Evidence map›Paper›PMID 34461035›Full record

Trial reportAnnals of internal medicine2021

Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial.

Terri R Fried, Andrea L Paiva, Colleen A Redding, Lynne Iannone, John R O'Leary, Maria Zenoni, Megan M Risi, Slawomir Mejnartowicz, Joseph S Rossi

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03137459 (STAMP), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT03137459 nacompletednot on this map

STAMP: Sharing and Talking About My Preferences

TypeinterventionalSponsorYale UniversityRan2017 to 2021Enrolled909ConditionsAdvanced Care Planning (ACP)ArmsTranstheoretical Model (TTM) of health behavior change, Usual Care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Terri R FriedYale School of Medicine, New Haven, and Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut (T.R.F.).ORCID 0000-0001-8083-8265
Andrea L PaivaCancer Prevention Research Center, College of Health Sciences, University of Rhode Island, Kingston, Rhode Island (A.L.P., C.A.R., J.S.R.).ORCID 0000-0002-9217-9081
Colleen A ReddingCancer Prevention Research Center, College of Health Sciences, University of Rhode Island, Kingston, Rhode Island (A.L.P., C.A.R., J.S.R.).ORCID 0000-0002-5044-3155
Lynne IannoneClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, and Yale School of Medicine, New Haven, Connecticut (L.I., J.O., M.Z.).
John R O'LearyClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, and Yale School of Medicine, New Haven, Connecticut (L.I., J.O., M.Z.).
Maria ZenoniClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, and Yale School of Medicine, New Haven, Connecticut (L.I., J.O., M.Z.).
Megan M RisiCollege of Health Sciences, University of Rhode Island, Kingston, Rhode Island (M.M.R.).
Slawomir MejnartowiczYale School of Medicine, New Haven, Connecticut (S.M.).
Joseph S RossiCancer Prevention Research Center, College of Health Sciences, University of Rhode Island, Kingston, Rhode Island (A.L.P., C.A.R., J.S.R.).ORCID 0000-0002-1831-1195
University of Rhode Island · USVA Connecticut Healthcare System · USYale University · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Enhancing Engagement in Advance Care PlanningR01NR016007 · NINR · YALE UNIVERSITY · PI FRIED, TERRI R. · 2016 to 2019
$2.6M
NIA NIH HHS P30 AG021342NINR NIH HHS R01 NR016007
6 · The paper itself

Abstract

backgroundInterventions with the potential for broad reach in ambulatory settings are necessary to achieve a life course approach to advance care planning.

objectiveTo examine the effect of a computer-tailored, behavioral health model-based intervention on the engagement of adults in advance care planning recruited from ambulatory care settings.

designCluster randomized controlled trial with participant-level analysis. (ClinicalTrials.gov: NCT03137459).

setting10 pairs of primary and selected specialty care practices matched on patient sociodemographic information.

participantsEnglish-speaking adults aged 55 years or older; 454 adults at practices randomly assigned to usual care and 455 at practices randomly assigned to intervention.

interventionBrief telephone or web-based assessment generating a mailed, individually tailored feedback report with a stage-matched brochure at baseline, 2 months, and 4 months. MEASUREMENTS: The primary outcome was completion of the following 4 advance care planning activities at 6 months: identifying and communicating with a trusted person about views on quality versus quantity of life, assignment of a health care agent, completion of a living will, and ensuring that the documents are in the medical record-assessed by a blinded interviewer. Secondary outcomes were completion of individual advance care planning activities.

resultsParticipants were 64% women and 76% White. The mean age was 68.3 years (SD, 8.3). The predicted probability of completing all advance care planning activities in usual care sites was 8.2% (95% CI, 4.9% to 11.4%) versus 14.1% (CI, 11.0% to 17.2%) in intervention sites (adjusted risk difference, 5.2 percentage points [CI, 1.6 to 8.8 percentage points]). Prespecified subgroup analysis found no statistically significant interactions between the intervention and age, education, or race. LIMITATIONS: The study was done in a single region and excluded non-English speaking participants. No information was collected about nonparticipants.

conclusionA brief, easily delivered, tailored print intervention increased participation in advance care planning in ambulatory care settings. PRIMARY FUNDING SOURCE: National Institute of Nursing Research and National Institute of Aging.

Indexed as

Ambulatory CareAdvance Care PlanningAgedFeedbackFemaleHumansMaleMiddle AgedPamphletsSingle-Blind Method

Identifiers

PMID34461035
PMCPMC8711627
OpenAlexW3197993521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.