Evidence map›Paper›PMID 22091738›Full record

Trial reportJournal of the American Geriatrics Society2011

Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults.

Sarah L Szanton, Roland J Thorpe, Cynthia Boyd, Elizabeth K Tanner, Bruce Leff, Emily Agree, Qian-Li Xue, Jerilyn K Allen, Christopher L Seplaki, Carlos O Weiss and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 12 pooled it
14.5field-weighted citation impact, top 1% 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

88 citing papers in PubMed, 12 syntheses or guidelines pooled it, 199 citations in OpenAlex.

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  12. Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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  15. Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
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  17. Patterns of Home Environmental Modification Use and Functional Health: The Women's Health Initiative.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
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28 more citing papers are in PubMed but not listed here.

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

12 authors at 5 institutions in 1 country.

Sarah L SzantonDepartment of Health Systems and Outcomes, School of Nursing, Johns Hopkins University, Baltimore, Maryland 21205, USA. sszanton@son.jhmi.edu
Roland J Thorpe
Cynthia Boyd
Elizabeth K Tanner
Bruce Leff
Emily Agree
Qian-Li Xue
Jerilyn K Allen
Christopher L Seplaki
Carlos O Weiss
Jack M Guralnik
Laura N Gitlin
Johns Hopkins Medicine · USJohns Hopkins University · USMichigan State University · USNational Association of Chronic Disease Directors · USUniversity of Maryland, Baltimore · US

Funding

Institute for Clinical and Translational Research (KL2)KL2RR025006 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$12.9M
Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
Aging-Related Biodemography of Life Course Physiology and Environmental ModifiersK01AG031332 · NIA · UNIVERSITY OF ROCHESTER · PI SEPLAKI, CHRISTOPHER · 2009 to 2013
$609k
Treatment Burden in Older Adults with Diabetes and MultimorbidityK23AG032910 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2009 to 2013
$533k
Hopkins Center for Population Aging and HealthP30AG034460 · NIA · JOHNS HOPKINS UNIVERSITY · PI AGREE, EMILY M · 2009 to 2010
$302k
NCRR NIH HHS 1KL2RR025006-01NCRR NIH HHS KL2 RR025006NIA NIH HHS K01 AG031332NIA NIH HHS K01AG031332NIA NIH HHS K23 AG032910NIA NIH HHS P30 AG034460NIA NIH HHS P30AG034460NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

objectivesTo determine effect size and acceptability of a multicomponent behavior and home repair intervention for low-income disabled older adults.

designProspective randomized controlled pilot trial.

settingParticipants' homes.

participantsForty low-income older adults with difficulties in one or more activities of daily living (ADLs) or two or more instrumental activities of daily living (IADLs).

interventionThe Community Aging in Place, Advancing Better Living for Elders (CAPABLE), coordinated occupational therapy, nursing, and handyman visits, was compared with attention-control visits. The intervention consisted of up to six visits with an occupational therapist, up to four visits with a nurse, and an average of $1,300 in handyman repairs and modifications. Each intervention participant received all components of the intervention clinically individualized to risk profile and goals. Each attention-control participant received the same number of visits as the intervention participants, involving sedentary activities of their choice. MEASUREMENT: PRIMARY OUTCOME: difficulty in performing ADLs and IADLs. SECONDARY OUTCOMES: health-related quality of life and falls efficacy.

resultsThirty-five of 40 adults (87%) completed the 6-month trial, and 93% and 100% of the control and intervention group, respectively, stated that the study benefited them. The intervention group improved on all outcomes. When comparing mean change in the intervention group with mean change in the control group from baseline to follow-up, the CAPABLE intervention had effect sizes of 0.63 for reducing difficulty in ADLs, 0.62 for reducing difficulty in IADLs, 0.89 for quality of life, and 0.55 for falls efficacy.

conclusionThe CAPABLE intervention was acceptable to participants and feasible to provide and showed promising results, suggesting that this multicomponent intervention to reduce disability should be evaluated in a larger trial.

Indexed as

Activities of Daily LivingBehavior TherapyIndependent LivingMilieu TherapyPersons with DisabilitiesQuality of LifeAgedCombined Modality TherapyFemaleHumansMalePilot ProjectsProspective StudiesResidence CharacteristicsSingle-Blind Method

Identifiers

PMID22091738
PMCPMC3245364
OpenAlexW2045750418

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.