Evidence map›Paper›PMID 21872537›Full record

Trial reportJournal of the American Medical Directors Association2012

What are the barriers to performing nonpharmacological interventions for behavioral symptoms in the nursing home?

Jiska Cohen-Mansfield, Khin Thein, Marcia S Marx, Maha Dakheel-Ali

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 9 pooled it
3.8field-weighted citation impact, top 6% 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

39 citing papers in PubMed, 9 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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  7. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015
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  19. The Diagnosis of Schizophrenia Among Nursing Home Residents With ADRD: Does Race Matter?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Article
  20. Barriers to the Success of Recreational Groups for Persons With Dementia.Journal of geriatric psychiatry and neurology · 2022
    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.

Jiska Cohen-MansfieldResearch Institute on Aging of Charles E. Smith Life Communities, Rockville, MD 20852, USA. cohen-mansfield@hebrew-home.org
Khin Thein
Marcia S Marx
Maha Dakheel-Ali
Institute on Aging · US

Funding

TREATMENT OF AGITATION IN THE NURSING HOMER01AG010172 · NIA · HEBREW HOME OF GREATER WASHINGTON · PI COHEN-MANSFIELD, JISKA · 1992 to 2010
$2.6M
NIA NIH HHS AG010172NIA NIH HHS R01 AG010172
6 · The paper itself

Abstract

objectiveBehavioral symptoms are common in persons with dementia, and nonpharmacological interventions are recommended as the first line of therapy. We describe barriers to conducting nonpharmacological interventions for behavioral symptoms.

designA descriptive study of barriers to intervention delivery in a controlled trial. SETTINGS: The study was conducted in six nursing homes in Maryland.

participantsParticipants were 89 agitated nursing home residents with dementia.

interventionPersonalized interventions were developed using the Treatment Routes for Exploring Agitation decision tree protocol. Trained research assistants prepared and delivered the interventions. Feasibility of the interventions was determined. MEASUREMENTS: Barriers to Intervention Delivery Assessment, activities of daily living, cognitive functioning, depressed affect, pain, observed agitation, and observed affect.

resultsBarriers were observed for the categories of resident barriers (specifically, unwillingness to participate; resident attributes, such as unresponsive), barriers related to resident unavailability (resident asleep or eating), and external barriers (staff-related barriers, family-related barriers, environmental barriers, and system process variables). Interventions pertaining to food/drink and to 1-on-1 socializing were found to have the fewest barriers, whereas higher numbers of barriers occurred with puzzles/board games and arts and crafts activities. Moreover, when successful interventions were presented to participants after the feasibility period, we noted fewer barriers, presumably because barrier identification had been used to better tailor interventions to each participant and to the environment.

conclusionKnowledge of barriers provides a tool by which to tailor interventions so as to anticipate or circumvent barriers, thereby maximizing intervention delivery.

Indexed as

Communication BarriersHomes for the AgedNursing HomesAgedAged, 80 and overBehavioral SymptomsBehavior ControlChi-Square DistributionDementiaFeasibility StudiesFemaleFollow-Up StudiesGeriatric AssessmentHumansMaleMarylandPharmaceutical Preparations

Identifiers

PMID21872537
PMCPMC3262905
OpenAlexW2028063110

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.