Evidence map›Paper›PMID 28083879›Full record

Trial reportHealth services research2018

Health Services Utilization in Older Adults with Dementia Receiving Care Coordination: The MIND at Home Trial.

Halima Amjad, Stephanie K Wong, David L Roth, Jin Huang, Amber Willink, Betty S Black, Deirdre Johnston, Peter V Rabins, Laura N Gitlin, Constantine G Lyketsos and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
2.9field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  7. Trial
  8. Article
  9. Neuropsychiatric symptoms in Alzheimer's disease: Bridging mechanisms, management, and emerging innovations.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
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  15. [Experiences of Transitional Care for Medicaid Case Managers].Journal of Korean Academy of Nursing · 2023
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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

11 authors at 3 institutions in 1 country.

Halima AmjadDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD.
Stephanie K WongRowan University School of Osteopathic Medicine, Stratford, NJ.
David L RothDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD.
Jin HuangCenter on Aging and Health, Johns Hopkins University, Baltimore, MD.
Amber WillinkDepartment of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, MD.
Betty S BlackDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Deirdre JohnstonDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Peter V RabinsDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Laura N GitlinDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Constantine G LyketsosDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Quincy M SamusDivision of Geriatric Psychiatry and Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USJohns Hopkins Medicine · USRowan University · US

Funding

'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
Using Mixed Methods to examine disparitites in dementia-related needs and intervention responses to MIND at Home care coordination program among African American persons with dementia and their caregR01AG046274 · NIA · JOHNS HOPKINS UNIVERSITY · PI SAMUS, QUINCY MILES · 2014 to 2018
$3.6M
Quality of Mental Health Care in Assisted LivingK01MH085142 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SAMUS, QUINCY MILES · 2009 to 2013
$777k
NCATS NIH HHS KL2 TR001077NIA NIH HHS P50 AG005146NIA NIH HHS R01 AG046274NIMH NIH HHS K01 MH085142
6 · The paper itself

Abstract

objectiveTo investigate effects of a novel dementia care coordination program on health services utilization. DATA SOURCES/STUDY

settingA total of 303 community-dwelling adults aged ≥70 with a cognitive disorder in Baltimore, Maryland (2008-2011). STUDY

designSingle-blind RCT evaluating efficacy of an 18-month care coordination intervention delivered through community-based nonclinical care coordinators, supported by an interdisciplinary clinical team. DATA COLLECTION/EXTRACTION

methodsStudy partners reported acute care/inpatient, outpatient, and home- and community-based service utilization at baseline, 9, and 18 months. PRINCIPAL

findingsFrom baseline to 18 months, there were no significant group differences in acute care/inpatient or total outpatient services use, although intervention participants had significantly increased outpatient dementia/mental health visits from 9 to 18 months (p = .04) relative to controls. Home and community-based support service use significantly increased from baseline to 18 months in the intervention compared to control (p = .005).

conclusionsWhile this dementia care coordination program did not impact acute care/inpatient services utilization, it increased use of dementia-related outpatient medical care and nonmedical supportive community services, a combination that may have helped participants remain at home longer. Future care model modifications that emphasize delirium, falls prevention, and behavior management may be needed to influence inpatient service use.

Indexed as

AgedAged, 80 and overCase ManagementCommunity Health ServicesContinuity of Patient CareDementiaFacilities and Services UtilizationFemaleHome Care ServicesHumansMaleMarylandPatient Acceptance of Health CarePatient Care TeamSingle-Blind Methodcare coordinationDementia

Identifiers

PMID28083879
PMCPMC5785326
OpenAlexW2572088326

What OpenQuestion holds

Textmetadata
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.