Evidence map›Paper›PMID 38896819›Full record

ArticleThe American journal of hospice & palliative care2024

Feasibility and Effectiveness of Virtual Group Advance Care Planning Visits During the COVID-19 Pandemic.

Lindsey Yourman, Alina Pollner, Jasmine Khatibi, Vanessa Ramos, Vaishnavi Melkote, Aoibhin O'Gorman, Erika Begler, Hillary D Lum

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of hospice & palliative care, 2024. 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. Review
  2. 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

8 authors.

Lindsey YourmanDivision of Geriatrics, Gerontology, and Palliative Care, Department of Internal Medicine, University of California at San Diego School of Medicine, La Jolla, San Diego, CA, USA.ORCID 0000-0001-5450-8449
Alina PollnerStanford University, Stanford, CA, USA.ORCID 0009-0005-0782-8729
Jasmine KhatibiUniversity of California, San Diego, CA, USA.
Vanessa RamosHealth Sciences, University of California, San Diego, San Diego, CA, USA.
Vaishnavi MelkoteUniversity of California, San Diego, CA, USA.ORCID 0009-0006-6799-3117
Aoibhin O'GormanUniversity of California, San Diego, CA, USA.ORCID 0009-0002-9107-6002
Erika BeglerDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Hillary D LumDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.

Funding

Effectiveness of Engaging in Advance Care Planning Talks (ENACT) Group Visits Intervention in Primary Care for Older Adults with and without Alzheimer's DementiaR01AG066804 · NIA · UNIVERSITY OF COLORADO DENVER · PI LUM, HILLARY · 2021 to 2025
$3.7M
NIA NIH HHS R01 AG066804
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic necessitated the transition from in person to virtual advance care planning (ACP) engagement efforts. This pilot initiative evaluated virtual group visits (GVs) and in-person GVs for ACP to determine their feasibility and effectiveness.

methodsParticipants included patients in a Geriatric Medicine clinic who were referred by their primary care physician to an ACP GVs intervention. The ACP GVs had 2 sessions, led by clinicians with ACP expertise who facilitated a discussion on patients' values, goals, and preferences. Participants were provided with technical assistance to support use of the virtual platform. Evaluation included an ACP readiness survey, post-session feedback, GV observations, and electronic health record review at baseline and a 6 month follow-up for goals of care documentation and advance directives.

resultsSeventy patients attended 46 ACP GVs from August 2019 to February 2022, including 16 in-person GVs and 54 virtual GVs. At a 6 month follow-up, for virtual GVs participants (n = 54), goals of care documentation increased from 31% to 93%, and advance directives increased from 22% to 30%. For in-person GVs participants (n = 16), goals of care documentation increased from 25% to 100%, and advance directives increased from 69% to 75%. All surveyed patients in both formats would recommend ACP GVs.

conclusionACP GVs are feasible and effective for supporting ACP, demonstrating an increase in both goals of care conversations and advance directives completion.

Indexed as

Advance Care PlanningCOVID-19Feasibility StudiesAdvance DirectivesAgedAged, 80 and overFemaleHumansMaleMiddle AgedPilot ProjectsTelemedicineadvance care planningCOVID-19goals of care conversationsgroup medical visitsshared medical appointmentstelehealth

Identifiers

PMID38896819
PMCPMC12302251

What OpenQuestion holds

Textmetadata
LicenceTDM
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.