Evidence map›Paper›PMID 33753443›Full record

ArticleBMJ open2021

Videogame intervention to increase advance care planning conversations by hospitalists with older adults: study protocol for a stepped-wedge clinical trial.

D Mohan, A James O'Malley, Julia Chelen, Meredith MacMartin, Megan Murphy, Mark Rudolph, Amber Barnato

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04557930 (Hopewell Hospitalist), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT04557930 nacompletednot on this map

Hopewell Hospitalist: A Video Game Intervention to Increase Advance Care Planning Conversations by Hospitalists With Older Adults

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2020 to 2021Enrolled163ConditionsAdvance Care PlanningArmsHopewell Hospitalist Video Game
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

7 authors.

D MohanDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA mohand@upmc.edu.ORCID http://orcid.org/0000-0003-2063-0811
A James O'MalleyDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Julia ChelenThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Meredith MacMartinThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Megan MurphyThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Mark RudolphSound Physicians, Tacoma, Washington, USA.
Amber BarnatoThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Leila S. Agha · 2001 to 2026
$52.9M
A novel intervention to make heuristics a source of power for physiciansDP2LM012339 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOHAN, DEEPIKA · 2015 to 2015
$2.3M
NCI NIH HHS P30 CA023108NIA NIH HHS P01 AG019783NLM NIH HHS DP2 LM012339
6 · The paper itself

Abstract

introductionFewer than half of all people in the USA have a documented advance care plan (ACP). Hospitalisation offers an opportunity for physicians to initiate ACP conversations. Despite expert recommendations, hospital-based physicians (hospitalists) do not routinely engage in these conversations, reserving them for the critically ill.The objective of this study is to test the effect of a novel behavioural intervention on the incidence of ACP conversations by hospitalists practicing at a stratified random sample of hospitals drawn from 220 US acute care hospitals staffed by a large, nationwide acute care physician practice with an ongoing ACP quality improvement initiative. METHODS AND ANALYSIS: We developed ETHICS AND DISSEMINATION: Dartmouth's Committee for the Protection of Human Subjects has approved the study protocol, which is registered on clinicaltrials.gov. We will disseminate the results through manuscripts and the trials website. TRIAL REGISTRATION NUMBER: NCT04557930.

Indexed as

Advance Care PlanningHospitalistsVideo GamesAgedCommunicationHumansPragmatic Clinical Trials as TopicQuality Improvementinternal medicinemedical education & trainingpalliative care

Identifiers

PMID33753443
PMCPMC7986882

What OpenQuestion holds

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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.