Evidence map›Paper›PMID 32046767›Full record

ArticleTrials2020

Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial.

Kevin Brazil, David Scott, Emma Wallace, Mike Clarke, Tom Fahey, Patrick Gillespie, Peter O'Halloran, Christopher Cardwell, Gillian Carter, Kieran McGlade and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03902743 (Anticipatory Care Planning Intervention for Older Adults at Risk of Functional Decline), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT03902743 naunknown statusnot on this map

Anticipatory Care Planning Intervention for Older Adults at Risk of Functional Decline: A Primary Care Feasibility Study

TypeinterventionalSponsorQueen's University, BelfastRan2019 to 2020Enrolled64ConditionsAgingArmsAnticipatory Care Plan group
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Advance Care Planning in Neurodegenerative Disorders: A Scoping Review.International journal of environmental research and public health · 2022
    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

11 authors at 3 institutions in 2 countries.

Kevin BrazilSchool of Nursing and Midwifery, Queen's University of Belfast, 97 Lisburn Road, Belfast, Northern Ireland, BT9 7BL, UK.
David ScottSchool of Nursing and Midwifery, Queen's University of Belfast, 97 Lisburn Road, Belfast, Northern Ireland, BT9 7BL, UK.
Emma WallaceRoyal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, D02 YN77, Ireland.
Mike ClarkeCentre for Public Health, ICSB, Royal Victoria Hospital, Queen's University Belfast, Belfast, Northern Ireland, BT12 6BA, UK.
Tom FaheyRoyal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, D02 YN77, Ireland.
Patrick GillespieHealth Economics and Policy Analysis Centre, National University of Ireland, Galway, H91 TK33, Ireland.
Peter O'HalloranSchool of Nursing and Midwifery, Queen's University of Belfast, 97 Lisburn Road, Belfast, Northern Ireland, BT9 7BL, UK.
Christopher CardwellCentre for Public Health, ICSB, Royal Victoria Hospital, Queen's University Belfast, Belfast, Northern Ireland, BT12 6BA, UK.
Gillian CarterSchool of Nursing and Midwifery, Queen's University of Belfast, 97 Lisburn Road, Belfast, Northern Ireland, BT9 7BL, UK.
Kieran McGladeCentre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, UK.
Frank DoyleRoyal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, D02 YN77, Ireland. fdoyle4@rcsi.ie.ORCID http://orcid.org/0000-0002-3785-7433
Queen's University Belfast · GBRoyal College of Surgeons in Ireland · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

Cross-border Healthcare Intervention Trials in Ireland Network (CHITIN) interreg CHI/5426/2018Medical Research Council G0901530
6 · The paper itself

Abstract

backgroundThe treatment and management of long-term health conditions is the greatest challenge facing health systems around the world today. Innovative approaches to patient care in the community such as Anticipatory Care Planning (ACP), which seek to help with the provision of high-quality comprehensive care to older adults at risk of functional decline, require evaluation. This study will evaluate one approach that will include primary care as the setting for ACP. METHODS/

designThis study will help to determine the feasibility for a definitive randomised trial to evaluate the implementation and outcomes of an ACP intervention. The intervention will be delivered by specially trained registered nurses in a primary care setting with older adults identified as at risk of functional decline. The intervention will comprise: (a) information collection via patient assessment; (b) facilitated informed dialogue between the patient, family carer, general practitioner and other healthcare practitioners; and, (c) documentation of the agreed support plan and follow-up review dates. Through a structured consultation with patients and their family carers, the nurses will complete a mutually agreed personalised support plan. DISCUSSION: This study will determine the feasibility for a full trial protocol to evaluate the implementation and outcomes of an (ACP) intervention in primary care to assist older adults aged 70 years of age or older and assessed as being at risk of functional decline. The study will be implemented in two jurisdictions on the island of Ireland which employ different health systems but which face similar health challenges. This study will allow us to examine important issues, such as the impact of two different healthcare systems on the health of older people and the influence of different legislative interpretations on undertaking cross jurisdictional research in Ireland. PROTOCOL VERSION: Version 1, 17 September 2019.

trial registrationClinicaltrials.gov, ID: NCT03902743. Registered on 4 April 2019.

Indexed as

Quality of LifeActivities of Daily LivingAgedCost-Benefit AnalysisFeasibility StudiesFemaleFollow-Up StudiesGeriatric AssessmentHealth Plan ImplementationHealth Services for the AgedHealth Services ResearchHumansMalePatient Care PlanningPatient SatisfactionPrimary Health CareAnticipatory care planningCluster randomised controlled trialFrailtyFunctional declinePrimary care

Identifiers

PMID32046767
PMCPMC7014651
OpenAlexW3008741380

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.