Evidence map›Paper›PMID 30239703›Full record

ArticleThe Gerontologist2019

Preparation and Planning for Future Care in the Deep South: Adapting a Validated Tool for Cultural Sensitivity.

Rebecca S Allen, JoAnn S Oliver, Morgan K Eichorst, Lisa Mieskowski, Pamela Payne-Foster, Silvia Sörensen

Abstract read
In one paragraph

Article in The Gerontologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Perspectives on Aging-Related Preparation.Journal of elder policy · 2021
    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.

Rebecca S AllenAlabama Research Institute on Aging, The University of Alabama, Tuscaloosa.
JoAnn S OliverAlabama Research Institute on Aging, The University of Alabama, Tuscaloosa.
Morgan K EichorstSalem Veterans Affairs Medical Center, U.S. Department of Veterans Affairs, Virginia.
Lisa MieskowskiAlabama Research Institute on Aging, The University of Alabama, Tuscaloosa.
Pamela Payne-FosterAlabama Research Institute on Aging, The University of Alabama, Tuscaloosa.
Silvia SörensenWarner School for Education and Human Development, University of Rochester, New York.

Funding

Advoactes Role in Prostate Cancer Screening Decisions by Rural African AmericanR21NR012550 · NINR · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI ALLEN, REBECCA SUE, OLIVER, JOANN SIMON · 2011 to 2012
$401k
Legacy Intervention Family Enactment (LIFE): An Effectiveness TrialR21NR011112 · NINR · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI ALLEN, REBECCA SUE · 2008 to 2009
$392k
NINR NIH HHS R21 NR011112NINR NIH HHS R21 NR012550
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study describes the adaptation and validation of Sörensen et al. (2017)'s preparation for future care (PFC) scale with diverse samples including rural dwelling African Americans and certified nursing assistants (CNAs), and subsequent psychometric development. RESEARCH DESIGN AND

methodsResponses to the five-subscale PFC survey from 33 rural African American men across 12 months and cognitive interviews with a subset of 12 of these men are described. Psychometric refinement included descriptive qualitative analyses of consultations with experienced lay research advisors (N = 4 and N = 7) regarding potential changes to the PFC and a confirmatory factor analysis of the resultant scale (N = 138).

resultsCognitive interviews with rural African American men revealed difficulty understanding Eurocentric questions. Emergent themes included emotional avoidance of planning, considerations of nursing homes and possible care providers, and coping strategies. In two consultation meetings, trained lay research advisors recommended language modifications to the original questions and response options. Factor analyzing the resultant scale revealed support for the original subscale constructs (acceptable fit: χ2 = 205.03, df = 124, p < .001; root mean square error of approximation = .069 [.052-.085]; comparative fit index = .93; Tucker-Lewis index = .91). DISCUSSION AND IMPLICATIONS: PFC and engagement in advance care planning is uncommon among African Americans, possibly due to distrust of and lack of cultural competency among health care professionals. The resulting tool and response options may be used as an interview guide/survey with African Americans to gain understanding about their preparation for future health care needs.

Indexed as

Advance Care PlanningBlack or African AmericanCultural CompetencyPatient Care PlanningRural PopulationAdultAgedAlabamaEarly Detection of CancerHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedProstatic NeoplasmsPsychometricsAdvance care planningAfrican AmericanCultural competence practiceDiversity and ethnicityQualitative research methodsRural and urban issues

Identifiers

PMID30239703
PMCPMC6858823

What OpenQuestion holds

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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.