Evidence map›Paper›PMID 26729467›Full record

ReviewAging & mental health2017

Exploring the benefits of respite services to family caregivers: methodological issues and current findings.

Steven H Zarit, Lauren R Bangerter, Yin Liu, Michael J Rovine

Abstract readReview
In one paragraph

Review in Aging & mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Improving Respite Outcomes for Caregivers: Who Benefits and Under What Conditions?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  4. How did the Sudden Closures of Adult Day Services During COVID-19 Impact Dementia Care Dyads?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Respite time-use among dementia caregivers.Frontiers in health services · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Caregiver Respite: An Essential Component of Home- and Community-Based Long-Term Care.Journal of the American Medical Directors Association · 2022
    Article
  16. Article
  17. Article
  18. COVID-19 and the Need for Adult Day Services.Journal of the American Medical Directors Association · 2021
    Article
  19. Article
  20. 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

4 authors.

Steven H Zarita Department of Human Development and Family Studies , The Pennsylvania State University , State College , PA , USA.
Lauren R Bangertera Department of Human Development and Family Studies , The Pennsylvania State University , State College , PA , USA.
Yin Liua Department of Human Development and Family Studies , The Pennsylvania State University , State College , PA , USA.
Michael J Rovinea Department of Human Development and Family Studies , The Pennsylvania State University , State College , PA , USA.

Funding

Daily Stress, Health and Well-Being of Family CaregiversR01AG031758 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI ZARIT, STEVEN H · 2009 to 2013
$2.2M
NIA NIH HHS R01 AG031758
6 · The paper itself

Abstract

objectivesThere is growing emphasis on empirical validation of the efficacy of community-based services for older people and their families, but research on services such as respite care faces methodological challenges that have limited the growth of outcome studies. We identify problems associated with the usual research approaches for studying respite care, with the goal of stimulating use of novel and more appropriate research designs that can lead to improved studies of community-based services.

methodUsing the concept of research validity, we evaluate the methodological approaches in the current literature on respite services, including adult day services, in-home respite and overnight respite.

resultsAlthough randomized control trials (RCTs) are possible in community settings, validity is compromised by practical limitations of randomization and other problems. Quasi-experimental and interrupted time series designs offer comparable validity to RCTs and can be implemented effectively in community settings.

conclusionAn emphasis on RCTs by funders and researchers is not supported by scientific evidence. Alternative designs can lead to development of a valid body of research on community services such as respite.

Indexed as

AgedCaregiversDementiaHumansOutcome Assessment, Health CareRandomized Controlled Trials as TopicResearch DesignRespite Careadult day carecaregivingquantitative methodsRespite

Identifiers

PMID26729467
PMCPMC5550302

What OpenQuestion holds

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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.