Evidence map›Paper›PMID 39215557›Full record

ArticleJournal of the American Geriatrics Society2024

Identifying priority challenges of older adults with COPD: A multiphase intervention refinement study.

Anand S Iyer, Rachel D Wells, Avery C Bechthold, Margaret Armstrong, Ronan O'Beirne, Jun Y Byun, Jazmine Coffee-Dunning, J Nicholas Odom, Russell G Buhr, Angela O Suen and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Integrated Care for COPD in the Elderly: Impact on Healthcare Utilization Across Healthcare Settings.International journal of chronic obstructive pulmonary disease · 2026
    Article
  5. 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

15 authors.

Anand S IyerDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0001-7700-0728
Rachel D WellsCenter for Palliative and Supportive Care, Birmingham, Alabama, USA.
Avery C BechtholdSchool of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Margaret ArmstrongCenter for Palliative and Supportive Care, Birmingham, Alabama, USA.
Ronan O'BeirneDivision of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jun Y ByunSchool of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jazmine Coffee-DunningCenter for Palliative and Supportive Care, Birmingham, Alabama, USA.
J Nicholas OdomCenter for Palliative and Supportive Care, Birmingham, Alabama, USA.
Russell G BuhrDivision of Pulmonary & Critical Care Medicine, University of California, Los Angeles, California, USA.
Angela O SuenDivision of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, California, USA.
Ashwin A KotwalDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-6137-8512
Leah J WittDivision of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-5665-4060
Cynthia J BrownDepartment of Internal Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0002-1629-5507
Mark T DransfieldDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Marie A BakitasDivision of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

MUTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007185 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI David J Erle, LAURENCE HUANG · 1985 to 2026
$24.6M
VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Aging Well with COPD through Geriatrics-Palliative CareK76AG064327 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IYER, ANAND SATHYAN · 2020 to 2024
$1.2M
American Federation for Aging ResearchJohn A. Hartford FoundationNHLBI NIH HHS L30 HL134025NHLBI NIH HHS T32 HL007185NIA NIH HHS K76 AG064327NIA NIH HHS K76AG064327NIA NIH HHS P30 AG044281NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

backgroundIdentifying priority challenges of older adults with chronic obstructive pulmonary disease (COPD) is critical to designing interventions aimed at improving their well-being and independence.

objectiveTo prioritize challenges of older adults with COPD and those who care for them to guide refinement of a telephonic nurse coach intervention for patients with COPD and their family caregivers (EPIC: Empowering People to Independence in COPD).

designMultiphase study guided by Baltes Theory of Successful Aging and the 5Ms Framework: Phase 1: Nominal group technique (NGT), a structured process of prioritizing responses to a question through group consensus. Phase 2: Rapid qualitative analysis. Phase 3: Intervention mapping and refinement.

settingAmbulatory, virtual.

participantsOlder adults with COPD, family caregivers, clinic staff (nurses, respiratory therapists), clinicians (physicians, nurse practitioners), and health system leaders.

resultsNGT sessions were conducted by constituency group with 37 participants (n = 7 patients, n = 6 family caregivers, n = 8 clinic staff, n = 9 clinicians, n = 7 health system leaders) (Phase 1). Participants generated 92 statements across five themes (Phase 2): (1) "Barriers to care", (2) "Family caregiver needs", (3) "Functional status and mobility issues", (4) "Illness understanding", and (5) "COPD care complexities". Supplemental oxygen challenges emerged as a critical problem, and prioritized challenges differed by group. Patients and clinic staff prioritized "Functional status and mobility issues", family caregivers prioritized "Family caregiver needs", and clinicians and health system leaders prioritized "COPD care complexities". Intervention mapping (Phase 3) guided EPIC refinement focused on meeting patient priorities of independence and mobility but accounting for all priorities.

conclusionsDiverse constituency groups identified priority challenges for older adults with COPD. Functional status and mobility issues, particularly related to supplemental oxygen, emerged as patient prioritized challenges. IMPLICATIONS: Patient-centered interventions for older adults with COPD must account for their prioritized functional and supplemental oxygen needs and explore diverse constituent perspectives to facilitate intervention enrichment.

Indexed as

CaregiversPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overFemaleHumansMalecaregiverCOPDgeriatricsintervention developmentintervention mappingnominal group techniquepalliative carerapid qualitative analysis

Identifiers

PMID39215557
PMCPMC11560595

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.