Evidence map›Paper›PMID 24685996›Full record

Trial reportContemporary clinical trials2014

CAPABLE trial: a randomized controlled trial of nurse, occupational therapist and handyman to reduce disability among older adults: rationale and design.

Sarah L Szanton, J W Wolff, B Leff, R J Thorpe, E K Tanner, C Boyd, Q Xue, J Guralnik, D Bishai, L N Gitlin

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Contemporary clinical trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05187117 (CAPABLE Family Pilot), which is not on this map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 8% 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.

NCT05187117 nacompletednot on this mapstarted 2022, after this paper: background citation

CAPABLE Family Pilot

TypeinterventionalSponsorJohns Hopkins UniversityRan2022 to 2024Enrolled74ConditionsDementia, Mild, Mild Cognitive Impairment, Disability Physical, Impairment, CognitiveArmsCAPABLE Family - Open Label Pilot, CAPABLE Family - Randomized Control Trial
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 134 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Sarah L SzantonJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States. Electronic address: Sszanto1@jhu.edu.
J W WolffJohns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States.
B LeffJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, United States.
R J ThorpeJohns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States.
E K TannerJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, United States.
C BoydJohns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, United States.
Q XueJohns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, United States.
J GuralnikUniversity of Maryland Medical School, United States.
D BishaiJohns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States.
L N GitlinJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States; Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, United States.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
Reducing disability via a bundled bio-behavioral-environmental approachR01AG040100 · NIA · JOHNS HOPKINS UNIVERSITY · PI SZANTON, SARAH L · 2012 to 2016
$3.0M
NIA NIH HHS R01 AG040100NIA NIH HHS R01-AG040100NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

backgroundAs the population ages, it is increasingly important to test new models of care that improve life quality and decrease health costs. This paper presents the rationale and design for a randomized clinical trial of a novel interdisciplinary program to reduce disability among low income older adults based on a previous pilot trial of the same design showing strong effect.

methodsThe CAPABLE (Community Aging in Place, Advancing Better Living for Elders) trial is a randomized controlled trial in which low income older adults with self-care disability are assigned to one of two groups: an interdisciplinary team of a nurse, occupational therapist, and handyman to address both personal and environmental risk factors for disability based on participants' functional goals, or an attention control of sedentary activities of choice. Both groups receive up to 10 home visits over 4 months. OUTCOMES: The primary outcome is decreased disability in self-care (ADL). Secondary outcomes are sustained decrease in self care disability as well as improvement in instrumental ADLS, strength, balance, walking speed, and health care utilization. Careful cost tracking and analysis using intervention data and claims data will enable direct measurement of the cost impact of the CAPABLE approach. CAPABLE has the potential to leverage current health care spending in Medicaid waivers, Accountable Care Organizations and other capitated systems to save the health care system costs as well as improving low income older adults' ability to age at home with improved life quality.

Indexed as

House CallsIndependent LivingNursesOccupational TherapyActivities of Daily LivingAgedFemaleHumansMaleMuscle StrengthPatient Acceptance of Health CarePersons with DisabilitiesPostural BalancePovertyQuality of LifeResearch DesignDisabilityHealth disparitiesOlder adultsPerson–environment fit

Identifiers

PMID24685996
PMCPMC4074085
OpenAlexW1983685374

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.