Evidence map›Paper›PMID 38350612›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2024

Life-Stage and Contextual Factors of Advance Care Planning Among Older Adults With Limited Income.

Christine C Kimpel, Jana Lauderdale, David G Schlundt, Mary S Dietrich, Amy C Ratcliff, Cathy A Maxwell

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Impact of Life-Context Factors on Chronic Rhinosinusitis 22-Item Sinonasal Outcomes Test: Systematic Review + Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Pooled it
  2. Article
  3. 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.

Christine C KimpelVanderbilt University School of Nursing, Nashville, TN, USA.ORCID 0000-0003-2590-0008
Jana LauderdaleVanderbilt University School of Nursing, Nashville, TN, USA.ORCID 0000-0003-4270-5618
David G SchlundtDepartment of Psychology, Vanderbilt University, Nashville, TN, USA.
Mary S DietrichDepartment of Biostatistics, Vanderbilt University Schools of Medicine and Nursing, Nashville, TN, USA.
Amy C RatcliffDepartment of Infectious Diseases, Tennessee Valley Healthcare System VA, Nashville, TN, USA.
Cathy A MaxwellVanderbilt University School of Nursing, Nashville, TN, USA.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Learning Health System training program: PROgRESS--Patient/ pRactice Outcomes and Research in Effectiveness and Systems ScienceT32HS026122 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G, ROUMIE, CHRISTIANNE L. · 2018 to 2024
$3.5M
AHRQ HHS T32 HS026122NCATS NIH HHS UL1 TR002243
6 · The paper itself

Abstract

Patient perspectives are essential to understand healthcare disparities such as low rates of advance care planning (ACP) among adults with limited income. We completed twenty semi-structured interviews using purposive and snowball sampling. Initial and final themes emerged from inductive inclusion of recurring codes and deductive application of the cumulative disadvantage theory. Four themes emerged: (1) structural, (2) life-stage, (3) social stressors and resources, and (4) individual stress responses and ACP readiness. ACP resources among participants included positive structural and social support and previous familial death experiences that were mitigated by stress avoidance and competing priorities. Structural resources and healthcare stressors should be addressed with policy and research to improve continuous healthcare participation and support early, comprehensive ACP.

Indexed as

Advance Care PlanningInterviews as TopicSocial SupportAgedAged, 80 and overFemaleHumansMaleMiddle AgedPovertyQualitative ResearchStress, Psychologicaladvance care planningpovertyqualitativesocioeconomic status

Identifiers

PMID38350612
PMCPMC11305978

What OpenQuestion holds

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LicenceCC BY-NC
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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.