Evidence map›Paper›PMID 34688200›Full record

ArticleHealthcare (Amsterdam, Netherlands)2021

Developing a person-centered, population based measure of "home time": Perspectives of older patients and unpaid caregivers.

Nina R Sperber, Abigail Shapiro, Nathan A Boucher, Kasey P Decosimo, Megan Shepherd-Banigan, Chelsea Whitfield, Susan N Hastings, Courtney H Van Houtven

Abstract read
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Trial
  2. Care Provider Perceptions of Person-Centeredness in Geriatric Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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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

8 authors.

Nina R SperberCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA. Electronic address: nina.sperber@duke.edu.
Abigail ShapiroCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA.
Nathan A BoucherCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA; Duke University, Sanford School of Public Policy, Durham, NC, USA; Duke University, Margolis Center for Health Policy, Durham, NC, USA; Duke University School of Medicine, Center for the Study of Aging, Durham, NC, USA; Duke University School of Medicine, Department of Medicine, Division of Geriatrics, Durham, NC, USA.
Kasey P DecosimoCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA.
Megan Shepherd-BaniganCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA; Duke University, Margolis Center for Health Policy, Durham, NC, USA.
Chelsea WhitfieldCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA.
Susan N HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA; Duke University School of Medicine, Center for the Study of Aging, Durham, NC, USA; Duke University School of Medicine, Department of Medicine, Division of Geriatrics, Durham, NC, USA.
Courtney H Van HoutvenCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA; Duke University, Margolis Center for Health Policy, Durham, NC, USA.

Funding

HSRD VA IK2 HX002407HSRD VA IK6 HX003396
6 · The paper itself

Abstract

Measuring "home time," number of days not in facility-based care, with medical claims is a promising approach to assess person-centered outcomes on a population level. Generally, spending more time at home matches long-term care preferences and improves quality of life. However, existing "home time" measures have not incorporated key stakeholder perspectives. We sought to understand how patients and family caregivers value time spent in diverse facility-based health care settings (Emergency Department, Nursing Home, Post-Acute Care/Skilled Nursing, Inpatient Hospital) to help determine whether various settings have different effects on quality of life and thus merit different weighting in a "home time" measure. We conducted three focus groups among patients and family caregivers within the U.S. Veterans Health Care System. We identified themes pertaining to patients' quality of life in each of the four facility-based care settings. Discussions about both emergency department and post-acute/skilled nursing care reflected loss of personal control, counterbalanced by temporary stay. Inpatient hospital care evoked discussion about greater loss of personal control due to the intensity of care. Nursing homes ultimately signified decline. These findings illuminate differences in quality of life across health-care settings and help justify the need for different weights in a measure of "home time."

Indexed as

CaregiversQuality of LifeHumansLong-Term CareNursing HomesSkilled Nursing FacilitiesAgingLong term carePerson-centered measureQualitativeQuality of life

Identifiers

PMID34688200
PMCPMC10442891

What OpenQuestion holds

Textmetadata
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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.