Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014
A multidimensional home-based care coordination intervention for elders with memory disorders: the maximizing independence at home (MIND) pilot randomized trial.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 72 papers, 16 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.
Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study
Implementation of MIND at Home Program in Primary Care for People Living With Dementia: A Pilot Study
Who cites it
72 citing papers in PubMed, 16 syntheses or guidelines pooled it, 153 citations in OpenAlex.
- Effectiveness of Nurse-Led Interventions in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis.Journal of clinical nursing · 2026Pooled it
- The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- [Can nursing home placement of people with dementia be delayed by case management? A Systematic Review of Randomized Controlled Trials].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Pooled it
- Efficacy of sustained knowledge translation (KT) interventions in chronic disease management in older adults: systematic review and meta-analysis of complex interventions.BMC medicine · 2023Pooled it
- Effectiveness of Resilience Interventions on Psychosocial Outcomes for Persons With Neurocognitive Disorders: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2021Pooled it
- Pooled it
- Developing the New Interventions for independence in Dementia Study (NIDUS) theoretical model for supporting people to live well with dementia at home for longer: a systematic review of theoretical models and Randomised Controlled Trial evidence.Social psychiatry and psychiatric epidemiology · 2020Pooled it
- The evidence for services to avoid or delay residential aged care admission: a systematic review.BMC geriatrics · 2019Pooled it
- Telephone interventions, delivered by healthcare professionals, for providing education and psychosocial support for informal caregivers of adults with diagnosed illnesses.The Cochrane database of systematic reviews · 2019Pooled it
- Can non-pharmacological interventions reduce hospital admissions in people with dementia? A systematic review.PloS one · 2019Pooled it
- Pooled it
- The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components.BMC health services research · 2017Pooled it
- UK quality statements on end of life care in dementia: a systematic review of research evidence.BMC palliative care · 2015Pooled it
- Case management approaches to home support for people with dementia.The Cochrane database of systematic reviews · 2015Pooled it
- Assessing neuropsychiatric symptoms in people with dementia: a systematic review of measures.International psychogeriatrics · 2014Pooled it
- The Impact of Ambulatory Dementia Care Models on Hospitalization of Persons Living With Dementia: A Systematic Review.Research on agingPooled it
- Correlates and predictors of self-efficacy among dementia caregivers: D-CARE findings.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Trial
- Efficacy and cost-effectiveness of extended nursing roles in dementia care: Results of the cluster-randomized trial InDePendent.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- Long-term effects of collaborative dementia care on quality of life and caregiver well-being.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- A psychosocial goal-setting and manualised support intervention for independence in dementia (NIDUS-Family) versus goal setting and routine care: a single-masked, phase 3, superiority, randomised controlled trial.The lancet. Healthy longevity · 2024Trial
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo assess whether a dementia care coordination intervention delays time to transition from home and reduces unmet needs in elders with memory disorders.
design18-month randomized controlled trial of 303 community-living elders.
setting28 postal code areas of Baltimore, MD.
participantsAge 70+ years, with a cognitive disorder, community-living, English-speaking, and having a study partner available.
intervention18-month care coordination intervention to systematically identify and address dementia-related care needs through individualized care planning; referral and linkage to services; provision of dementia education and skill-building strategies; and care monitoring by an interdisciplinary team. MEASUREMENTS: Primary outcomes were time to transfer from home and total percent of unmet care needs at 18 months.
resultsIntervention participants had a significant delay in time to all-cause transition from home and the adjusted hazard of leaving the home was decreased by 37% (Hazard ratio: 0.63, 95% Confidence Interval: 0.42-0.94) compared with control participants. Although there was no significant group difference in reduction of total percent of unmet needs from baseline to 18 months, the intervention group had significant reductions in the proportion of unmet needs in safety and legal/advance care domains relative to controls. Intervention participants had a significant improvement in self-reported quality of life (QOL) relative to control participants. No group differences were found in proxy-rated QOL, neuropsychiatric symptoms, or depression.
conclusionsA home-based dementia care coordination intervention delivered by non-clinical community workers trained and overseen by geriatric clinicians led to delays in transition from home, reduced unmet needs, and improved self-reported QOL.
Indexed as
Identifiers
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.