Evidence map›Paper›PMID 21543959›Full record

Trial reportNursing research

Modeling trajectories and transitions: results from the New York University caregiver intervention.

Joseph E Gaugler, David L Roth, William E Haley, Mary S Mittelman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.7field-weighted citation impact, top 8% 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.

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

9 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Anosognosia increases caregiver burden in mild cognitive impairment.International journal of geriatric psychiatry · 2016
    Article
  6. Improving dementia care: the role of screening and detection of cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2013
    Review
  7. Article
  8. Article
  9. 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

4 authors at 1 institution in 2 countries.

Joseph E GauglerSchool of Nursing, Center on Aging, University of Minnesota, Minneapolis 55455, USA.
David L Roth
William E Haley
Mary S Mittelman
University of Minnesota · US

Funding

PSYCHOSOCIAL COREP30AG008051 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MITTELMAN, MARY SHERMAN · 1990 to 2019
$36.1M
PREDICTORS OF THE RATE OF COGNITIVE DECLINE IN ELDERLY SUBJECTSP50AG025711 · NIA · UNIVERSITY OF SOUTH FLORIDA · PI POTTER, HUNTINGTON · 2005 to 2010
$8.2M
AD CAREGIVER WELL BEING--COUNSELING/INSTITUTIONALIZATIONR01AG014634 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MITTELMAN, MARY SHERMAN · 1996 to 2006
$1.8M
AD CAREGIVER WELL-BEING: COUNSELING/INSTITUTIONALIZATIONR01MH042216 · NIMH · NEW YORK UNIVERSITY · PI MITTELMAN, MARY SHERMAN · 1987 to 1995
–
NIA NIH HHS P30 AG008051NIA NIH HHS P30-AG08051NIA NIH HHS P50 AG025711NIA NIH HHS P50-AG025711NIA NIH HHS R01 AG014634NIMH NIH HHS R01 MH 42216
6 · The paper itself

Abstract

backgroundCurrent research fails to capture the temporal dynamics of chronic disease in favor of cross-sectional snapshots of symptoms and outcomes.

objectiveThe aim of this study was to estimate the effects of comprehensive psychosocial support on trajectories of spouse caregivers' well-being related to the nursing home placement transition.

methodData from the New York University Caregiver Intervention, a randomized controlled trial of a comprehensive support program for spouse caregivers of persons with Alzheimer's disease, were utilized. A convenience sample of 406 spouse caregivers of community-dwelling persons with Alzheimer's disease was enrolled over a 9.5-year period in an Alzheimer's disease research center in New York City. Outcome measures, including the Zarit Burden Inventory and Geriatric Depression Scale, were used to assess the differential effects of nursing home placement and of the intervention on spouse caregivers. In-person interviews of spouse caregivers took place every 4 months during the first year of participation and every 6 months thereafter for up to 16 years; 385 caregivers provided sufficient follow-up data for all analyses.

resultsLongitudinal models found that wives were more likely than husbands to indicate reductions in burden in the months after placement in an institution. Wives also reported greater decreases in depressive symptoms after placement in an institution when compared with husbands. DISCUSSION: The inclusion of transitions and health trajectories in a randomized controlled trial offers an intriguing picture of how comprehensive psychosocial interventions can help families navigate the challenges of chronic disease care. The results also indicate how advances in nursing science can facilitate future research in the modeling of trajectories and transitions in the dementia care context.

Indexed as

Nursing HomesSocial SupportAgedAged, 80 and overAlzheimer DiseaseCaregiversDepressive DisorderDisease ProgressionFemaleHealth StatusHumansLongitudinal StudiesMaleModels, BiologicalNew YorkSex Factors

Identifiers

PMID21543959
PMCPMC3131213
OpenAlexW2011593117

What OpenQuestion 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 OpenQuestion graph.