Evidence map›Paper›PMID 30852167›Full record

Trial reportJournal of the American Medical Directors Association2019

Nursing Home Characteristics Associated With Implementation of an Advance Care Planning Video Intervention.

Lacey Loomer, Ellen McCreedy, Emmanuelle Belanger, Jennifer A Palmer, Susan L Mitchell, Angelo E Volandes, Vincent Mor

Open access · greenAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

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  14. Provider adherence to training components from theContemporary clinical trials communications · 2022
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  16. An advance care planning long-term care initiative in response to COVID-19.Journal of the American Geriatrics Society · 2021
    Article
  17. 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

7 authors at 3 institutions in 2 countries.

Lacey LoomerDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI. Electronic address: lacey_loomer@brown.edu.
Ellen McCreedyCenter for Gerontology and Healthcare Research, School of Public Health, Brown University, Providence, RI.
Emmanuelle BelangerDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI.
Jennifer A PalmerHebrew Senior Life, Institute for Aging Research, Boston, MA; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Susan L MitchellHebrew Senior Life, Institute for Aging Research, Boston, MA; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Angelo E VolandesSection of General Medicine, Massachusetts General Hospital, Boston, MA.
Vincent MorDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI; Center for Gerontology and Healthcare Research, School of Public Health, Brown University, Providence, RI; Center of Innovation in HSR&D, Providence Veterans Administration Medical Center, Providence, RI.
Brown University · USBeth Israel Deaconess Medical Center · USMassachusetts General Hospital · US

Funding

Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
PROVEN: PRagmatic trial Of Video Education in Nursing homesUH3AG049619 · NIA · BROWN UNIVERSITY · PI MITCHELL, SUSAN L, MOR, VINCENT · 2015 to 2018
$6.2M
Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG033640 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI MITCHELL, SUSAN L · 2009 to 2018
$1.8M
NIA NIH HHS K24 AG033640NIA NIH HHS T32 AG023480NIA NIH HHS UH3 AG049619
6 · The paper itself

Abstract

objectivesAdvance care planning (ACP) is important to ensure that nursing home (NH) residents receive care concordant with their goals. Video interventions have been developed to improve the process of ACP. Yet, little is known about which NH characteristics are associated with implementation of ACP video interventions in clinical practice. Our objective was to examine NH-level characteristics associated with the implementation of an ACP video intervention as part of the Pragmatic trial of Video Education in Nursing Homes (PROVEN) trial.

designCross-sectional study of NHs in PROVEN. SETTING AND

participants119 NHs randomized to receive the ACP video intervention. MEASUREMENTS: The outcomes were the proportion of short- (<100 days) and long-stay (≥100 days) NH residents who were (1) offered to watch a video and (2) shown a video, aggregated to the NH-level, and measured using electronic forms of video offers. The association between outcomes and NH facility characteristics (eg, staffing, resident acuity) and participation in other aspects of the PROVEN trial (eg, monthly check-in calls) were estimated using multivariate linear regression models. NH characteristics were measured using data from Online Survey Certification and Reporting data, Long-term Care: Facts on Care in the US and NH Compare.

resultsOffer rates were 69% [standard deviation (SD): 28] for short-stay and 56% (SD: 20) for long-stay residents. Show rates were 19% (SD: 21) for short-stay and 17% (SD: 17) for long-stay residents. After adjusting for NH characteristics, compared to 1-star NHs, higher star-rated NHs had higher offer rates. Champions' participation in check-in calls was positively associated with both outcomes for long-stay residents. CONCLUSIONS/IMPLICATIONS: Lower-quality NHs seem unable to integrate a novel ACP video education program into routine care processes. Ongoing support for and engagement with NH staff to champion the intervention throughout implementation is important for the success of a pragmatic trial within NHs.

Indexed as

Nursing HomesVideo RecordingAdvance Care PlanningCross-Sectional StudiesHumansMultivariate AnalysisQuality ImprovementAdvance care planningdecision aidsnursing homepragmatic trialshared decision making

Identifiers

PMID30852167
PMCPMC6599557
OpenAlexW2921554391

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.