Evidence map›Paper›PMID 31392286›Full record

ArticleInnovation in aging2019

Development of a Dementia-Focused End-of-Life Planning Tool: The LEAD Guide (

Kara Dassel, Rebecca Utz, Katherine Supiano, Sara Bybee, Eli Iacob

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Innovation in aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05909189 (LEADing Dementia End-of-Life Planning Conversations), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT05909189 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

LEADing Dementia End-of-Life Planning Conversations

TypeinterventionalSponsorUniversity of UtahRan2024 to 2027Enrolled120ConditionsAlzheimer Disease, Mild Cognitive ImpairmentArmsLEADing Dementia End-of-Life Planning Conversations
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Enhancing shared and surrogate decision making for people living with dementia: A systematic review of the effectiveness of interventions.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Using community engagement withContemporary clinical trials communications · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. "I worry about this patient EVERY day": Geriatrics Clinicians' Challenges in Caring for Unrepresented Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  11. Advance Care Planning in Neurodegenerative Disorders: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. 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

5 authors at 1 institution in 1 country.

Kara DasselCollege of Nursing, University of Utah, Salt Lake City.
Rebecca UtzCollege of Social and Behavioral Sciences, University of Utah, Salt Lake City.
Katherine SupianoCollege of Nursing, University of Utah, Salt Lake City.
Sara BybeeCollege of Nursing, University of Utah, Salt Lake City.ORCID 0000-0001-5878-6593
Eli IacobCollege of Nursing, University of Utah, Salt Lake City.
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTo address the unique characteristics of Alzheimer's disease and related dementias (ADRD) that complicate end-of-life (EOL), we created, refined, and validated a dementia-focused EOL planning instrument for use by healthy adults, those with early-stage dementia, family caregivers, and clinicians to document EOL care preferences and values within the current or future context of cognitive impairment. RESEARCH DESIGN AND

methodsA mixed-method design with four phases guided the development and refinement of the instrument: (1) focus groups with early-stage ADRD and family caregivers developed and confirmed the tool content and comprehensiveness; (2) evaluation by content experts verified its utility in clinical practice; (3) a sample of healthy older adults (

resultsQualitative data supported the utility and feasibility of a dementia-focused EOL planning tool; the six scales have high internal consistency (α = 0.66-0.89) and high test-rest reliability ( DISCUSSION AND IMPLICATIONS: The LEAD Guide (Life-Planning in Early Alzheimer's and Dementia) has the potential to facilitate discussion and documentation of EOL values and care preferences prior to loss of decisional capacity, and has utility for healthy adults, patients, families, providers, and researchers.

Indexed as

Advance care planningAdvance directiveCaregivingGoals of care discussionsPalliative care

Identifiers

PMID31392286
PMCPMC6677548
OpenAlexW2964955155

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.