Evidence map›Paper›PMID 29059120›Full record

Trial reportJournal of geriatric physical therapy (2001)

Change in Depression, Confidence, and Physical Function Among Older Adults With Mild Cognitive Impairment.

Jennifer L Ellis, Peter Altenburger, Yvonne Lu

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of geriatric physical therapy (2001). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Model Testing of the Factors That Influence Performance of Function Focused Care and Function Among Assisted Living Residents.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  4. Article
  5. Article
  6. 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

3 authors at 1 institution in 1 country.

Jennifer L EllisDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University-Purdue University Indianapolis.
Peter AltenburgerDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University-Purdue University Indianapolis.
Yvonne LuDepartment of Science of Nursing Care, School of Nursing, Indiana University-Purdue University Indianapolis.
University of Indianapolis · US

Funding

Research Education ComponentP30AG010133 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SAYKIN, ANDREW J · 1991 to 2020
$37.3M
Meaningful Activity Intervention for Persons with Mild Cognitive ImpairmentR21NR013755 · NINR · INDIANA UNIVERSITY INDIANAPOLIS · PI LU, YUEH-FENG YVONNE · 2012 to 2013
$419k
NIA NIH HHS P30 AG010133NINR NIH HHS R21 NR013755
6 · The paper itself

Abstract

background and purposeNearly a quarter of those in the United States older than 71 years experience mild cognitive impairment. Persons with mild cognitive impairment battle depression and progressive disengagement from daily activities, which contribute to participation restriction and activity limitation. Daily engagement in meaningful activity (DEMA) is a tailored intervention designed to benefit persons with mild cognitive impairment and their caregivers through preserved engagement and supported adjustment to cognitive changes. This secondary analysis was guided by the International Classification of Functioning, Disability and Health (ICF) model. Aims were to (i) explore the extent to which change in self-rated activity performance and physical function can predict change in depressive symptoms, (ii) evaluate for difference in confidence and depressive symptoms at ICF levels of activity and participation, and (iii) quantify the impact of daily engagement at the ICF level of participation on physical function.

methodsA secondary analysis was conducted using data from the parent study, which was a 2-group randomized trial involving persons with mild cognitive impairment and their informal caregivers participating in the Indiana Alzheimer Disease Center DEMA program. Quantitative analysis (dyads: DEMA N = 20, Information Support N = 20) examined outcomes at posttest and follow-up. Analysis employed linear regression to model the relationship between explanatory and dependent variables and independent t test to examine for difference in confidence, depression, and physical function. RESULTS AND DISCUSSION: At posttest, change in self-rated performance predicted change in depressive symptoms. Those in the DEMA group who engaged in activity at the ICF level of participation demonstrated a significant increase in confidence and physical function. Although not significant, the control group posttest results showed a mean decrease in confidence.

conclusionsResults demonstrate a positive impact of DEMA on depressive symptoms, confidence, and physical function. Change in occupational performance predicted change in depressive symptoms. Confidence significantly improved among those who engaged at the ICF participation level. A larger, randomized controlled longitudinal trial is needed to better assess the impact of DEMA on physical function, activity, participation restriction, and quality of life.

Indexed as

Physical Functional PerformanceActivities of Daily LivingAgedAged, 80 and overCognitive DysfunctionDepressionFemaleHumansInternational Classification of Functioning, Disability and HealthMaleMiddle AgedQuality of LifeSelf Efficacy

Identifiers

PMID29059120
PMCPMC5910300
OpenAlexW2765991929

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.