Evidence map›Paper›PMID 38826064›Full record

ArticleDisability and rehabilitation2025

Older adults with communication disabilities and their use of communication support at doctor's visits: a nationally representative study.

Jennifer Y Oshita, Nancy M Gell, Nicholas S Reed, Michelle L Stransky, Charles D MacLean

Abstract read
In one paragraph

Article in Disability and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Jennifer Y OshitaCenter for Bioethics and Humanities, University of Colorado, Aurora, CO, USA.
Nancy M GellNursing and Health Sciences, University of VT, Burlington, VT, USA.
Nicholas S ReedDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Michelle L StranskyDepartment of Pediatrics, Boston University Chobanian & Avedisian School of Medicine, Boson, MA, USA.
Charles D MacLeanDepartment of Medicine, University of Vermont The Robert Larner MD College of Medicine, Burlington, VT, USA.

Funding

Healthcare Outcomes and Accommodations for Persons with Communication DisabilitiesF31DC020118 · NIDCD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI OSHITA, JENNIFER Y · 2021 to 2022
$77k
NIDCD NIH HHS F31 DC020118
6 · The paper itself

Abstract

purposeOlder adults with communication disabilities (CDs) experience barriers to receiving care and face a paucity of accommodations for their disability. Utilizing someone that supports communication with healthcare providers (communication support persons) may be a way that this group self-supports their disability. We examined if this utilization was independently associated with CDs among older adults. We also sought to understand if socioeconomic factors were associated with utilization.

methodsWe used the 2015 National Health and Aging Trends Survey (NHATS) to conduct a cross-sectional analysis of Medicare beneficiaries (

resultsAmong community dwelling older adults, having CDs was associated with higher utilization of a communication support person at medical visits (APR: 1.41 [CI: 1.27 - 1.57]). Among adults with CDs, Black adults and women had lower levels of utilization as compared to White adults and men, respectively.

conclusionCommunication support persons may be a way that older adults with CDs self-support their disability. However, not all older adults with CDs bring someone and variation by social factors could suggest that unmet support needs exist.

Indexed as

Communication DisordersPersons with DisabilitiesAgedAged, 80 and overCommunicationCross-Sectional StudiesFemaleHumansIndependent LivingMaleMedicarePhysician-Patient RelationsSocioeconomic FactorsUnited StatesCommunication disabilitiescommunication disordersdisabilitiesdisability accommodationshealthcare accommodationspatient-provider communicationreduced inequalitiesutilization

Identifiers

PMID38826064
PMCPMC11612027

What OpenQuestion holds

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Registered trials

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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.