Evidence map›Paper›PMID 41873749›Full record

Trial reportJournal of primary care & community health

Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness.

Annette M Totten, Jeanette M Daly, Katrina L Ramsey, Matthew Howard, Sarah Bumatay, Lisa Rogash, LeAnn C Michaels

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Annette M TottenOregon Health & Science University, Portland, OR, USA.ORCID 0000-0002-9100-8678
Jeanette M DalyUniversity of Iowa, IA, USA.ORCID 0000-0001-7130-4552
Katrina L RamseyOregon Health & Science University, Portland, OR, USA.
Matthew HowardOregon Health & Science University, Portland, OR, USA.
Sarah BumatayOregon Health & Science University, Portland, OR, USA.
Lisa RogashOregon Health & Science University, Portland, OR, USA.
LeAnn C MichaelsOregon Health & Science University, Portland, OR, USA.ORCID 0009-0005-4073-9293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare partners (CPs) are informal or family caregivers who help family or friends manage health care and provide a wide range of assistance. Advance care planning (ACP) supports CPs by clarifying patients' goals and values.

methodsThe Meta-LARC Advance Care Planning trial randomized primary care practices to team-based or individual clinician-focused versions of an ACP program to determine if team-based approaches would increase ACP and improve patient outcomes. CPs were included, but not required, in ACP conversations and follow-up; CP outcomes were secondary and exploratory. CPs completed initial, 6-, and 12-month questionnaires, including the Zarit Burden Interview-12, PROMIS-29, and assessed if care matched patient preferences.

results171 CPs participated and completed initial and 6- or 12-month follow-up questionnaires. The PROMIS-29 scale scores were different only for the depression scale at the 6- and 12-month follow-ups: the mean score for CPs in the individual clinician-focused arm was better than the team-based CPs (50.3 vs 49.2,

conclusionsWe found no significant differences in most CP outcomes when serious illness conversations with patients in primary care are implemented using a team-based versus individual clinician-focused approach. However, when care matched what was important to patients, CP outcomes were better.

Indexed as

Advance Care PlanningCaregiversPrimary Health CareAgedCost of IllnessDepressionFemaleHumansMaleMiddle AgedPatient PreferenceSurveys and Questionnairesadvance care planningcare partnerspractice-based research networksprimary careserious illness conversations

Identifiers

PMID41873749
PMCPMC13013992

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.