Evidence map›Paper›PMID 27394383›Full record

Trial reportContemporary clinical trials2016

Translation of the Care of Persons with Dementia in their Environments (COPE) intervention in a publicly-funded home care context: Rationale and research design.

Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine Verrier Piersol, James Grady, Julie T Robison, Sheila Molony

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02365051 (Translation of COPE for Publicly-Funded Home Care Clients and Their Families), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% 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.

NCT02365051 nacompletednot on this map

Translation of COPE for Publicly-Funded Home Care Clients and Their Families

TypeinterventionalSponsorUConn HealthRan2015 to 2019Enrolled582ConditionsDementia, Alzheimer's DiseaseArmsCare of Persons with Dementia in their Environments
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Cognitive rehabilitation for people with mild to moderate dementia.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
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  5. Noninferiority of Online Versus In-Person Training for Health Professionals Delivering the COPE Dementia Care Program in PACE Settings.The American journal of geriatric psychiatry. Open science, education, and practice · 2026
    Article
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  16. How Much Allied Health Therapy Care Is Enough? An Evidence Scan.Physiotherapy Canada. Physiotherapie Canada · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Home is where the future is: The BrightFocus Foundation consensus panel on dementia care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2018
    Review
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

7 authors at 4 institutions in 1 country.

Richard H FortinskyCenter on Aging, School of Medicine, University of Connecticut, United States. Electronic address: Fortinsky@uchc.edu.
Laura N GitlinSchool of Nursing, Johns Hopkins University, United States.
Laura T PizziCollege of Pharmacy, Thomas Jefferson University, United States.
Catherine Verrier PiersolCollege of Health Professions, Thomas Jefferson University, United States.
James GradyDepartment of Community Medicine and Health Care, School of Medicine, University of Connecticut, United States.
Julie T RobisonCenter on Aging, School of Medicine, University of Connecticut, United States.
Sheila MolonySchool of Nursing, Quinnipiac University, United States.
University of Connecticut · USThomas Jefferson University · USJohns Hopkins University · USQuinnipiac University · US

Funding

'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
Translation of COPE for Publicly-Funded Home Care Clients and their FamiliesR01AG044504 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI FORTINSKY, RICHARD H · 2014 to 2018
$2.9M
NIA NIH HHS P50 AG005146NIA NIH HHS R01 AG044504
6 · The paper itself

Abstract

backgroundDementia is the leading cause of loss of independence in older adults worldwide. In the U.S., approximately 15 million family members provide care to relatives with dementia. This paper presents the rationale and design for a translational study in which an evidence-based, non-pharmacologic intervention for older adults with dementia and family caregivers (CGs) is incorporated into a publicly-funded home care program for older adults at risk for nursing home admission.

methodsThe 4-month Care of Persons with Dementia in their Environments (COPE) intervention is designed to optimize older adults' functional independence, and to improve CG dementia management skills and health-related outcomes. COPE features 10 in-home occupational therapy visits, and 1 in-home visit and 1 telephone contact by an advanced practice nurse. COPE was deemed efficacious in a published randomized clinical trial. In the present study, older adults with dementia enrolled in the Connecticut Home Care Program for Elders (CHCPE) and their CGs are randomly assigned to receive COPE plus their ongoing CHCPE services, or to continue receiving CHCPE services only. OUTCOMES: The primary outcome for older adults with dementia is functional independence; secondary outcomes are activity engagement, quality of life, and prevention or alleviation of neuropsychiatric symptoms. CG outcomes include perceived well-being and confidence in using activities to manage dementia symptoms. Translational outcomes include net financial benefit of COPE, and feasibility and acceptability of COPE implementation into the CHCPE. COPE has the potential to improve health-related outcomes while saving Medicaid waiver and state revenue-funded home care program costs nationwide.

Indexed as

Advanced Practice NursingHouse CallsOccupational TherapyActivities of Daily LivingAttitude of Health PersonnelCost-Benefit AnalysisDementiaFocus GroupsHome Care ServicesHumansQuality of LifeTelephoneTranslational Research, BiomedicalUnited StatesDementiaFamily caregivingHome careOlder adults

Identifiers

PMID27394383
PMCPMC4979745
OpenAlexW2466813692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.