Evidence map›Paper›PMID 31854201›Full record

ArticleThe American journal of hospice & palliative care2020

Prognostic Awareness, Disease and Palliative Understanding Among Caregivers of Patients With Dementia.

Jennifer Gabbard, Devin Johnson, Greg Russell, Shenita Spencer, Jeff D Williamson, Laurie E McLouth, Keren G Ferris, Kaycee Sink, Gretchen Brenes, Mia Yang

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04912245 (A Telehealth Advance Care Planning Intervention in Those With Mild Cognitive Impairment or Unrecognized Dementia), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

NCT04912245 nacompletednot on this mapstarted 2021, after this paper: background citation

A Telehealth Advance Care Planning Intervention in Those With Mild Cognitive Impairment or Unrecognized Dementia (Tele Voice)

TypeinterventionalSponsorWake Forest University Health SciencesRan2021 to 2022Enrolled152ConditionsAdvance Care Planning, Telemedicine, Mild Cognitive Impairment, Unrecognized DementiaArmsTelehealth visit
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Redefining Frailty: Planning Care Through the Frailty Trajectory Model.Journal of the American Geriatrics Society · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Article
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  19. 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

10 authors.

Jennifer GabbardSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.ORCID https://orcid.org/0000-0001-8666-4833
Devin JohnsonSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Greg RussellDepartment of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Shenita SpencerCenter for Supportive Care and Survivorship, Atrium Health, Charlotte, NC, USA.
Jeff D WilliamsonSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Laurie E McLouthDepartment of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA.
Keren G FerrisSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Kaycee SinkProduct Development-Neuroscience, Genentech Inc, South San Francisco, CA, USA.
Gretchen BrenesSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Mia YangSection on Gerontology & Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Funding

WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KOCH, KENNETH L · 1992 to 2010
$35.2M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
Building Sustainable Community-Linked Infrastructure: The FCHL CollaborativeRC4HL104866 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARCURY, THOMAS A. · 2010 to 2010
$999k
NCATS NIH HHS UL1 TR001420NCI NIH HHS R25 CA122061NCRR NIH HHS M01 RR007122NHLBI NIH HHS RC4 HL104866
6 · The paper itself

Abstract

backgroundPersons with dementia (PwD) often have significant cognitive deficits and functional limitations, requiring substantial caregiver assistance. Given the high symptom burden and terminal nature of dementia, good prognostic awareness and integration of palliative care (PC) is needed.

objectiveTo evaluate prognostic awareness, disease, and PC understanding among caregivers of PwD and to assess for improvements in routine care.

designA cross-sectional study of 2 cohorts at a single-academic medical center. Surveys were mailed to 200 caregivers of PwD in 2012 (cohort 1). Surveys were sent to new subset of caregivers of PwD (n = 80) in 2018 (cohort 2) to assess trends over time.

resultsA total of 154 of caregivers completed the survey (response rate 55%). Compared to 2012, a higher proportion of caregivers in 2018 reported having conversations about prognosis with PwD's physicians (25% in 2012 vs 45% in 2018;

conclusionsPrognostic discussions between caregivers of PwD and the PwD's physicians may be occurring more often; however, a high percentage of caregivers report a poor understanding about the terminal nature of dementia and the role of PC.

Indexed as

AwarenessHealth Knowledge, Attitudes, PracticeAgedAged, 80 and overCaregiversCross-Sectional StudiesDementiaFemaleHumansMaleMiddle AgedPalliative CarePrognosisSocioeconomic Factorsadvance care planningdementiaolder adultpalliative careprognosis

Identifiers

PMID31854201
PMCPMC10581031

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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.