Evidence map›Paper›PMID 31248598›Full record

ArticleJournal of the American Medical Directors Association2019

Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges.

Allison M Gustavson, Cynthia Drake, Alison Lakin, Andrea E Daddato, Jason R Falvey, Warren Capell, Hillary D Lum, Christine D Jones, Kathleen T Unroe, Gail L Towsley and 4 more

Abstract read
In one paragraph

Article 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 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
–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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Coronavirus disease 2019 and clinical research in U.S. nursing homes.Journal of the American Geriatrics Society · 2021
    Article
  11. Article
  12. 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

14 authors.

Allison M GustavsonPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.
Cynthia DrakeColorado School of Public Health, University of Colorado, Aurora, CO.
Alison LakinColorado Multi-Institutional Review Board (COMIRB), University of Colorado School of Medicine, Aurora, CO.
Andrea E DaddatoDivision of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO.
Jason R FalveyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.
Warren CapellDepartment of Medicine, University of Colorado, Aurora, CO.
Hillary D LumDivision of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO.
Christine D JonesDivision of Hospital Medicine, University of Colorado, Aurora, CO.
Kathleen T UnroeIndiana University School of Medicine, Indianapolis, IN.
Gail L TowsleyUniversity of Utah, College of Nursing, Salt Lake City, UT.
Jennifer E Stevens-LapsleyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO.
Cari R LevyRocky Mountain Regional Medical Center, Aurora, CO.
Rebecca S BoxerDivision of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO. Electronic address: Rebecca.Boxer@ucdenver.edu.
PACRATS InvestigatorsProgram of Post-Acute and Long-Term Care, School of Medicine, University of Colorado, Aurora, CO.

Funding

University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
A Trial of Heart Failure Disease Management in Skilled Nursing FacilitiesR01HL113387 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BOXER, REBECCA SUE · 2012 to 2017
$2.2M
Impact of impaired physical function on emergency room utilization, hospitalization, and nursing home admission in community-based long-term settingsF31AG056069 · NIA · UNIVERSITY OF COLORADO DENVER · PI FALVEY, JASON RAYMOND · 2017 to 2017
$29k
Shifting Rehabilitation Paradigms in Skilled Nursing FacilitiesI21RX002193 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI STEVENS-LAPSLEY, JENNIFER E. · 2016 to 2018
–
NHLBI NIH HHS R01 HL113387NIA NIH HHS F31 AG056069NIA NIH HHS T32 AG000279NIA NIH HHS T32 AG019134RRD VA I21 RX002193
6 · The paper itself

Abstract

Despite multiple initiatives in post-acute and long-term nursing home care settings (NHs) to improve the quality of care while reducing health care costs, research in NHs can prove challenging. Extensive regulation for both research and NHs is designed to protect a highly vulnerable population but can be a deterrent to conducting research. This article outlines regulatory challenges faced by NHs and researchers, such as protecting resident privacy as well as health information and obtaining informed consent. The article provides lessons learned to help form mutually beneficial partnerships between researchers and NHs to conduct studies that grow and advance NH research initiatives and clinical care.

Indexed as

Nursing HomesSubacute CareConfidentialityHealth Services ResearchHumansInformed ConsentPatient Safetylong-term carenursing homesPost-acute careresearch regulation

Identifiers

PMID31248598
PMCPMC6703170

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.