Evidence map›Paper›PMID 33442242›Full record

ArticleClinical interventions in aging2021

Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study.

Marie Costa, Florian Correard, Maeva Montaleytang, Karine Baumstarck, Sandrine Loubière, Kahena Amichi, Patrick Villani, Stephane Honore, Aurélie Daumas, Pierre Verger

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2021. 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
0.7field-weighted citation impact, top 33% 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, 6 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

10 authors at 4 institutions in 1 country.

Marie CostaORS PACA, Southeastern Health Regional Observatory, Marseille, France.ORCID 0000-0001-7360-1921
Florian CorreardAP-HM, Service Pharmacie, Hôpital de la Timone, Marseille 13385, France.
Maeva MontaleytangAP-HM, Service Pharmacie, Hôpital de la Timone, Marseille 13385, France.
Karine BaumstarckEA3279, Self-Perceived Health Assessment Research Unit, Aix-Marseille University, Marseille 13385, France.
Sandrine LoubièreEA3279, Self-Perceived Health Assessment Research Unit, Aix-Marseille University, Marseille 13385, France.
Kahena AmichiDirection de la Recherche Clinique et de l'Innovation (DRCI), AP-HM, Marseille 13354, France.
Patrick VillaniService de Médecine Interne Gériatrie et Thérapeutique, CHU Sainte Marguerite, Assistance Publique des Hôpitaux de Marseille (AP-HM), Marseille 13274, France.
Stephane HonoreAP-HM, Service Pharmacie, Hôpital de la Timone, Marseille 13385, France.
Aurélie DaumasService de Médecine Interne Gériatrie et Thérapeutique, CHU Sainte Marguerite, Assistance Publique des Hôpitaux de Marseille (AP-HM), Marseille 13274, France.
Pierre VergerORS PACA, Southeastern Health Regional Observatory, Marseille, France.
Aix-Marseille Université · FRHôpital Sainte-Marguerite · FRMéditerranée Infection Foundation · FRDélégation Provence et Corse · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn France, polypharmacy among older people living in nursing homes (NH) is a major public health concern. In this context, the randomized controlled trial TEM-EHPAD was recently launched in various NH in southern France to evaluate the impact of implementing a novel telemedication review (TMR) on hospital admission rates of NH residents at high risk of iatrogenic disease. A qualitative study was integrated into the main trial study to assess general practitioners' (GP) and other NH healthcare professionals' (HP) acceptability of the proposed TMR before its implementation. MATERIAL AND

methodsA qualitative study using face-to-face semi-structured interviews was conducted with 16 HP before the beginning of the intervention. A manual thematic analysis was performed on the transcribed interviews.

resultsFour main themes emerged from the thematic analysis: HP perceptions of the TMR, difficulties related to medication management for NH residents, HP perceptions of the roles of different professionals, and facilitators of good practices. Most participants were favorable to the TMR, but some GP expressed fears about loss of control over their prescription writing.

conclusionThis study fulfilled its objective to assess pre-intervention acceptability by GP and other HP. Results provided important information about how to adapt the TMR intervention to make it more acceptable to HP who will be involved in TEM-EHPAD. One of the main recommendations is the importance of providing participating GP with the opportunity to take part in the process of reviewing prescriptions.

Indexed as

PolypharmacyAgedAged, 80 and overFemaleFranceHumansMaleNursing HomesQualitative ResearchRandomized Controlled Trials as TopicTelemedicineacceptability studynursing homeolder adultsqualitative studysatisfaction assessmenttelemedication reviewtelemedicine

Identifiers

PMID33442242
PMCPMC7800438
OpenAlexW3119354038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.