Evidence map›Paper›PMID 38687693›Full record

ArticlePloS one2024

A multidisciplinary approach to improve adherence to medical recommendations in older adults at hospital discharge: The APPROACH study protocol.

Bruno Micael Zanforlini, Sara Sambo, Maria Devita, Andrea Cignarella, Federico Vezzali, Silvia Sturani, Andrea Grandieri, Marianna Noale, Paola Siviero, Federica Limongi and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05719870 (A Multidisciplinary Approach to Improve Adherence to Medical Recommendations in Older Adults at Hospital Discharge), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT05719870 naunknown statusnot on this map

A Multidisciplinary Approach to Improve Adherence to Medical Recommendations in Older Adults at Hospital Discharge

TypeinterventionalSponsorUniversity Hospital of FerraraRan2022 to 2023Enrolled360ConditionsMedication Adherence, Aging, Multidisciplinary Communication, FallArmsEducational training
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

14 authors at 3 institutions in 2 countries.

Bruno Micael ZanforliniDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Sara SamboDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Maria DevitaDepartment of Medicine (DIMED), University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0001-5899-8000
Andrea CignarellaDepartment of Medicine (DIMED), University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0002-4820-4876
Federico VezzaliDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Silvia SturaniDepartment of General Psychology (DPG), University of Padua, Padua, Italy.
Andrea GrandieriDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Marianna NoaleInstitute of Neuroscience - Aging Branch, National Research Council (CNR), Padua, Italy.
Paola SivieroInstitute of Neuroscience - Aging Branch, National Research Council (CNR), Padua, Italy.
Federica LimongiInstitute of Neuroscience - Aging Branch, National Research Council (CNR), Padua, Italy.
Stefano VolpatoDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Giuseppe SergiDepartment of Medicine (DIMED), University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0001-9757-856X
Caterina TrevisanDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
APPROACH working group
University of Padua · ITNeuroscience Institute · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoor comprehension and medication adherence are common in older people, especially after hospitalizations, in case of changes or prescriptions of new therapeutic regimes. This randomized controlled trial aims to evaluate the effectiveness of an integrated approach in improving older individuals' adherence to medical recommendations after hospital discharge.

methodsData from an expected sample of 360 older inpatients (and their caregivers) will be collected. Medical recommendations' understanding will be tested before and after the routine explanation received by in-charge physicians. Participants will be randomized in the control (usual care) and intervention group. The intervention consists of educational training by a multidisciplinary team (occupational therapist, dietician, and physician, in consultation with a pharmacologist) at hospital discharge and, after hospital discharge, receiving a phone recall checking for therapy adherence and having the possibility to contact the study team for potential related concerns. After 7 days, medication adherence will be assessed through structured phone interviews comparing ongoing and prescribed medications and by administering the 4-item validated Morisky, Green, Levine scale and the Medication adherence report scale (MARS-5). At 30 and 90 days from discharge, data on medication adherence, falls, rehospitalizations, and vital status will be collected through phone interviews and hospital records.

trial registrationRegistration: NCT05719870 (clinicaltrial.gov). https://classic.clinicaltrials.gov/ct2/show/NCT05719870.

Indexed as

Medication AdherencePatient DischargeAgedAged, 80 and overFemaleHumansMalePatient Care TeamRandomized Controlled Trials as Topic

Identifiers

PMID38687693
PMCPMC11060519
OpenAlexW4396530505

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.