Evidence map›Paper›PMID 34307774›Full record

ArticleInternational journal of nursing sciences2021

A family nurse-led intervention for reducing health services' utilization in individuals with chronic diseases: The ADVICE pilot study.

Serenella Savini, Paolo Iovino, Dario Monaco, Roberta Marchini, Tiziana Di Giovanni, Giuseppe Donato, Ausilia Pulimeno, Carmela Matera, Giuseppe Quintavalle, Carlo Turci

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of nursing sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. The State of the Evidence about the Family and Community Nurse: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

10 authors at 1 institution in 2 countries.

Serenella SaviniASL Rome 4, Rome, Italy.
Paolo IovinoDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Dario MonacoASL Rome 4, Rome, Italy.
Roberta MarchiniASL Rome 4, Rome, Italy.
Tiziana Di GiovanniASL Rome 4, Rome, Italy.
Giuseppe DonatoASL Rome 4, Rome, Italy.
Ausilia PulimenoPresidente Ordine Professioni Infermieristiche, Rome, Italy.
Carmela MateraASL Rome 4, Rome, Italy.
Giuseppe QuintavalleASL Rome 4, Rome, Italy.
Carlo TurciASL Rome 4, Rome, Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntensive health services' utilization is common in older individuals affected by chronic diseases. This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services' use (readmissions and/or emergency service access) among older people affected by chronic conditions.

methodsThis is a non-randomized before-after pilot study. A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months. Standard home care was provided during the first four months' period (months 1-4), followed by the educational intervention until the end of the study (months 5-8). The intervention, based on the teach-back method, consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment, potential complications, medication adherence, and health behaviours. Rates of health services' use were collected immediately before (T0), and after the interventions (T1). Differences in utilization rates were examined by the McNemar's test. Potential factors associated with the risk of health services' use were explored with a Cox proportional hazard regression model.

resultsThe sample (

conclusionA teach-back intervention led by a family nurse practitioner has the potential to reduce health services' use in older patients with chronic diseases.

Indexed as

AgedChronic diseaseFacilities and services utilizationFamily nurse practitionersHealth servicesHome care servicesPatient readmission

Identifiers

PMID34307774
PMCPMC8283711
OpenAlexW3160264626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.