Evidence map›Paper›PMID 34414808›Full record

Trial reportThe American journal of hospice & palliative care2022

Does Caregiver Participation in Advance Care Planning Using a Decision Support Tool Together With Patients Reduce Caregiver Strain, Burden and Anxiety Over Time? A Post-Hoc Analysis of a Randomized Controlled Trial.

Bronson R Kunzler, Andrew J Foy, Benjamin H Levi, Lauren J Van Scoy, Erik B Lehman, Theresa J Smith, Michael J Green

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of hospice & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
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 at 2 institutions in 1 country.

Bronson R KunzlerCollege of Medicine, Penn State University, Hershey, PA, USA.ORCID https://orcid.org/0000-0001-6264-4600
Andrew J FoyDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Benjamin H LeviDepartment of Humanities, Penn State College of Medicine, Hershey, PA, USA.
Lauren J Van ScoyDepartment of Humanities, Penn State College of Medicine, Hershey, PA, USA.ORCID https://orcid.org/0000-0003-0984-1474
Erik B LehmanDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Theresa J SmithDepartment of Humanities, Penn State College of Medicine, Hershey, PA, USA.
Michael J GreenDepartment of Humanities, Penn State College of Medicine, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

Preparing Family Caregivers of Very Ill Patients for End-of-Life Decision MakingR01NR012757 · NINR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GREEN, MICHAEL J., LEVI, BENJAMIN H. · 2012 to 2019
$4.0M
NINR NIH HHS R01 NR012757
6 · The paper itself

Abstract

contextSurrogate decision makers experience significant amounts of anxiety, burden, and strain in their role as caregivers and decision makers for loved ones.

objectivesTo investigate longitudinally whether surrogate decision makers engaging in ACP together with their loved one reduces perceived anxiety, burden, and strain felt by surrogate decision makers.

methodsPost-hoc analysis of a randomized controlled trial evaluating caregivers' perceived self-efficacy to serve as surrogate decision makers. The trial employed a 2×2 study design of patient/caregiver dyads who engaged in advance care planning (ACP) using a standard living will form vs "Making Your Wishes Known" (MYWK), and having the patient engage in ACP alone vs together with the family caregiver. Surrogates completed validated survey instruments surveys longitudinally to compare levels of anxiety, burden, and strain.

results

conclusionFamily caregivers who engaged in ACP together with patients using the decision support tool MYWK did not experience less strain, burden, or anxiety longitudinally compared to other study arms. These results may help inform the design of future studies and interventions that promote caregivers' involvement in ACP interventions.

Indexed as

Advance Care PlanningCaregiversAnxietyDecision MakingHumansSelf EfficacyACPadvance care planningcaregiver anxietycaregiver burdencaregiver strainsurrogate decision making

Identifiers

PMID34414808
PMCPMC9178689
OpenAlexW3194140269

What OpenQuestion holds

Textmetadata
LicenceTDM
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.