Evidence map›Paper›PMID 36758619›Full record

ArticleJournal of the American Medical Directors Association2023

Telehealth Palliative Care in Nursing Homes: A Scoping Review.

Lyle Walton, Katherine Courtright, George Demiris, Emily F Gorman, Amy Jackson, Joan G Carpenter

Open access · greenAbstract readScoping Review
In one paragraph

Article in Journal of the American Medical Directors Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
7.5field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Role of Digital Health on Palliative Care: Umbrella Review.Journal of medical Internet research · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Telehealth Use at the End-of-Life Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. BMC digital health · 2025
    Article
  17. Review
  18. 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

6 authors at 3 institutions in 1 country.

Lyle WaltonThe University of Alabama at Birmingham, Birmingham, AL, USA; Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA.
Katherine CourtrightPalliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
George DemirisSchool of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Emily F GormanHealth Sciences and Human Services Library, University of Maryland, Baltimore, MD, USA.
Amy JacksonUniversity of Maryland School of Nursing, Baltimore, MD, USA.
Joan G CarpenterUniversity of Maryland School of Nursing, Baltimore, MD, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA. Electronic address: joan.carpenter@umaryland.edu.
University of Maryland, Baltimore · USUniversity of Pennsylvania · USUniversity of Alabama at Birmingham · US

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Abraham Aizer Brody, SUSAN L MITCHELL · 2019 to 2026
$125.9M
Transforming residential palliative care for persons with dementia through behavioral economics and data scienceP30AG064105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KARLAWISH, JASON H · 2019 to 2023
$3.8M
Identifying palliative care needs among hospitalized patients with chronic obstructive pulmonary diseaseK23HL143181 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI COURTRIGHT, KATHERINE RINALDI · 2018 to 2022
$809k
Palliative Care Consultations for Persons with Alzheimer's Disease and related Dementia in the Medicare Skilled Nursing Facility (SNF) SettingK23NR017663 · NINR · UNIVERSITY OF PENNSYLVANIA · PI CARPENTER, JOAN GLEBA · 2019 to 2021
$494k
NHLBI NIH HHS K23 HL143181NHLBI NIH HHS L30 HL148951NIA NIH HHS P30 AG064105NIA NIH HHS U54 AG063546NINR NIH HHS K23 NR017663
6 · The paper itself

Abstract

objectivesMany adults older than 65 spend time in a nursing home (NH) at the end of life where specialist palliative care is limited. However, telehealth may improve access to palliative care services. A review of the literature was conducted to synthesize the evidence for telehealth palliative care in NHs to provide recommendations for practice, research, and policy.

designJoanna Briggs Institute guidance for scoping reviews, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews frameworks were used to guide this literature review. SETTINGS AND

participantsReviewed articles focused on residents in NHs with telehealth palliative care interventionists operating remotely. Participants included NH residents, care partner(s), and NH staff/clinicians.

methodsWe searched Medline (Ovid), Embase (Elsevier), Cochrane Library (WileyOnline), Scopus (Elsevier), CINHAL (EBSCOhost), Trip PRO, and Dissertations & Theses Global (ProQuest) in June 2021, with an update in January 2022. We included observational and qualitative studies, clinical trials, quality improvement projects, and case and clinical reports that self-identified as telehealth palliative care for NH residents.

resultsThe review yielded 11 eligible articles published in the United States and internationally from 2008 to 2020. Articles described live video as the preferred telehealth delivery modality with goals of care and physical aspects of care being most commonly addressed. Findings in the articles focused on 5 patient and family-centered outcomes: symptom management, quality of life, advance care planning, health care use, and evaluation of care. Consistent benefits of telehealth palliative care included increased documentation of goals of care and decrease in acute care use. Disadvantages included technological difficulties and increased NH financial burden. CONCLUSIONS AND IMPLICATIONS: Although limited in scope and quality, the current evidence for telehealth palliative care interventions shows promise for improving quality and outcomes of serious illness care in NHs. Future empirical studies should focus on intervention effectiveness, implementation outcomes (eg, managing technology), stakeholders' experience, and costs.

Indexed as

TelemedicineTerminal CareAdultHumansNursing HomesPalliative CareQuality of Lifenursing homespalliative carepost-acute and long-term careserious illnessTelehealth

Identifiers

PMID36758619
PMCPMC9985816
OpenAlexW4319301725

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.