ArticleClinical interventions in aging2019
A training intervention to reduce paternalistic care and promote autonomy: a preliminary study.
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 15 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethics education to support ethical competence learning in healthcare: an integrative systematic review.BMC medical ethics · 2022Pooled it
- Conceptualizing surgical ageism to address age-based discrimination.Updates in surgery · 2026Review
- Closing the gap of older adult recruitment to cancer clinical trials: a scoping review.BMC cancer · 2026Article
- Lessons learned from social isolation in nursing homes during the COVID-19 epidemic-group interview with relatives with negative experiences.BMC geriatrics · 2026Article
- Analysis of the empowerment of disabled older people in rural areas in Henan Province based on the random forest algorithm: a survey.BMC geriatrics · 2026Article
- "Doing housework with a walker? No way!": exploring the perceptions of community-dwelling frail older adults and their informal caregivers on "Informal Caregiver-induced Forced Immobility".Korean journal of family medicine · 2025Article
- Article
- Associations Among Self-Advocacy, Patient-Centered Communication, Pain Intensity, and Opioid Stigma in Older Adult Female Breast Cancer Survivors.Oncology nursing forum · 2025Article
- Fear of Falling Carries Over into Overprotection in Old Age: A Cross-Lagged Panel Analysis.International journal of aging & human development · 2024Article
- Patients' Lived Experiences of the Paternalistic Care Behavior: A Qualitative study.Journal of caring sciences · 2022Article
- "What if It's not Just an Item of Clothing?" - A Narrative Review and Synthesis of the White Coat in the Context of Aged Care.Psychologica Belgica · 2022Review
- The shadow of paternalism on patient-centeredness in oncology nursing care: A barrier of health-care promotion.Journal of education and health promotion · 2022Article
- Communication patterns in the doctor-patient relationship: evaluating determinants associated with low paternalism in Mexico.BMC medical ethics · 2020Article
- Male Nurses' Dealing with Tensions and Conflicts with Patients and Physicians: A Theoretically Framed Analysis.Journal of multidisciplinary healthcare · 2020Article
- Staff Assessment Person-Directed Care Questionnaire: Adaptation and Validation for the Portuguese Population.Gerontology & geriatric medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPaternalism, assuming control of aged care, is a widespread orientation in older adults care. Paternalistic attitudes and practices are commonly understood as a threat to the freedom and autonomy of a person, making patients more dependent. Therefore, the reduction of these attitudes and behaviors is a primary goal for any older adult health and social care situation. The aim of this preliminary study is to develop a behavioral intervention to decrease paternalistic behaviors in formal caregivers and to increase those care behaviors which promote autonomy at post-intervention (1 week) and at follow-up (14 weeks).
methodsA sample of 118 professional caregiver volunteers working in day care centers and nursing homes were assigned to quasi-experimental (N=47) and control (N=71) conditions. The intervention consisted of 3 weekly group sessions. Individual and contextual measures were collected: 1) the primary outcome variable was the type of care (paternalistic versus autonomist) measured through the self-report Paternalist/Autonomist Care Assessment (PACA); 2) A 10-item caregiver self-register of paternalistic behaviors was carried out, 3) Finally, in order to assess the potential effects on observed behavior both in caregiver and older adult functioning at a contextual level, the five institutions were assessed through the SERA-RS.
resultsCompared with the control group, caregivers in the behavioral intervention group displayed significantly lower paternalistic appraisals at posttest and follow-up. Regarding the intervention group, caregivers at posttest and follow-up showed significantly greater occurrence of autonomist behaviors being promoted and lower paternalistic appraisal. The results regarding the effect on the institutions showed better personnel performance and older adult functioning.
conclusionCaregivers who followed the intervention learned to better identify older adult needs; although we did not find significant differences in autonomy occurrence compared with the control group, a behavioral intervention may promote more autonomist environments and, therefore, better personnel and older adult functioning.
Indexed as
Identifiers
What OpenQuestion holds
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.