Evidence map›Paper›PMID 28800895›Full record

Trial reportContemporary clinical trials2017

A randomized trial of a web-based platform to help families manage dementia-related behavioral symptoms: The WeCareAdvisor™.

Laura N Gitlin, Helen C Kales, Katherine Marx, Barbara Stanislawski, Constantine Lyketsos

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

NCT02420535 nacompletednot on this map

An Innovative Caregiver Tool to Assess and Manage Behavioral Symptoms of Dementia

TypeinterventionalSponsorUniversity of MichiganRan2015 to 2016Enrolled114ConditionsDementiaArmsImmediately Receive Tool, One Month Delay
NCT05012410 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of the WeCareAdvisor: An Online Tool to Help Caregivers Manage Behavioral and Psychological Symptoms in Persons Living With Dementia

TypeinterventionalSponsorDrexel UniversityRan2021 to 2024Enrolled262ConditionsDementia, Caregiver Burnout, Caregiver Stress Syndrome, Alzheimer DiseaseArmsImmediate treatment group with High-Intensity Prompts, Immediate treatment group with Low-Intensity Prompts, Waitlist Control after three months with High-Intensity Prompts, Waitlist Control after three months with Low-Intensity Prompts
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Aggression Prevention Training for Individuals With Dementia and Their Caregivers: A Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020
    Trial
  3. Trial
  4. Using Natural Language Processing to Identify Home Health Care Patients at Risk for Diagnosis of Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

5 authors.

Laura N GitlinDepartment of Community Public Health, School of Nursing, Center for Innovative Care in Aging, Johns Hopkins University, 525 Wolf Street, Baltimore, MD 21205, United States. Electronic address: lgitlin1@jhu.edu.
Helen C KalesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United States; Department of Veterans Affairs, HSR&D Center for Clinical Management Research (CCMR), Ann Arbor, MI, United States; Geriatric Research, Education and Clinical Center (GRECC), VA Ann Arbor Healthcare System, Ann Arbor, MI, United States. Electronic address: kales@umich.edu.
Katherine MarxDepartment of Community Public Health, School of Nursing, Center for Innovative Care in Aging, Johns Hopkins University, 525 Wolf Street, Baltimore, MD 21205, United States. Electronic address: kmarx1@jhu.edu.
Barbara StanislawskiDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United States; Department of Veterans Affairs, HSR&D Center for Clinical Management Research (CCMR), Ann Arbor, MI, United States; Geriatric Research, Education and Clinical Center (GRECC), VA Ann Arbor Healthcare System, Ann Arbor, MI, United States. Electronic address: bstanisi@umich.edu.
Constantine LyketsosDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins Bayview and Johns Hopkins University, Baltimore, MD, United States. Electronic address: kostas@jhmi.edu.

Funding

'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI BANDEEN-ROCHE, KAREN J. · 1985 to 2019
$37.6M
An Innovative Caregiver Tool to Assess and Manage Behavioral Symptoms of DementiaR01NR014200 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GITLIN, LAURA N., KALES, HELEN C · 2012 to 2015
$1.6M
NIA NIH HHS P50 AG005146NINR NIH HHS R01 NR014200
6 · The paper itself

Abstract

Dementia-related behavioral symptoms are challenging clinical features occurring across etiologies and disease progression. They are associated with increased healthcare utilization, nursing home placement, family upset and burden. Families typically manage behavioral symptoms without requisite knowledge, skills and guidance. We designed WeCareAdvisor™ as an easy-to-use, evidence-informed web-based platform. It provides families knowledge about dementia, daily tips, and a systematic approach to describe behaviors, investigate modifiable contributors, create treatment plans (WeCareAdvisor™ Prescription) consisting of management tips tailored to symptom presentation, and evaluate effectiveness. WeCareAdvisor™ is being tested in a randomized trial to assess acceptability, usability and immediate impact on caregiver confidence managing and upset with behavioral symptoms, and secondarily, frequency of behavioral occurrences. Fifty-seven caregivers will be enrolled from communities and medical clinics at two sites (University of Michigan; Johns Hopkins University). Families reporting behavioral symptoms in a telephone screen are consented and interviewed at home. Following the interview, an envelope is opened by interviewers to reveal group assignment (immediate vs one-month delayed treatment group). Those receiving WeCareAdvisor™ immediately are provided an iPad and instruction in its use; those in the delayed treatment group are informed of next study steps. All caregivers are reassessed at home one month from baseline. The delayed treatment group then receives iPad instructions and are re-interviewed one month thereafter. During treatment phase, participants receive 3 weekly check-in calls to encourage tool use and troubleshoot. Key outcomes include number of times using WeCareAdvisor™ and for which behaviors, self-efficacy and upset managing behavioral symptoms, and frequency of behavioral occurrences. Clinical trial registration #: NCT02420535.

Indexed as

Behavioral SymptomsCaregiversComputers, HandheldDementiaFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansInternetMaleQuality of LifeResearch DesignAlzheimer’s disease and related disordersdementia carefamily caregivingneuropsychiatric symptomsnonpharmacological strategies

Identifiers

PMID28800895
PMCPMC6428066

What OpenQuestion holds

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Registered trials

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.