Evidence map›Paper›PMID 28008609›Full record

Trial reportJournal of the American Geriatrics Society2017

Randomized Trial of the Family Intervention: Telephone Tracking-Caregiver for Dementia Caregivers: Use of Community and Healthcare Resources.

Geoffrey Tremont, Jennifer D Davis, Brian R Ott, Rachel Galioto, Cara Crook, George D Papandonatos, Richard H Fortinsky, Pedro Gozalo, Duane S Bishop

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 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

17 citing papers in PubMed, 6 syntheses or guidelines 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

9 authors.

Geoffrey TremontDepartment of Psychiatry, Rhode Island Hospital, Brown University, Providence, Rhode Island.
Jennifer D DavisDepartment of Psychiatry, Rhode Island Hospital, Brown University, Providence, Rhode Island.
Brian R OttDepartment of Neurology, Rhode Island Hospital, Brown University, Providence, Rhode Island.
Rachel GaliotoDepartment of Psychiatry, Rhode Island Hospital, Brown University, Providence, Rhode Island.
Cara CrookDepartment of Psychiatry, Rhode Island Hospital, Brown University, Providence, Rhode Island.
George D PapandonatosCenter for Statistical Sciences, Brown University, Providence, Rhode Island.
Richard H FortinskyUConn Center on Aging, University of Connecticut School of Medicine, Farmington, Connecticut.
Pedro GozaloCenter for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice, Brown University, Providence, Rhode Island.
Duane S BishopDepartment of Psychiatry, Rhode Island Hospital, Brown University, Providence, Rhode Island.

Funding

Psychosocial Telephone Intervention for Dementia CaregiversR01NR010559 · NINR · RHODE ISLAND HOSPITAL · PI TREMONT, GEOFFREY N · 2007 to 2011
$1.8M
NINR NIH HHS R01 NR010559
6 · The paper itself

Abstract

objectivesTo examine the effects of a telephone-delivered intervention, Family Intervention: Telephone Tracking-Caregiver (FITT-C), on community support and healthcare use by dementia caregivers.

designRandomized, controlled trial.

settingAcademic medical center.

participantsDyads (n = 250) of distressed informal dementia caregivers and care recipients.

interventionCaregivers were randomly assigned to receive the FITT-C (n = 133) or telephone support (TS; n = 117). Both groups received 16 telephone contacts from a master's-level therapist over 6 months. The FITT-C intervention provided psychoeducation, problem solving, and other directive approaches based on assessment of critical areas (e.g., mood, behavior, family functioning, social support). TS provided supportive therapeutic strategies. MEASUREMENTS: Outcome variables were caregiver report of community support service use, number of visits to the emergency department (ED) for caregivers and care recipients, and hospital stays for caregivers during the interventions.

resultsIntervention groups did not differ in demographic characteristics, use of support services, or use of healthcare resources at baseline. Caregivers who received the FITT-C used community support services at end of treatment significantly more than those receiving TS (P = .02). FITT-C caregivers had a significantly lower rate of ED visits (rate difference 9.5%, P = .048) and hospital stays (rate difference 11.4%, P = .01) over the 6-month course of the intervention than TS caregivers. Care recipient use of community or medical resources did not differ according to group.

conclusionAn entirely telephone-delivered intervention was effective in increasing caregiver engagement in community resources and reducing caregiver use of hospital-based healthcare resources. Results highlight the potential effect of FITT-C on healthcare use.

Indexed as

CaregiversCommunity Health ServicesDementiaFemaleHumansMaleMiddle AgedQuality of LifeSocial SupportSurveys and QuestionnairesTelephonecaregiverdementiahealthcare usetelephone intervention

Identifiers

PMID28008609
PMCPMC5510656

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Registered trials

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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.