Evidence map›Paper›PMID 28585164›Full record

ArticleTranslational behavioral medicine2017

Implementation of the REACH model of dementia caregiver support in American Indian and Alaska Native communities.

Jennifer Martindale-Adams, Tina Tah, Bruce Finke, Cynthia LaCounte, Barbara J Higgins, Linda O Nichols

Open access · bronzeAbstract read
In one paragraph

Article in Translational behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Testing the Efficacy of a Culturally Adapted Family Dementia Caregiver Intervention (REACH VN): Results From a Cluster Randomized Controlled Trial in Northern Vietnam.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
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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 3 institutions in 1 country.

Jennifer Martindale-AdamsDepartment of Preventive Medicine, University of Tennessee Health Science Center and Co-Director Caregiver Center, Veterans Affairs Medical Center Memphis, Memphis, USA.
Tina TahDivision of Nursing Services, Office of Clinical and Preventive Services, Indian Health Service, Rockville, USA.
Bruce FinkeNashville Area Indian Health Service and Learning and Diffusion Group, CMS Innovation Center, Nashville, USA.
Cynthia LaCounteOffice for American Indian, Alaska Natives and Native Hawaiian Programs, Administration for Community Living, Administration on Aging, Washington, USA.
Barbara J HigginsDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, USA.
Linda O NicholsCaregiver Center, Veterans Affairs Medical Center Memphis and Departments of Preventive Medicine and Internal Medicine, University of Tennessee Health Science Center, 1030 Jefferson Avenue (11h), Memphis, TN, 38104, USA. linda.nichols@va.gov.
University of Tennessee Health Science Center · USIndian Health Service · USAdministration for Community Living · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Resources for Enhancing Alzheimer's Caregivers Health in the VA (REACH VA) dementia caregiving intervention has been implemented in the VA, in community agencies, and internationally. As identified in the 2013 and 2015 National Plan to Address Alzheimer's Disease, REACH is being made available to American Indian and Alaska Native communities. Implementation activities are carried out by local Public Health Nursing programs operated by Indian Health Service and Tribal Health programs, and Administration for Community Living/Administration on Aging funded Tribal Aging program staff already working in each community. The implementation is described using the Fixsen and Blasé implementation process model. Cultural, community, health system, and tribe-specific adaptations occur during the six implementation stages of exploration and adoption, program installation, initial implementation, full operation, innovation, and sustainability. Adaptations are made by local staff delivering the program. Implementation challenges in serving AI/AN dementia caregivers include the need to adapt the program to fit the unique communities and the cultural perceptions of dementia and caregiving. Lessons learned highlight the importance of using a clinically successful intervention, the need for support and buy-in from leadership and staff, the fit of the intervention into ongoing routines and practices, the critical role of modifications based on caregiver, staff, and organization needs and feedback, the need for a simple and easily learned intervention, and the critical importance of community receptivity to the services offered.

Indexed as

American Indian or Alaska NativeCaregiversDementiaEvidence-Based PracticeHealth Plan ImplementationHumansProgram EvaluationUnited StatesUnited States Indian Health ServiceCaregiving-informalDementiaOrganizational and institutional issues

Identifiers

PMID28585164
PMCPMC5645288
OpenAlexW2623814026

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.