Evidence map›Paper›PMID 28652082›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

Medical Care Activities Among Spouses of Older Adults With Functional Disability: Implications for Caregiving Difficulties and Gains.

Courtney A Polenick, Amanda N Leggett, Helen C Kales

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
10.4field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Observational
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  8. Accentuate the Positive: The Association Between Informal and Formal Supports and Caregiving Gains.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  9. Article
  10. Families in Later Life: A Decade in Review.Journal of marriage and the family · 2020
    Article
  11. Article
  12. Article
  13. Helping Dementia Caregivers Manage Medical Problems: Benefits of an Educational Resource.American journal of Alzheimer's disease and other dementias · 2018
    Article
  14. Medical Care Tasks among Spousal Dementia Caregivers: Links to Care-Related Sleep Disturbances.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Article
  15. "The Filter is Kind of Broken": Family Caregivers' Attributions About Behavioral and Psychological Symptoms of Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Article
  16. In Sickness and in Health: Spousal Caregivers and The Correlates of Caregiver Outcomes.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Courtney A PolenickDepartment of Psychiatry, University of Michigan, Ann Arbor, MI. Electronic address: cpolenic@med.umich.edu.
Amanda N LeggettDepartment of Psychiatry, University of Michigan, Ann Arbor, MI; Program for Positive Aging, University of Michigan, Ann Arbor, MI.
Helen C KalesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI; Program for Positive Aging, University of Michigan, Ann Arbor, MI; Department of Veterans Affairs, HSR&D Center for Clinical Management Research (CCMR), Ann Arbor, MI; Geriatric Research, Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI.
University of Michigan–Ann Arbor · USGeriatric Research Education and Clinical Center · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIA NIH HHS U01 AG032947NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectivesSpouses of older adults with functional disability often provide help with their partner's medical care. Yet little is known about the implications of these activities for spouses' caregiving experiences. We examined how spouses' medical care activities are linked to both positive and negative aspects of caregiving (difficulties and gains), and whether these associations vary by their age, gender, or education.

designRetrospective analysis of data from the 2011 National Health and Aging Trends Study and National Study of Caregiving cross-sectional studies.

settingCaregivers and care recipients/proxies were interviewed by telephone at home.

participantsNationally representative U.S. sample of 345 spousal caregivers and their community-dwelling care recipients aged 65 years and older. MEASUREMENTS: Caregivers' self-reported sociodemographics, care activities, health conditions, well-being, and support resources. Care recipients (or proxies) reported on their health conditions and dementia status.

resultsA higher number of health system interaction tasks (e.g., making appointments) were significantly associated with greater emotional caregiving difficulties, whereas a higher number of medical/nursing tasks (e.g., giving shots/injections) were significantly linked to greater caregiving gains. A higher number of medical/nursing tasks were also significantly associated with greater physical difficulties for caregiving wives and spouses with less education.

conclusionsMedical care activities may have both positive and negative consequences for spousal caregivers, which depend partly on sociodemographics. This study underscores the importance of ensuring that spouses have the resources and support needed to provide complex care to their partners.

Indexed as

Persons with DisabilitiesAgedAged, 80 and overCaregiversCross-Sectional StudiesDelivery of Health CareFemaleHumansMaleMedicareRetrospective StudiesSpousesUnited StatesCaregiverslate-life disabilitymedical carespouse

Identifiers

PMID28652082
PMCPMC5650913
OpenAlexW2611203391

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.