Evidence map›Paper›PMID 26091932›Full record

ArticleAmerican journal of preventive medicine2015

Informal Caregiver Disability and Access to Preventive Care in Care Recipients.

Joshua M Thorpe, Carolyn T Thorpe, Richard Schulz, Courtney H Van Houtven, Loren Schleiden

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 7 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

5 authors at 3 institutions in 1 country.

Joshua M ThorpeVeterans Affairs Pittsburgh Healthcare System and the Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania; Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania. Electronic address: jmthorpe@pitt.edu.
Carolyn T ThorpeVeterans Affairs Pittsburgh Healthcare System and the Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania; Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.
Richard SchulzDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
Courtney H Van HoutvenCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina; Division of General Internal Medicine, School of Medicine, Duke University Medical Center, Durham, North Carolina.
Loren SchleidenDepartment of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.
University of Pittsburgh · USVA Pittsburgh Healthcare System · USDuke Medical Center · US

Funding

A Tailored Technology Intervention for Diverse Family Caregivers of AD PatientsR01NR014434 · NINR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LOEWENSTEIN, DAVID · 2013 to 2017
$2.3M
NINR NIH HHS R01 NR014434PHS HHS 1 R01 MR014434
6 · The paper itself

Abstract

introductionMany informal caregivers of dependent midlife and older adults suffer from their own functional limitations. The impact of caregiver functional limitations on care recipient receipt of preventive services is unknown. The purpose of this study is to examine the association between caregiver functional limitations and decreased access to recommended preventive services in dependent care recipients.

methodsDependent adults (those receiving assistance with activities of daily living or instrumental activities of daily living) and their primary informal caregiver were identified from pooled alternate years (2000-2008) of the nationally representative Medical Expenditure Panel Survey (data analyzed February-October 2014). The impact of caregiver limitations (cognitive, mobility, sensory, emotional health) on care recipient's receipt of up to seven different preventive services was assessed via survey-weighted linear and logistic regression.

resultsOf the 5-year weighted estimate of 14.2 million caregiver-care recipient dyads, 38.0% of caregivers reported at least one functional limitation. The percentage of recommended preventive services received by care recipients was significantly lower if the caregiver had cognitive, mobility, or emotional health limitations. Each type of caregiver functional limitation was negatively associated with at least four different preventive services.

conclusionsInformal caregivers burdened by their own functional impairments may face challenges in facilitating access to preventive care in dependent midlife and older adults. Policies and interventions designed to prevent or mitigate the impact of caregiver functional impairments are critical to the success of community-based models of care for dependent adults.

Indexed as

Health Services AccessibilityActivities of Daily LivingAgedCaregiversFemaleHumansLinear ModelsLogistic ModelsMaleMiddle AgedPersons with DisabilitiesPreventive Health ServicesSurveys and Questionnaires

Identifiers

PMID26091932
PMCPMC13063180
OpenAlexW1887800918

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.