Strategic Methodological AdvancesP30AG048773 · NIA · JOHNS HOPKINS UNIVERSITY · PI ROTH, DAVID L · 2014 to 2018
$2.0M
NIA NIH HHS P30 AG048773
6 · The paper itself

Abstract

In skilled home healthcare (SHHC), communication between nurses and physicians is often inadequate for medication reconciliation and needed changes to the medication regimens are rarely made. Fragmentation of electronic health record (EHR) systems, transitions of care, lack of physician-nurse in-person contact, and poor understanding of medications by patients and their families put patients at risk for serious adverse outcomes. The aim of this study was to develop and test the HOME tool, an informatics tool to improve communication about medication regimens, share the insights of home care nurses with physicians, and highlight to physicians and nurses the complexity of medication schedules. We used human computer interaction design and evaluation principles, automated extraction from standardized forms, and modification of existing EHR fields to highlight key medication-related insights that had arisen during the SHHC visit. Separate versions of the tool were developed for physicians/nurses and patients/caregivers. A pilot of the tool was conducted using 20 SHHC encounters. Home care nurses and physicians found the tool useful for communication. Home care nurses were able to implement the HOME tool into their clinical workflow and reported improved communication with physicians about medications. This simple and largely automated tool improves understanding and communication around medications in SHHC.

Indexed as

Interdisciplinary CommunicationPhysician-Nurse RelationsAgedAged, 80 and overFemaleGeriatric AssessmentHome Care ServicesHome Health NursingHumansMaleMedication AdherenceMedication ReconciliationPilot ProjectsProgram EvaluationQuality ImprovementRisk Assessment

Identifiers

PMID29298192
PMCPMC5761673
OpenAlexW2791259992

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.