Evidence map›Paper›PMID 33241119›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2020

Eating Problems in Advanced Dementia: Navigating Difficult Conversations.

Erika R Manu, James T Fitzgerald, Patricia B Mullan, Caroline A Vitale

Open access · diamondAbstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% 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.

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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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 at 2 institutions in 1 country.

Erika R ManuAssistant Professor, Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Medical School; Physician, VA Ann Arbor Geriatric Research, Education and Clinical Center (GRECC).
James T FitzgeraldProfessor Emeritus, Department of Learning Health Sciences, University of Michigan Medical School.
Patricia B MullanProfessor Emerita, Department of Learning Health Sciences, University of Michigan Medical School.
Caroline A VitaleProfessor, Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Medical School; Associate Director of Education and Evaluation, VA Ann Arbor Geriatric Research, Education and Clinical Center (GRECC).
University of Michigan–Ann Arbor · USGeriatric Research Education and Clinical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The majority of older adults with advanced dementia (AD) develop difficulties with eating and swallowing, often prompting concerns about nutrition and quality of life. Employing a palliative approach requires providers to attain skills in addressing symptoms and communicating with family caregivers about the trajectory of AD and associated dysphagia, as well as to elicit goals of care. Research suggests internal medicine (IM) residents often perceive minimal education during training addressing skills needed to care for patients with AD. Methods: We developed and piloted a small-group interactive seminar utilizing a trigger video depicting a family meeting addressing eating problems in a patient with AD. Case-based learning, small-group discussion, and learner reflection were employed. We assessed the impact on 82 of the 106 IM, medicine-pediatrics, and neurology residents who participated in the seminar. Results: Participant evaluation indicated residents showed high satisfaction and perceived the educational content of the seminar to be robust and clinically relevant. We found statistically significant ( Discussion: An interactive, case-based seminar utilizing a video depicting a realistic family meeting improved residents' self-efficacy in skills needed to address nutritional issues, engage in goals-of-care discussions, and reflect on concerns among caregivers of patients with AD. The seminar teaches important geriatric and palliative concepts meant to improve residents' ability to care for older adults with AD in their future careers.

Indexed as

DementiaInternship and ResidencyAgedChildCommunicationHumansPalliative CareQuality of LifeAdvanced DementiaCase-Based LearningDysphagiaGeriatricsGeriatrics EducationHospice & Palliative MedicinePalliative Care EducationResident Education

Identifiers

PMID33241119
PMCPMC7678029
OpenAlexW3098802525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.