Evidence map›Paper›PMID 28260539›Full record

ArticleInternational psychogeriatrics2017

Background characteristics and treatment-related factors associated with treatment success or failure in a non-pharmacological intervention for dementia caregivers.

Karen C Rose, Laura N Gitlin

Open access · diamondAbstract read
In one paragraph

Article in International psychogeriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Improvements of Disability Outcomes in CAPABLE Older Adults Differ by Financial Strain Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  3. Strengthening Primary Care Through Project ECHOJournal of primary care & community health
    Article
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

2 authors at 2 institutions in 1 country.

Karen C RoseDepartment of Psychology,Widener University,1 University Place,Chester,PA 19013,USA.
Laura N GitlinDepartment of Community Public Health,School of Nursing,Joint appointments,Department of Psychiatry,Director,Center for Innovative Care in Aging,Johns Hopkins University,525 Wolfe Street,Suite 316,Baltimore,MD,21205,USA.
Johns Hopkins University · USWidener University · US

Funding

Reducing Family Caregiver Upset with Disruptive BehaviorR01AG022254 · NIA · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2002 to 2006
$2.7M
NIA NIH HHS R01 AG022254
6 · The paper itself

Abstract

backgroundNon-pharmacological interventions for persons with dementia often rely on family caregivers for implementation. However, caregivers differ in their readiness to use strategies. This study examines dyadic characteristics and treatment-related mechanisms associated with treatment success (high readiness to use strategies) and failure (low readiness to use strategies) at the conclusion of the Advancing Caregiver Training (ACT) intervention.

methodsCaregiver and person with dementia characteristics and treatment-related variables (treatment participation, number and type of strategies introduced and enacted) were examined in 110 caregivers in intervention. Interventionists rated readiness (1=precontemplation; 2=contemplation; 3=preparation; 4=action) of caregivers to use strategies at the final ACT session. Univariate analyses examined dyadic characteristics, and Multiple Analysis of Covariance (MANCOVA) and Analyses of Covariance (ANCOVA) examined treatment-related factors associated with readiness to use strategies at treatment completion.

resultsAt treatment completion, 28.2% (N=31) scored in pre-action and 71.8% (N=79) at action. Caregivers at pre-action readiness levels were more likely than those at action to be a spouse, report greater financial difficulties and be managing fewer problem behaviors. Although both groups were introduced an equivalent number of non-pharmacological strategies, caregivers at pre-action were less likely than those at action to report enacting strategies.

conclusionsCertain dyadic characteristics and treatment-related factors were associated with treatment failure including financial strain and lack of strategy integration. Findings suggest that developing intervention components to address financial concerns and increase opportunities for practicing strategies and then using them between treatment sessions may be important for caregivers at risk of treatment failure.

Indexed as

AgedAged, 80 and overCaregiversDementiaFemaleHumansMaleMiddle AgedSpousesStress, PsychologicalTreatment Outcomecaregivingdementianon-pharmacological interventionsreadiness

Identifiers

PMID28260539
PMCPMC8381517
OpenAlexW2594272877

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.