Evidence map›Paper›PMID 27743840›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

Teaching Caregivers of Persons with Dementia to Address Pain.

Mark E Kunik, A Lynn Snow, Nancy Wilson, Amber B Amspoker, Shubhada Sansgiry, Robert O Morgan, Jun Ying, Gayle Hersch, Melinda A Stanley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Aggression Prevention Training for Individuals With Dementia and Their Caregivers: A Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020
    Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Helping Dementia Caregivers Manage Medical Problems: Benefits of an Educational Resource.American journal of Alzheimer's disease and other dementias · 2018
    Article
  18. Complex Clinical Intersection: Palliative Care in Patients with Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 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

9 authors at 6 institutions in 1 country.

Mark E KunikHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX; VA South Central Mental Illness Research, Education and Clinical Center, United States. Electronic address: mkunik@bcm.edu.
A Lynn SnowThe University of Alabama and Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, AL.
Nancy WilsonHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX.
Amber B AmspokerHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX.
Shubhada SansgiryHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX; VA South Central Mental Illness Research, Education and Clinical Center, United States.
Robert O MorganDepartment of Management, Policy and Community Health, The University of Texas School of Public Health-Houston, Houston, TX.
Jun YingHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX.
Gayle HerschTexas Woman's University, Houston, TX.
Melinda A StanleyHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX; Baylor College of Medicine, Houston, TX; VA South Central Mental Illness Research, Education and Clinical Center, United States.
Baylor College of Medicine · USCenter for Innovation · USMental Illness Research, Education and Clinical Centers · USTexas Woman's University · USThe University of Texas Health Science Center at Houston · USTuscaloosa VA Medical Center · US

Funding

Aggression Prevention Training for Caregivers of Persons with DementiaR01NR014657 · NINR · BAYLOR COLLEGE OF MEDICINE · PI KUNIK, MARK E. · 2014 to 2018
$2.8M
Preventing Aggression in Veterans with DementiaI01HX000307 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI KUNIK, MARK E. · 2011 to 2013
–
HSRD VA I01 HX000307NINR NIH HHS R01 NR014657
6 · The paper itself

Abstract

objectivesTo compare the efficacy of Preventing Aggression in Veterans with Dementia (PAVeD) with that of usual care in decreasing incidence of aggression (primary outcome) and pain and improving depression, pleasant events, caregiver burden, and patient-caregiver relationship quality (secondary outcomes).

designRandomized controlled trial with assessments at baseline and 3, 6, 9, and 12 months

settingHouston, TX.

participantsA total of 203 community-dwelling veterans with pain and dementia and their caregivers.

interventionPAVeD, 6 to 8 weekly sessions of 45-minute home visits with masters-level clinicians providing instruction to caregivers on recognizing pain, enhancing communication, and making daily activities pleasant and enjoyable, and at least two elective sessions. MEASUREMENTS: Cohen-Mansfield Agitation Inventory (primary outcome), Philadelphia Geriatric Pain Intensity Scale, Geriatric Depression Scale, Pleasant Events Schedule-AD, Burden Interview, Mutuality Scale (secondary outcomes), Client Satisfaction Questionnaire.

resultsThere were no significant differences in aggression incidence between intervention and control groups, although the PAVeD group had significantly better mutuality than controls.

conclusionsPAVeD may need to address a broader range and more in-depth coverage of aggression risk factors with person-centered tailoring to target certain types of distress. Interventions to prevent aggression may also need to address medical providers in addition to caregivers.

Indexed as

Adaptation, PsychologicalAgedAged, 80 and overAggressionCaregiversDatabases, FactualDementiaDepressionFemaleHumansIncidenceIndependent LivingMaleMiddle AgedPainPain Managementaggressioncaregivingdementiapainveterans

Identifiers

PMID27743840
PMCPMC5122463
OpenAlexW2531945038

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.