Evidence map›Paper›PMID 37387449›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2023

Management of Fall Risk Among Older Adults in Diverse Primary Care Settings.

Kristen Shear, Hannah Rice, Pamela M Garabedian, Ragnhildur Bjarnadottir, Nancy Lathum, Ann L Horgas, Christopher A Harle, Patricia C Dykes, Robert Lucero

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2023. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Kristen ShearDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-3848-3576
Hannah RiceHarvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Pamela M GarabedianMass General Brigham, Somerville, MA, USA.
Ragnhildur BjarnadottirDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, USA.
Nancy LathumHarvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Ann L HorgasDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, USA.
Christopher A HarleDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
Patricia C DykesHarvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Robert LuceroSchool of Nursing, UCLA, Los Angeles, CA, USA.

Funding

Shareable, Interoperable Clinical decision Support for Older Adults: Advancing Fall assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE)U18HS027557 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI DYKES, PATRICIA C · 2020 to 2021
$994k
AHRQ HHS U18 HS027557
6 · The paper itself

Abstract

objectivesFalls are persistent among community-dwelling older adults despite existing prevention guidelines. We described how urban and rural primary care staff and older adults manage fall risk and factors important to integration of computerized clinical decision support (CCDS).

methodsInterviews, contextual inquiries, and workflow observations were analyzed using content analysis and synthesized into a journey map. Sociotechnical and PRISM domains were applied to identify workflow factors important to sustainable CCDS integration.

resultsParticipants valued fall prevention and described similar approaches. Available resources differed between rural and urban locations. Participants wanted evidence-based guidance integrated into workflows to bridge skills gaps. DISCUSSION: Sites described similar clinical approaches with differences in resource availability. This implies that a single intervention would need to be flexible to environments with differing resources. Electronic Health Record's inherent ability to provide tailored CCDS is limited. However, CCDS middleware could integrate into different settings and increase evidence use.

Indexed as

Independent LivingRural PopulationAgedHumansPrimary Health Careclinical decision supportevidence-based practicefallsperson centered careprevention

Identifiers

PMID37387449
PMCPMC10782546

What OpenQuestion holds

Textmetadata
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.