Evidence map›Paper›PMID 38693502›Full record

ArticleBMC geriatrics2024

Evaluating feedback reports to support documentation of veterans' care preferences in home based primary care.

Cari Levy, Jennifer Kononowech, Mary Ersek, Ciaran S Phibbs, Winifred Scott, Anne Sales

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 6 institutions in 1 country.

Cari LevyDenver-Seattle VA Center of Innovation for Value Driven & Veteran-Centric Care, Rocky Mountain Regional VA Medical Center at VA Eastern Colorado Health Care System, Aurora, CO, USA.
Jennifer KononowechCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. Jennifer.Kononowech@va.gov.
Mary ErsekCenter for Health Equity and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Ciaran S PhibbsGeriatrics and Extended Care Data and Analysis Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Winifred ScottGeriatrics and Extended Care Data and Analysis Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Anne SalesCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Sinclair Community College · USStanford Health Care · USUniversity of Pennsylvania · USVA Ann Arbor Healthcare System · USVA Eastern Colorado Health Care System · USVA Palo Alto Health Care System · US

Funding

Quality Enhancement Research Initiative QUE 15-288
6 · The paper itself

Abstract

backgroundTo evaluate the effectiveness of delivering feedback reports to increase completion of LST notes among VA Home Based Primary Care (HBPC) teams. The Life Sustaining Treatment Decisions Initiative (LSTDI) was implemented throughout the Veterans Health Administration (VHA) in the United States in 2017 to ensure that seriously ill Veterans have care goals and LST decisions elicited and documented.

methodsWe distributed monthly feedback reports summarizing LST template completion rates to 13 HBPC intervention sites between October 2018 and February 2020 as the sole implementation strategy. We used principal component analyses to match intervention to 26 comparison sites and used interrupted time series/segmented regression analyses to evaluate the differences in LST template completion rates between intervention and comparison sites. Data were extracted from national databases for VA HBPC in addition to interviews and surveys in a mixed methods process evaluation.

resultsLST template completion rose from 6.3 to 41.9% across both intervention and comparison HBPC teams between March 1, 2018, and February 26, 2020. There were no statistically significant differences for intervention sites that received feedback reports.

conclusionsFeedback reports did not increase documentation of LST preferences for Veterans at intervention compared with comparison sites. Observed increases in completion rates across intervention and comparison sites can likely be attributed to implementation strategies used nationally as part of the national roll-out of the LSTDI. Our results suggest that feedback reports alone were not an effective implementation strategy to augment national implementation strategies in HBPC teams.

Indexed as

Home Care ServicesPrimary Health CareUnited States Department of Veterans AffairsVeteransAgedDocumentationFeedbackFemaleHumansMalePatient PreferenceUnited StatesAdvance care planningDepartment of Veterans affairsImplementation scienceInterrupted time series analysisNursing homesVeteran

Identifiers

PMID38693502
PMCPMC11064362
OpenAlexW4396539999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.