Evidence map›Paper›PMID 34098012›Full record

ArticleJournal of pain and symptom management2021

Shared Medication PLanning In (SIMPLIfy) Home Hospice: An Educational Program to Enable Goal-Concordant Prescribing In Home Hospice.

Jennifer Tjia, Margaret F Clayton, Erik K Fromme, Mary Lynn McPherson, Susan DeSanto-Madeya

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Rapid Review of Family Caregiver Engagement in Hospice and End-of-Life Patient Care: Implications for Nursing Practice.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2025
    Review
  3. Article
  4. Perspectives on deprescribing in palliative care.Expert review of clinical pharmacology · 2023
    Review
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

5 authors.

Jennifer TjiaUniversity of Massachusetts Medical School, Worcester, Massachusetts, USA. Electronic address: jennifer.tjia@umassmed.edu.
Margaret F ClaytonCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.
Erik K FrommeAriadne Labs, Boston, Massachusetts, USA; Harvard Medical School, Cambridge, Massachusetts, USA.
Mary Lynn McPhersonUniversity of Maryland College of Pharmacy, Baltimore, Maryland, USA.
Susan DeSanto-MadeyaAriadne Labs, Boston, Massachusetts, USA; University of Rhode Island College of Nursing, Kingston, Rhode Island, USA.

Funding

Longitudinal Patterns of Symptoms, Medication and Hospice Use in Nursing Home Residents Approaching End of LifeK24AG068300 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2020 to 2024
$949k
Pilot Study of Standardized PatiEnt-CenTered medicatiOn Review (SPECTORx) in Home HospiceR21AG060017 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2018 to 2019
$481k
NIA NIH HHS K24 AG068300NIA NIH HHS R21 AG060017
6 · The paper itself

Abstract

contextSimplifying medication regimens by tapering and/or withdrawing unnecessary drugs is important to optimize quality of life and safety for patients with serious illness. Few resources are available to educate clinicians, patients and family caregivers about this process.

objectiveTo describe the development of an educational program called Shared Medication PLanning In (SIMPLIfy) Home Hospice.

methodsAn environmental scan identified a state-of-the-art educational program for home hospice deprescribing that we adapted using a stakeholder panel engagement process. The stakeholder panel (two hospice administrators, three nurses, two physicians, two pharmacists, and two former family caregivers) drawn from two geographically diverse hospice agencies reviewed the educational program and recommended additional content.

resultsIterative rounds of review and feedback resulted in: 1) a three-part clinician educational program (total duration = 1.5 hour) that presents a standardized, goal-concordant, medication review approach to align medications and conversations about regimen simplification with patient and family caregiver goals of care; 2) a patient-family caregiver medication management educational notebook that presents common symptoms, hospice medications, and medication regimen simplification principles; and 3) a brief guide including helpful phrases to use as conversation starters for key steps in the program. A professional designer created thematic coherence for all materials that was well received by stakeholder panelists and hospice staff.

conclusionEducational materials can support hospice programs' and clinicians' efforts to implement goal-concordant medication simplification that optimizes end-of-life outcomes for patients and family caregivers. Evaluation of outcomes including medication appropriateness and family caregiver medication administration burden are not yet available.

Indexed as

Hospice CareHospicesPharmaceutical PreparationsCaregiversGoalsHumansQuality of LifePharmaceutical PreparationscaregivercommunicationDeprescribinggoal-concordant prescribing, hospicemedication managementpotentially inappropriate medication

Identifiers

PMID34098012
PMCPMC8556298

What Socratic holds

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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 Socratic graph.