Evidence map›Paper›PMID 23567399›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2013

The peaceful mind program: a pilot test of a cognitive-behavioral therapy-based intervention for anxious patients with dementia.

Melinda A Stanley, Jessica Calleo, Amber L Bush, Nancy Wilson, A Lynn Snow, Cynthia Kraus-Schuman, Amber L Paukert, Nancy J Petersen, Gretchen A Brenes, Paul E Schulz and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 6 pooled it
5.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 6 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  6. Guideline
  7. Trial
  8. Trial
  9. Article
  10. Counseling and Care Partner Training in Primary Progressive Aphasia.Perspectives of the ASHA special interest groups · 2021
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Detection of anxiety symptoms in persons with dementia: A systematic review.Alzheimer's & dementia (Amsterdam, Netherlands) · 2019
    Article
  16. Treatment for depression comorbid with dementia.Evidence-based mental health · 2019
    Review
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 8 institutions in 1 country.

Melinda A StanleyVA HSR&D Houston Center of Excellence, Houston, TX 77030, USA. mstanley@bcm.edu
Jessica Calleo
Amber L Bush
Nancy Wilson
A Lynn Snow
Cynthia Kraus-Schuman
Amber L Paukert
Nancy J Petersen
Gretchen A Brenes
Paul E Schulz
Susan P Williams
Mark E Kunik
Michael E. DeBakey VA Medical Center · USBaylor College of Medicine · USHealth Services Research & Development · USMemorial Hermann · USMental Illness Research, Education and Clinical Centers · USUniversity of Alabama · USVA Puget Sound Health Care System · USWake Forest University · US

Funding

Cognitive Behavior Therapy for Anxiety in DementiaR34MH078925 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI STANLEY, MELINDA A · 2007 to 2009
$633k
NIMH NIH HHS R34 MH078925NIMH NIH HHS R34-MH078925
6 · The paper itself

Abstract

objectivesTo assess feasibility and to conduct a preliminary evaluation of outcomes following Peaceful Mind, a cognitive-behavioral therapy-based intervention for anxiety in dementia, relative to usual care.

designPilot randomized controlled trial including assessments at baseline and 3 and 6 months.

settingHouston, TX.

participantsThirty-two outpatients diagnosed with mild (47%) or moderate (53%) dementia receiving care through outpatient clinics at the Veterans Affairs medical center, Baylor College of Medicine, Harris County Hospital District, and community day centers for dementia, and their collaterals, who spent at least 8 hours a week with them.

interventionPeaceful Mind included up to 12 weekly in-home sessions (mean: 8.7, SD: 2.27) during the initial 3 months and up to eight brief telephone sessions (mean: 5.4, SD: 3.17) during months 3-6, involving self-monitoring for anxiety, deep breathing, and optional skills (coping self-statements, behavioral activation, and sleep management). Patients learned skills, and collaterals served as coaches. In usual care, patients received diagnostic feedback, and providers were informed of inclusion status. MEASUREMENTS: Neuropsychiatric Inventory-Anxiety subscale, Rating Anxiety in Dementia scale, Penn State Worry Questionnaire-Abbreviated, Geriatric Anxiety Inventory, Geriatric Depression Scale, Quality of Life in Alzheimer disease, Patient Health Questionnaire, and Client Satisfaction Questionnaire.

resultsFeasibility was demonstrated with regard to recruitment, attrition, and treatment characteristics. At 3 months, clinicians rated patients receiving Peaceful Mind as less anxious, and patients rated themselves as having higher quality of life; collaterals reported less distress related to loved ones' anxiety. Although significant positive effects were not noted in other outcomes or at 6-month follow-up, the pilot nature of the trial prohibits conclusions about efficacy.

conclusionsResults support that Peaceful Mind is ready for future comparative clinical trials.

Indexed as

Adaptation, PsychologicalAgedAged, 80 and overAnxietyCaregiversCognitive Behavioral TherapyDementiaFeasibility StudiesFemaleHumansMalePatient SatisfactionPilot ProjectsTreatment Outcome

Identifiers

PMID23567399
PMCPMC3411894
OpenAlexW2014988618

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.