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Design of, and enrollment in, the palliative care communication research initiative: a direct-observation cohort study

Overview of attention for article published in BMC Palliative Care, August 2015
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Title
Design of, and enrollment in, the palliative care communication research initiative: a direct-observation cohort study
Published in
BMC Palliative Care, August 2015
DOI 10.1186/s12904-015-0037-8
Pubmed ID
Authors

Robert Gramling, Elizabeth Gajary-Coots, Susan Stanek, Nathalie Dougoud, Heather Pyke, Marie Thomas, Jenica Cimino, Mechelle Sanders, Stewart C. Alexander, Ronald Epstein, Kevin Fiscella, David Gramling, Susan Ladwig, Wendy Anderson, Stephen Pantilat, Sally A. Norton

Abstract

Understanding the characteristics of communication that foster patient-centered outcomes amid serious illness are essential for the science of palliative care. However, epidemiological cohort studies that directly observe clinical conversations can be challenging to conduct in the natural setting. We describe the successful enrollment, observation and data collection methods of the ongoing Palliative Care Communication Research Initiative (PCCRI). The PCCRI is a multi-site cohort study of naturally occurring inpatient palliative care consultations. The 6-month cohort data includes directly observed and audio-recorded palliative care consultations (up to first 3 visits); patient/proxy/clinician self-report questionnaires both before and the day after consultation; post-consultation in-depth interviews; and medical/administrative records. One hundred fourteen patients or their proxies enrolled in PCCRI during Enrollment Year One (of Three). Seventy percent of eligible patients/proxies were invited to hear about a communication research study (188/269); 60 % of them ultimately enrolled in the PCCRI (114/188), resulting in a 42 % sampling proportion (114/269 eligible). All PC clinicians at study sites were invited to participate; all 45 participated. Epidemiologic study of patient-family-clinician communication in palliative care settings is feasible and acceptable to patients, proxies and clinicians. We detail the successful PCCRI methods for enrollment, direct observation and data collection for this complex "field" environment.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 58 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 24%
Student > Ph. D. Student 7 12%
Student > Doctoral Student 7 12%
Researcher 6 10%
Other 5 8%
Other 9 15%
Unknown 11 19%
Readers by discipline Count As %
Medicine and Dentistry 15 25%
Nursing and Health Professions 13 22%
Social Sciences 5 8%
Psychology 4 7%
Arts and Humanities 2 3%
Other 6 10%
Unknown 14 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 September 2015.
All research outputs
#18,425,370
of 22,826,360 outputs
Outputs from BMC Palliative Care
#1,200
of 1,251 outputs
Outputs of similar age
#191,850
of 266,177 outputs
Outputs of similar age from BMC Palliative Care
#13
of 15 outputs
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We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.