Trial reportNursing research
Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication: randomized clinical trial to test efficacy.
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 34 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
34 citing papers in PubMed, 6 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Using Patient- and Family-Reported Outcome and Experience Measures Across Transitions of Care for Frail Older Adults Living at Home: A Meta-Narrative Synthesis.The Gerontologist · 2021Pooled it
- Current evidence on the impact of medication optimization or pharmacological interventions on frailty or aspects of frailty: a systematic review of randomized controlled trials.European journal of clinical pharmacology · 2021Pooled it
- Improving Patients' Medication Adherence and Outcomes in Nonhospital Settings Through eHealth: Systematic Review of Randomized Controlled Trials.Journal of medical Internet research · 2020Pooled it
- Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- Systematic Review of Effects of Medication Dispenser Use by Home-Dwelling Older Adults.Nursing researchPooled it
- Medication adherence support of an in-home electronic medication dispensing system for individuals living with chronic conditions: a pilot randomized controlled trial.BMC geriatrics · 2021Trial
- Cost analysis of a home-based nurse care coordination program.Journal of the American Geriatrics Society · 2014Trial
- Mapping interventions addressing frailty and associated outcomes in people with heart failure: a scoping review.BMJ open · 2026Article
- A Professional Nurse Competence Scale (PNCS): Development and psychometric testing.BMC nursing · 2025Article
- Public Health Approaches to Promote Health Equity for Individuals with Intellectual and Developmental Disabilities: A Systematic Review.Annals of public health & epidemiology · 2025Article
- The indirect effect of nonadherence on health-related quality of life in older adults with neurological disorders: implications for clinical endpoints and interventions.Frontiers in neurology · 2024Article
- Development of an Internet of things-based treatment adherence program among older adults with mild cognitive impairment using Intervention Mapping: A developmental study.Journal of Korean gerontological nursing · 2023Article
- Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review.Journal of medical Internet research · 2023Article
- National Estimates of Workplace Telehealth Use Among Emergency Nurses and All Registered Nurses in the United States.Journal of emergency nursing · 2022Article
- Measuring the effectiveness of digital nursing technologies: development of a comprehensive digital nursing technology outcome framework based on a scoping review.BMC health services research · 2020Article
- Users' Perceptions of an in-Home Electronic Medication Dispensing System: A Qualitative Study.Medical devices (Auckland, N.Z.) · 2020Article
- Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review.Journal of multidisciplinary healthcare · 2020Article
- mHealth Tools for the Self-Management of Patients With Multimorbidity in Primary Care Settings: Pilot Study to Explore User Experience.JMIR mHealth and uHealth · 2018Article
- Care relationships at stake? Home healthcare professionals' experiences with digital medicine dispensers - a qualitative study.BMC health services research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundSelf-management of complex medication regimens for chronic illness is challenging for many older adults.
objectivesThe purpose of this study was to evaluate health status outcomes of frail older adults receiving a home-based support program that emphasized self-management of medications using both care coordination and technology.
designThis study used a randomized controlled trial with three arms and longitudinal outcome measurement.
settingOlder adults having difficulty in self-managing medications (n = 414) were recruited at discharge from three Medicare-certified home healthcare agencies in a Midwestern urban area.
methodsAll participants received baseline pharmacy screens. The control group received no further intervention. A team of advanced practice nurses and registered nurses coordinated care for 12 months to two intervention groups who also received either an MD.2 medication-dispensing machine or a medplanner. Health status outcomes (the Geriatric Depression Scale, Mini Mental Status Examination, Physical Performance Test, and SF-36 Physical Component Summary and Mental Component Summary) were measured at baseline and at 3, 6, 9, and 12 months.
resultsAfter covariate and baseline health status adjustment, time × group interactions for the MD.2 and medplanner groups on health status outcomes were not significant. Time × group interactions were significant for the medplanner and control group comparisons. DISCUSSION: Participants with care coordination had significantly better health status outcomes over time than those in the control group, but addition of the MD.2 machine to nurse care coordination did not result in better health status outcomes.
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What OpenQuestion holds
Registered trials
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.