Evidence map›Paper›PMID 33941089›Full record

Trial reportBMC medical research methodology2021

Stakeholder-engaged process for refining the design of a clinical trial in home hospice.

Jennifer Tjia, Margaret Clayton, Germán Chiriboga, Brooke Staples, Geraldine Puerto, Lynley Rappaport, Susan DeSanto-Madeya

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical research methodology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03972163 (Standardized PatiEnt-CenTered medicatiOn Review), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03972163 nacompletednot on this map

Standardized PatiEnt-CenTered medicatiOn Review (SPECTORx) in Home Hospice

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2020 to 2023Enrolled23ConditionsHospices, Poly Pharmacy, Deprescriptions, CaregiversArmsNIA Medication Management - Active Comparator, STOPPFrail (Screening Tool of Older Persons Prescriptions), "Discontinuing Medication Appropriately" and "Understanding the Art of Communication about Deprescribing", "Key Approaches to Support Informal Family Caregivers in Managing Medications"
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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.

Jennifer TjiaUniversity of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA, 01605, USA. jennifer.tjia@umassmed.edu.ORCID 0000-0003-4541-0460
Margaret ClaytonUniversity of Utah College of Nursing, Salt Lake City, UT, USA.
Germán ChiribogaUniversity of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA, 01605, USA.
Brooke StaplesUniversity of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA, 01605, USA.
Geraldine PuertoUniversity of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA, 01605, USA.
Lynley RappaportUniversity of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA, 01605, USA.
Susan DeSanto-MadeyaUniversity of Rhode Island School of Nursing, Kingston, RI, USA.

Funding

Longitudinal Patterns of Symptoms, Medication and Hospice Use in Nursing Home Residents Approaching End of LifeK24AG068300 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2020 to 2024
$949k
Pilot Study of Standardized PatiEnt-CenTered medicatiOn Review (SPECTORx) in Home HospiceR21AG060017 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2018 to 2019
$481k
NIA NIH HHS K24 AG068300NIA NIH HHS NIA R21AG60017NIA NIH HHS R21 AG060017
6 · The paper itself

Abstract

backgroundClinical trials in home hospice settings are important to build the evidence base for practice, but balancing the burden and benefit of clinical trial conduct for clinicians, patients, and family caregivers is challenging. A stakeholder-engaged process can help inform and refine key aspects of home hospice clinical trials. The aim of this study was to describe a stakeholder-engaged process to refine, design, and implement aspects of an educational intervention trial in home hospice, including recommendations for refining intervention content and delivery, recruitment and enrollment strategies, and content and frequency of outcome measurement.

methodsA panel of interprofessional (1 hospice administrator, 3 nurses, 2 physicians, 2 pharmacists) and 2 former family caregiver stakeholders was systematically selected and invited to participate based on expertise, representing 2 geographically distinct hospices who were participating in the clinical trial. Teleconferences followed a predetermined procedural sequence: 1. pre-meeting materials distribution and review; 2. pre-meeting email solicitation of concerns in response to materials; 3. teleconference with structured and guided discussion; and 4. documentation and distribution of minutes for accuracy review and future meeting guidance. Discussion topics were distinct for each panel meeting. Written reflections on the stakeholder engagement process were collected from panel members to further refine our process.

resultsFive initial biweekly teleconferences resulted in recommendations for recruitment strategy, enrollment process, measurement frequency, patient inclusion, and primary care physician notification of the patient's trial involvement. The panel continues to participate in quarterly teleconferences to review progress and unexpected questions and concerns. Panelist reflections reveal personal and professional benefit from participation.

conclusionsAn interprofessional stakeholder process is feasible and invaluable for developing home hospice intervention studies, contributing to better science, successful trial implementation, and relevant, valid outcomes.

trial registrationClinicaltrials.gov, NCT03972163 , Registered June 3, 2019.

Indexed as

HospicesCaregiversHumansStakeholder ParticipationClinical trialDeprescribingHome hospiceOutcome measurementStakeholder

Identifiers

PMID33941089
PMCPMC8091786

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.