Evidence map›Paper›PMID 26304301›Full record

ArticleAging & mental health2016

Caregiver and care recipient characteristics as predictors of psychotropic medication use in community-dwelling dementia patients.

Elsie L Grace, Louis D Burgio, Rebecca S Allen, Jamie DeCoster, Allison E Aiello, Donna L Algase

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Aging & mental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 3 institutions in 1 country.

Elsie L Gracea Center for Social Epidemiology and Population Health, School of Public Health , University of Michigan , Ann Arbor , MI , USA.
Louis D Burgiob School of Social Work , University of Michigan , Ann Arbor , MI , USA.
Rebecca S Allenc Alabama Research Institute on Aging, University of Alabama , Tuscaloosa , AL , USA.
Jamie DeCostere Curry School of Education , University of Virginia , Charlottesville , VA , USA.
Allison E Aielloa Center for Social Epidemiology and Population Health, School of Public Health , University of Michigan , Ann Arbor , MI , USA.
Donna L Algasef School of Nursing , University of Michigan , Ann Arbor , MI , USA.
University of Michigan–Ann Arbor · USUniversity of Alabama · USUniversity of Virginia · US

Funding

Interdisciplinary Research Training on Health and AgingT32AG027708 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lindsay C Kobayashi, Briana Mezuk · 2008 to 2026
$2.7M
COORDINATING CENTER FOR ENHANCING ADRD CAREGIVINGU01AG013305 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHULZ, RICHARD · 1995 to 2003
$2.5M
Multisite Intervention Trial for Diverse CaregiversU01AG013265 · NIA · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 1996 to 2003
$1.9M
TREATMENT OF DISTRESS IN HISPANIC AND ANGLO CAREGIVERSU01AG013289 · NIA · STANFORD UNIVERSITY · PI GALLAGHER-THOMPSON, DOLORES ELIZABETH · 1995 to 2003
$1.5M
SKILL TRAINING FOR AFRICAN AMERICAN AND WHITE CAREGIVERSU01NR004261 · NINR · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI BURGIO, LOUIS DONALD · 1995 to 2003
$1.4M
PROVIDERS AND ALZHEIMERS CAREGIVERS TOGETHER (PACT)U01AG013313 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI BURNS, ROBERT · 1995 to 2003
$1.4M
NIA NIH HHS T32 AG027708NIA NIH HHS U01 AG013265NIA NIH HHS U01 AG013289NIA NIH HHS U01 AG013305NIA NIH HHS U01 AG013313NINR NIH HHS U01 NR004261
6 · The paper itself

Abstract

objectivesThe current practice of prescribing psychotropic medication for the management of dementia-related behavioral disturbances is under substantial debate. Using Pearlin's stress process model as theoretical underpinning, the aim of this investigation is to identify caregiver and care recipient characteristics as predictors of anxiolytic, antipsychotic, and antidepressant use among community-dwelling dementia patients. We hypothesized that caregiving burden and patient characteristics, particularly behavior disturbances and pain, would be positively associated with psychotropic medication use.

methodsData for this exploratory, cross-sectional study were drawn from the baseline assessment of the Resources for Enhancing Alzheimer's Caregiver Health II trial. Only participants with full baseline information were examined (N = 598). Caregiver characteristics, such as confidence managing problematic behaviors, and care recipient characteristics including pain, problem behaviors, cognitive impairment, and functional impairment, were examined in relation to care recipient psychotropic medication use.

resultsContrary to our hypothesis, behavioral disturbances and burden associated with these disturbances were not significantly associated with psychotropic use. Rather, caregiver characteristics such as race and overall vigilance, and care recipient characteristics such as cognitive status, functional status, and pain were significantly associated with the use of psychotropic medication. Findings differed by class of medication.

conclusionThese exploratory findings suggest the utility of a holistic approach to understanding the factors associated with pharmacotherapy among community-dwelling elders with dementia. Significant associations between caregiver characteristics and care recipient psychotropic medication use suggest that educating caregivers in non-pharmacologic strategies hold promise for a more balanced biopsychosocial approach to maintaining dementia patients in the community.

Indexed as

CaregiversIndependent LivingAgedCross-Sectional StudiesDementiaFemaleHumansMaleMiddle AgedPsychotropic DrugsPsychotropic Drugsanalgesicsdementia caregivingpsychotropics

Identifiers

PMID26304301
PMCPMC6684031
OpenAlexW1908267711

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.