Evidence map›Paper›PMID 40014286›Full record

ArticleJournal of racial and ethnic health disparities2026

"Hospice was Created by the KKK"-Black Americans' Perspectives on Hospice Care.

Channing E Tate, Monica Perez-Jolles, Laura D Scherer, Tsion Shiferaw, Gwendolyn Mami, Daniel D Matlock, Amy G Huebschmann

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04458090 (Underutilization of Hospice in Older African Americans), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04458090 nacompletednot on this map

Underutilization of Hospice in Older African Americans

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2021Enrolled144ConditionsHospice Decision MakingArmsA decision aid for patients considering Hospice care.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Black and White older adults' end-of-life experiences: does hospice use mitigate racial disparities?The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    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

7 authors.

Channing E TateAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA. channing.tate@cuanschutz.edu.ORCID 0000-0001-6635-9794
Monica Perez-JollesAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Laura D SchererAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Tsion ShiferawUniversity of Colorado School of Medicine, Aurora, CO, USA.
Gwendolyn MamiPresident and CEO, Global Collaborations, LLC, Denver, CO, USA.
Daniel D MatlockAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Amy G HuebschmannAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.

Funding

Partnering with primary care to address Whole Person Health goals for cancer prevention - representative health benefits to patients and value and sustainment for clinicsR01CA282292 · NCI · UNIVERSITY OF COLORADO DENVER · PI RUSSELL E GLASGOW, Amy Grotelueschen Huebschmann · 2024 to 2026
$2.0M
NCI NIH HHS R01 CA282292NIA NIH HHS 1R36AG064135-01
6 · The paper itself

Abstract

backgroundMisperceptions of hospice persist in communities of color. This study explored what Black Americans understand about and how they describe hospice care. The goal was to determine if older Black Americans can accurately describe hospice and to explore potential barriers and facilitators to hospice enrollment.

methodsA content analysis of qualitative data collected in a larger mixed-methods study. Participants responded to the written prompt, "In your own words describe hospice care" with no further instructions. Recruitment occurred from community settings between May 2019 to March 2020. We recruited 144 participants who were at least 65 years old and self-identified as Black or African American. The written narratives were analyzed to determine how accurately participants described: (1) hospice care and eligibility, (2) location of services, (3) services provided, and (4) goals of care.

resultsParticipant ages ranged from 65 to 97 years (M = 74.62, SD = 6.94). Participants were predominately female (81%) and widowed (33%). Participants accurately described hospice care and eligibility (80%), goals of hospice (89%), and services hospice provides (83%). Only 39% of participants correctly identified locations of hospice services. Additionally, some participants (8%) reported certain myths and conspiracies pertaining to hospice.

conclusionsThis study found that older Black Americans accurately describe hospice care and eligibility, goals of care, and the services provided by hospice. However, most were unable to accurately describe the location of hospice services and a few reported myths and conspiracies. The study highlights areas to improve communication about hospice which may reduce some of the barriers to hospice enrollment in Black Americans.

trial registrationClinicalTrials.gov Identifier: NCT04458090.

Indexed as

Black or African AmericanHospice CareAgedAged, 80 and overFemaleHumansMaleQualitative ResearchWhiteBlack adultsDisparitiesEnd-of-lifeHospiceShared decision making

Identifiers

What OpenQuestion holds

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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.