Evidence map›Paper›PMID 31271654›Full record

Trial reportJournal of the American Geriatrics Society2019

Feasibility of Delivering a Tailored Intervention for Advance Care Planning in Primary Care Practice.

Andrea Paiva, Colleen A Redding, Lynne Iannone, Maria Zenoni, John R O'Leary, Terri R Fried

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
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 at 3 institutions in 1 country.

Andrea PaivaCancer Prevention Research Center, College of Health Sciences, University of Rhode Island, Kingston, Rhode Island.
Colleen A ReddingCancer Prevention Research Center, College of Health Sciences, University of Rhode Island, Kingston, Rhode Island.
Lynne IannoneProgram on Aging, Yale School of Medicine, New Haven, Connecticut.
Maria ZenoniClinical Epidemiology Research Center, Veterans Affairs (VA) Connecticut Healthcare System, West Haven, Connecticut.
John R O'LearyProgram on Aging, Yale School of Medicine, New Haven, Connecticut.
Terri R FriedDepartment of Medicine, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0001-8083-8265
Yale University · USUniversity of Rhode Island · USVA Connecticut Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Enhancing Engagement in Advance Care PlanningR01NR016007 · NINR · YALE UNIVERSITY · PI FRIED, TERRI R. · 2016 to 2019
$2.6M
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG21342NINR NIH HHS R01 NR016007
6 · The paper itself

Abstract

BACKGROUND/

objectivesTo determine the feasibility of conducting a cluster randomized controlled trial providing individualized feedback reports to increase advance care planning (ACP) engagement in the primary care setting.

designPilot cluster randomized controlled trial.

settingTwo primary care practices selected for geographic colocation.

participantsAdults aged 55 years and older.

interventionBrief assessment of readiness to engage in (stage of change for) three ACP behaviors (healthcare agent assignment, communication with agent about quality vs quantity of life, and living will completion) generating an individualized feedback report, plus a stage-matched brochure. MEASURES: Patient recruitment and retention, intervention delivery, baseline characteristics, and stage of change movement.

resultsRecruitment rates differed by practice. Several baseline sociodemographic characteristics differed between the 38 intervention and 41 control participants, including employment status, education, and communication with healthcare agent. Feedback was successfully delivered to all intervention participants, and over 90% of participants completed a 2-month follow-up. More intervention participants demonstrated progression in readiness than did control participants, without testing for statistical significance.

conclusionsThis pilot demonstrates opportunities and challenges of performing a clustered randomized controlled trial in primary care practices. Differences in the two practice populations highlight the challenges of matching sites. There was a signal for behavior change in the intervention group. J Am Geriatr Soc 67:1917-1921, 2019.

Indexed as

Advance Care PlanningAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPatient ParticipationPilot ProjectsPrimary Health Careadvance care planningbehavior changeprimary care

Identifiers

PMID31271654
PMCPMC6732008
OpenAlexW2953510858

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.