Evidence map›Paper›PMID 30281794›Full record

ArticleJournal of the American Geriatrics Society2018

Development of a Clinically Feasible Process for Identifying Individual Health Priorities.

Aanand D Naik, Lilian N Dindo, Julia R Van Liew, Natalie E Hundt, Lauren Vo, Kizzy Hernandez-Bigos, Jessica Esterson, Mary Geda, Jonathan Rosen, Caroline S Blaum and 1 more

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05303194 (Patient Priorities Care for Hispanics With Dementia), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing 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.

NCT05303194 nacompletednot on this mapstarted 2022, after this paper: background citation

Patient Priorities Care for Hispanics With Dementia

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2022 to 2024Enrolled21ConditionsMultiple Chronic Conditions, DementiaArmsPatient Priorities Care (PPC) Approach, Adapted PPC
3 · Its place in the literature

Who cites it

66 citing papers in PubMed.

  1. Trial
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  3. Changes over Time in Patient Stated Values and Treatment Preferences Regarding Aggressive Therapies: Insights from the DECIDE-LVAD Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Trial
  4. Trial
  5. Strategies to Promote Resilience and Community Reintegration for Patients With New Disabilities After Critical Illness: A Qualitative Study Integrating Patient and Family Perspectives.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  6. Article
  7. Review
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  9. Article
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  12. Review
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  16. Aligning Surgical Decisions With Older Adults' Outcome Goals.Journal of the American Geriatrics Society · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Aanand D NaikMichael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Lilian N DindoMichael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Julia R Van LiewVeterans Affairs Central Iowa Health Care System, Des Moines, Iowa.
Natalie E HundtMichael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Lauren VoConnecticut Center for Primary Care, Farmington, Connecticut.
Kizzy Hernandez-BigosConnecticut Center for Primary Care, Farmington, Connecticut.
Jessica EstersonDepartment of Medicine, School of Medicine, Yale University, New Haven, Connecticut.
Mary GedaDepartment of Medicine, School of Medicine, Yale University, New Haven, Connecticut.
Jonathan RosenConnecticut Center for Primary Care, Farmington, Connecticut.
Caroline S BlaumSchool of Medicine, New York University, New York, New York.
Mary E TinettiDepartment of Medicine, School of Medicine, Yale University, New Haven, Connecticut.

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Gordon and Betty Moore FoundationHouston Veterans Affairs Health Services Research and Development Center CIN 13-413John A. Hartford FoundationNIA NIH HHS P30 AG021342NIH HHS P30AG021342 NIH/NIAPatient-Centered Outcomes Research InstituteRobert Wood Johnson Foundation
6 · The paper itself

Abstract

objectivesTo develop a values-based, clinically feasible process to help older adults identify health priorities that can guide clinical decision-making.

designProspective development and feasibility study.

settingPrimary care practice in Connecticut.

participantsOlder adults with 3 or more conditions or taking 10 or more medications (N=64).

interventionThe development team of patients, caregivers, and clinicians used a user-centered design framework-ideate → prototype → test →redesign-to develop and refine the value-based patient priorities care process and medical record template with trained clinician facilitators. MEASUREMENTS: We used descriptive statistics of quantitative measures (percentage accepted invitation and completed template, duration of process) and qualitative analysis of barriers and enablers (challenges and solutions identified, facilitator perceptions).

resultsWe developed and refined a process for identifying patient health priorities that was typically completed in 35 to 45 minutes over 2 sessions; 64 patients completed the process. Qualitative analyses were used to elucidate the characteristics and training needed for the patient priorities facilitators, as well as perceived benefits and challenges of the process. Refinements based on our experience and feedback include streamlining the process for greater feasibility, balancing fidelity to the process while customizing to individuals, encouraging patients to share their priorities with their clinicians, and simplifying the template transmitted to clinicians.

conclusionTrained facilitators conducted this process in a busy primary care practice, suggesting that patient priorities identification is feasible and acceptable, although testing in additional settings is necessary. We hope to show that clinicians can align care with patients' health priorities.

Indexed as

Health PrioritiesAgedAged, 80 and overClinical Decision-MakingConnecticutDecision Support TechniquesFeasibility StudiesFemaleGeriatric AssessmentHumansMalePrimary Health CareProcess Assessment, Health CareProspective StudiesQualitative Researchgoalgoal-settingmultimorbidityolder adultspatient prioritiespreferences

Identifiers

PMID30281794
PMCPMC10185433

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.