Evidence map›Paper›PMID 31608928›Full record

ArticlePhysical therapy2020

Person-Centered Care and Physical Therapy: A "People-Like-Me" Approach.

Andrew J Kittelson, Thomas J Hoogeboom, Margaret Schenkman, Jennifer E Stevens-Lapsley, Nico L U van Meeteren

Abstract read
In one paragraph

Article in Physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  10. Observational
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  13. Development of a reference chart for monitoring cancer-related fatigue throughout a supervised exercise program.Rehabilitation oncology (American Physical Therapy Association. Oncology Section) · 2022
    Article
  14. Article
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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.

Andrew J KittelsonDepartment of Physical Medicine and Rehabilitation, University of Colorado, 13121 East 17th Avenue, Mail Stop C244, Aurora, CO 80045 (USA).
Thomas J HoogeboomRadboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, the Netherlands.
Margaret SchenkmanPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado.
Jennifer E Stevens-LapsleyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado; Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, Colorado.
Nico L U van MeeterenDepartment of Epidemiology and CAPHRI Research School, Maastricht University Medical Centre, Maastricht, the Netherlands; and Top Sector Life Sciences & Health, Health-Holland, the Hague, the Netherlands.

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
Novel Strategies for Personalized Clinical Decisions in Knee ArthroplastyR01HS025692 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2018 to 2022
$1.8M
Developing Individualized Estimates of Patient Prognosis Following Knee ReplacementR03HS024316 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2016 to 2017
$100k
AHRQ HHS R01 HS025692AHRQ HHS R03 HS024316NIA NIH HHS T32 AG000279NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

In health care, "person centeredness" is a valued (though nebulous) concept. In physical therapy, clinical interactions often strive to be person-centered, for example, by focusing on participation and valuing patient empowerment. However, the available evidence has mostly been constructed around populations (or study samples) rather than individuals. In this perspective, an alternative evidence framework is described, constructed around measurements in routine practice. Specifically, the authors propose developing "people-like-me" reference charts, generated with historical outcomes data, to provide real-time information on an individual's status relative to similar people. The authors present an example of how this could work using their experience with people rehabilitating after total knee arthroplasty. They also describe several challenges that must be addressed to bring this innovation into practice. First, the most important outcome measures for stakeholders (eg, patients, clinicians) need to be identified and monitored longitudinally to ensure that "people-like-me" estimates are useful and support the goals of person-centered care. Statistical methods for selecting "people-like-me" need to be examined and refined. Finally, the "people-like-me" information needs to be packaged in such a way that it is accessible, intuitive, and helpful at the point of care. Ideally, the entire process should recognize from the outset that practice patterns evolve, so databases, statistical models, and decision tools should be dynamic by design. Ultimately, the authors propose this framework as a practical mechanism to advance person-centered decisions in physical therapy according to the ideals of evidence-based practice.

Indexed as

Outcome Assessment, Health CareArthroplasty, Replacement, KneeHumansPatient-Centered CarePatient Participation

Identifiers

PMID31608928
PMCPMC8204876

What OpenQuestion holds

Textmetadata
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.