Evidence map›Paper›PMID 39615892›Full record

ArticleBMJ open2024

Supporting resident-centred decision-making about transitions from long-term care homes to hospital: a qualitative study protocol.

Alixe Ménard, Lauren Konikoff, Michaela Adams, Yamini Singh, Mary M Scott, Christina Y Yin, Maren Kimura, Daniel Kobewka, Celeste Fung, Sarina R Isenberg and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07153341 (A Pre-Post Trial Evaluating the Supporting Transitions and Empowering Preferences), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT07153341 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Pre-Post Trial Evaluating the Supporting Transitions and Empowering Preferences (STEP) Decision Support Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions During Acute Health Crises

TypeinterventionalSponsorBruyère Health Research Institute.Ran2025 to 2027Enrolled200ConditionsLTC-to-hospital Transfer Decision-makingArmsSTEP Decision Support Toolkit
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Alixe MénardDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada alimenard@ohri.ca.ORCID http://orcid.org/0000-0002-5509-8960
Lauren KonikoffDivision of Palliative Care, Bruyère Health Research Institute, Ottawa, Ontario, Canada.
Michaela AdamsPerley Health Centre of Excellence in Frailty-Informed Care, Ottawa, Ontario, Canada.ORCID http://orcid.org/0009-0008-1610-8127
Yamini SinghDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0009-0008-9269-5984
Mary M ScottDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-1745-0820
Christina Y YinOttawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0009-0000-5557-8633
Maren KimuraClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-0847-5567
Daniel KobewkaOttawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-1812-2335
Celeste FungDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-1422-5759
Sarina R IsenbergDivision of Palliative Care, Bruyère Health Research Institute, Ottawa, Ontario, Canada.
Sharon KaasalainenSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.
Jackie KierulfDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Frank MolnarClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Sandy ShamonDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Kumanan WilsonDepartment of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Krystal Kehoe MacLeodClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ottawa Hospital Research Institute and Bruyère Health Research Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBurdensome care transitions may occur despite clinicians' engagement in care planning discussions with residents and their family/friend care partners. Conversations about potential hospital transfers can better prepare long-term care (LTC) residents, their families and care providers for future decision-making. Lack of such discussions increases the likelihood of transitions that do not align with residents' values. This study will examine experiences of LTC residents, family/friend care partners and staff surrounding decision-making about LTC to hospital transitions and codesign a tool to assist with transitional decision-making to help prioritise needs and preferences of residents and their care partners. METHODS AND ANALYSIS: This study will use semi-structured needs assessment interviews (duration: 1 hour), content analysis of existing decision support and discussion tools and a codesign workshop series (for residents and care partners, and for staff) at three participating LTC home research sites. This qualitative work will inform the development of a decision support tool that will subsequently be pilot tested and evaluated at three partnering LTC homes in future phases of the project. The study is guided by the Person-centred Practice in Long-term Care theoretical framework. Interview audio recordings will be transcribed verbatim and analysed using reflexive thematic analysis. Participants will be recruited in partnership with three LTC homes in Ottawa, Ontario. Eligible participants will be English or French speaking residents, family/friend care partners or staff (eg, physicians, nurses and personal support workers) who have experienced or been involved in a transition from LTC to hospital. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Bruyère Health Research Ethics Board (#M16-23-030). Findings will be (1) reported to participating and funding organisations; (2) presented at national and international conferences and (3) disseminated by peer-review publications.

Indexed as

Decision MakingLong-Term CareNursing HomesPatient TransferQualitative ResearchHumansInterviews as TopicNeeds AssessmentOntarioPatient-Centered CareResearch DesignDecision MakingHospitalizationNursing CareNursing HomesPatient-Centered Care

Identifiers

PMID39615892
PMCPMC11628961

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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.