Evidence map›Paper›PMID 32564681›Full record

ArticleQualitative health research2020

Expectations and Concerns of Older Adults With Cognitive Impairment About Their Relationship With Medical Providers: A Call for Therapeutic Alliances.

Elena Portacolone, Kenneth E Covinsky, Julene K Johnson, Jodi Halpern

Abstract read
In one paragraph

Article in Qualitative health research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Difficulty and help with activities of daily living among older adults living alone with cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020
    Article
  6. 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

4 authors.

Elena PortacoloneUniversity of California San Francisco, San Francisco, California, USA.ORCID 0000-0003-2311-3836
Kenneth E CovinskyUniversity of California San Francisco, San Francisco, California, USA.
Julene K JohnsonUniversity of California San Francisco, San Francisco, California, USA.
Jodi HalpernUniversity of California, Berkeley, Berkeley, California, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
Unnecessary and Harmful Medication Use in Older Adults with DementiaP01AG066605 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI R. Sean Morrison · 2020 to 2026
$17.7M
Living Alone in Older Age with Cognitive ImpairmentK01AG049102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2015 to 2019
$724k
Access and use of long-term services and supports for older adults living alone with Alzheimer's disease and related dementias from four racial/ethnic groupsR56AG062165 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2018 to 2018
$617k
NIA NIH HHS K01 AG049102NIA NIH HHS P01 AG066605NIA NIH HHS P30 AG044281NIA NIH HHS R56 AG062165
6 · The paper itself

Abstract

We sought to understand the expectations and concerns of older adults with cognitive impairment with regard to their relationship with medical providers. In particular, we observed whether study participants were involved in therapeutic alliances. Medical providers and patients create therapeutic alliances when they agree on the goals of the treatment and share a personal bond. Whereas such alliances have been studied in cancer research, little is known about therapeutic alliances in dementia research. Data were gathered in a qualitative study of 27 older adults with cognitive impairment and analyzed with narrative analysis. We introduce four case studies that illustrate the effects of having or missing a therapeutic alliance. Whereas the participant in the first case benefited from a therapeutic alliance, the other cases are marked by different experiences of abandonment. Findings suggest that interventions should concentrate on ways to enhance the relationship between medical providers and patients with cognitive impairment.

Indexed as

Cognitive DysfunctionTherapeutic AllianceAgedHumansMotivationQualitative Researchaccess to health careAlzheimer’s diseasecase studydementiadoctor–patientgeriatricsmemorymemory lossnurse–patient communicationqualitativesuicidetrustUnited Statesusers’ experiences

Identifiers

PMID32564681
PMCPMC7398607

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Registered trials

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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.