Evidence map›Paper›PMID 28007445›Full record

ArticleArchives of physical medicine and rehabilitation2017

Functional Goals and Predictors of Their Attainment in Low-Income Community-Dwelling Older Adults.

Brian W Waldersen, Jennifer L Wolff, Laken Roberts, Allysin E Bridges, Laura N Gitlin, Sarah L Szanton

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 1 institution in 1 country.

Brian W WaldersenJohns Hopkins School of Medicine and School of Public Health, Baltimore, MD.
Jennifer L WolffDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Electronic address: jwolff@jhsph.edu.
Laken RobertsJohns Hopkins School of Nursing, Baltimore, MD.
Allysin E BridgesJohns Hopkins School of Nursing, Baltimore, MD.
Laura N GitlinJohns Hopkins School of Medicine and School of Public Health, Baltimore, MD; Johns Hopkins School of Nursing, Baltimore, MD.
Sarah L SzantonDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Johns Hopkins School of Nursing, Baltimore, MD.
Johns Hopkins University · US

Funding

Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
Reducing disability via a bundled bio-behavioral-environmental approachR01AG040100 · NIA · JOHNS HOPKINS UNIVERSITY · PI SZANTON, SARAH L · 2012 to 2016
$3.0M
NIA NIH HHS R01 AG040100NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

objectiveTo describe functional goals and factors associated with goal attainment among low-income older adults with disabilities living in the community.

designSecondary analysis.

settingParticipants' homes.

participantsOlder adults (N=226) with disability who participated in the Community Aging in Place, Advancing Better Living for Elders trial.

interventionsA 5-month, home-based, person-directed, structured program delivered by an interprofessional team: occupational therapist, registered nurse, and handyman.

main outcome measuresProcess of occupational therapist goal setting and attainment at the final occupational therapist visit.

resultsParticipants identified 728 functional goals (mean of 3.2 goals per participant), most commonly related to transferring (22.0%; n=160 goals), changing or maintaining body position (21.4%; n=156 goals), and stair climbing (13.0%; n=95 goals). Participants attained 73.5% (n=535) of goals. Goal attainment was highest for stair climbing (86.3%), transferring (85.6%), and self-care (84.6%); walking goals were less likely attained (54.0%). Goal attainment was not associated with age, sex, education, depressive symptoms, function, or health-related quality of life but was less likely among participants who had severe pain compared with those without pain (adjusted odds ratio, 0.38; 95% confidence interval, 0.17-0.86). When participant readiness to change score increases by 1 point on the 4-point scale, goal attainment was 62% more likely (adjusted odds ratio, 1.62; 95% confidence interval, 1.14-2.29).

conclusionsHome-based collaborative goal setting between older adults and occupational therapists is feasible and particularly effective when individuals are ready or willing to adopt new strategies to achieve identified goals.

Indexed as

GoalsPovertyAccidental FallsActivities of Daily LivingAgedAged, 80 and overFemaleHumansIndependent LivingMaleOccupational TherapyPainPersons with DisabilitiesQuality of LifeSelf CareSeverity of Illness IndexFrail elderlyPerson-centered therapyRehabilitationSelf care

Identifiers

PMID28007445
PMCPMC5403585
OpenAlexW2561605249

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.