Evidence map›Paper›PMID 32297352›Full record

ArticleJournal of advanced nursing2020

Palliative care for rare advanced lung diseases in underserved Appalachia: Study protocol for a randomized controlled trial.

Ubolrat Piamjariyakul, Angel Smothers, Stephanie Young, Trisha Petitte, Sijin Wen, Elizabeth Morrissey, Saima Shafique, Rafia Zulfikar, Rahul Sangani, Carol E Smith

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of advanced nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03813667 (Palliative Care Coaching for Family Caregivers & Patients With Rare Advanced Lung Disease), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
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.

NCT03813667 nacompletednot on this map

Palliative Care Coaching for Family Caregivers & Patients With Rare Advanced Lung Disease

TypeinterventionalSponsorWest Virginia UniversityRan2018 to 2019Enrolled35ConditionsLung Diseases, Rare Non-Neoplastic DisorderArmsIntervention FamPALcare
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Mentoring Undergraduate Nursing Students in Palliative Home Care Research.Teaching and learning in nursing : official journal of the National Organization for Assciate Degree Nursing · 2021
    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

10 authors at 2 institutions in 1 country.

Ubolrat PiamjariyakulSchool of Nursing, West Virginia University, Morgantown, WV, USA.ORCID https://orcid.org/0000-0003-0310-3673
Angel SmothersSchool of Nursing, West Virginia University, Morgantown, WV, USA.
Stephanie YoungSchool of Nursing, West Virginia University, Morgantown, WV, USA.
Trisha PetitteSchool of Nursing, West Virginia University, Morgantown, WV, USA.
Sijin WenDepartment of Biostatistics School of Public Health, West Virginia University, Morgantown, WV, USA.
Elizabeth MorrisseySchool of Nursing, West Virginia University, Morgantown, WV, USA.
Saima ShafiqueDepartment of Epidemiology School of Public Health, West Virginia University, Morgantown, WV, USA.
Rafia ZulfikarSection of Pulmonary, Critical Care, and Sleep Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.
Rahul SanganiSection of Pulmonary, Critical Care, and Sleep Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.
Carol E SmithSchool of Nursing and School of Preventive Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
West Virginia University · USUniversity of Kansas Medical Center · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS 2U54GM104942-02NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

aimTo pilot test a home end-of-life and palliative care intervention for family caregivers and patients with rare advanced lung diseases and to estimate effect-size for the power analysis in a future clinical trial.

designThis study uses a parallel randomized control trial. Families are randomly assigned to the intervention group or the control group in a 1:1 fashion.

methodsThe study population includes patients with rare advanced lung diseases and their family caregivers who are involved in patients' home care. The control group receives standard care through their hospital or outpatient clinics. The intervention group receives standard care plus 2-weekly home end-of-life and palliative care coaching by experienced community nurses. Primary outcome is breathlessness measured by shortness of breath scale. Secondary outcomes are: (a) caregivers' anxiety and depression measures; (b) the presence of patient's signed advance directives in the medical record or not; and (c) Helpfulness of intervention measured by self-report Helpfulness scale. The study was funded in October 2018 and received ethical Institutional Review Board approval in February 2019. DISCUSSION: West Virginia has one of the highest incidence rates of lung disease deaths in the nation. However, there is inadequate home end-of-life and palliative care for this underserved population. This is an initial interventional study of nurse-led coaching home-based palliative care for rare advanced lung diseases in rural Appalachia. Developing research collaboration with clinicians is essential for enrolment. Enrolment was successful due to regular meetings with pulmonologists who screened patients per the study inclusion criteria in their specialty clinic and made direct referrals to the research assistants. Results of this study will be used in the future trial. IMPACT: The findings will contribute to the evidence-based home nursing care, planning for family/patient preferences and supportive end-of-life palliative care for managing advanced lung diseases at home.

trial registrationClinicalTrials.gov identifier NCT03813667; registered January 23, 2019. https://clinicaltrials.gov/ct2/show/NCT03813667.

Indexed as

advance directivesadvanced lung diseasesend-of-life carenursing interventionpalliative

Identifiers

PMID32297352
PMCPMC7572472
OpenAlexW3017233788

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.