Evidence map›Paper›PMID 30863035›Full record

ArticleClinical interventions in aging2019

A mixed analysis approach to elucidate the multiple chronic condition experience of English- and Spanish-speaking older adults.

Kamilah B Thomas-Purcell, Robin J Jacobs, Tyler L Seidman, Amarilis Acevedo, Drenna Waldrop-Valverde, Raymond L Ownby

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Kamilah B Thomas-PurcellDepartment of Health Science, College of Health Care Sciences, Nova Southeastern University, Fort Lauderdale, FL, USA, kthomaspurcell@nova.edu.
Robin J JacobsDepartment of Medical Education, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA.
Tyler L SeidmanDepartment of Psychiatry and Behavioral Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA, kthomaspurcell@nova.edu.
Amarilis AcevedoDepartment of Psychiatry and Behavioral Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA, kthomaspurcell@nova.edu.
Drenna Waldrop-ValverdeNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Raymond L OwnbyDepartment of Psychiatry and Behavioral Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA, kthomaspurcell@nova.edu.

Funding

Health Literacy Assessment and Intervention to Reduce Disparities: FLIGHT/VIDAS IIR01MD010368 · NIMHD · NOVA SOUTHEASTERN UNIVERSITY · PI OWNBY, RAYMOND L · 2016 to 2020
$2.9M
Health Literacy Assessment and Intervention to Reduce Disparities: FLIGHT/VIDAS IIR56HL096578 · NHLBI · NOVA SOUTHEASTERN UNIVERSITY · PI OWNBY, RAYMOND L · 2015 to 2015
$569k
NHLBI NIH HHS R56 HL096578NIMHD NIH HHS R01 MD010368
6 · The paper itself

Abstract

backgroundHaving multiple chronic conditions (MCCs) is the most common health condition in older adults. The management of each condition presents many challenges. A key factor in patients' ability to manage their own health care is their level of health literacy. PURPOSE: The purpose of this mixed analysis study was to elucidate the experience of older adults living with MCCs and identify associations among the experiences to determine targets for future mobile health (mHealth) interventions focused on MCCs and health literacy. PARTICIPANTS AND

methodsUsing the Abilities, Skills, and Knowledge Model as a framework, semi-structured interviews were completed with 25 older adults in English and Spanish. Interviews were analyzed using inductive thematic analysis and hierarchical cluster analysis.

resultsThe main themes from these results included 1) Reflections of chronic disease; 2) Emotional aspects of chronic disease; 3) Physical barriers to well-being; 4) Quality-of-care factors; and 5) Cognitive strategies for self-management. Qualitative results highlighted the importance of a multi-targeted approach to chronic disease self-management (CDSM). Cluster analysis identified associations within the qualitative data, revealing the importance of the subthemes related to coping with pain and the impact of the patient-provider relationship on treatment adherence.

conclusionResults support the utility of mHealth interventions to improve health literacy and promote CDSM.

Indexed as

Hispanic or LatinoQuality of LifeAdaptation, PsychologicalAgedAged, 80 and overCluster AnalysisFemaleHumansInterviews as TopicMaleMiddle AgedMultiple Chronic ConditionsQualitative ResearchQuality of Health CareSelf-ManagementTelemedicinecluster analysismHealthmultimorbidityqualitativeself-managementtreatment adherence

Identifiers

PMID30863035
PMCPMC6388757

What OpenQuestion holds

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LicenceCC BY-NC
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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.