Evidence map›Paper›PMID 29376864›Full record

ArticleJournal of Alzheimer's disease : JAD2018

The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer's Disease When One Lives Alone.

Elena Portacolone, Julene K Johnson, Kenneth E Covinsky, Jodi Halpern, Robert L Rubinstein

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06221202 (Stories in the Moment), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
10.1field-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.

NCT06221202 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Stories in the Moment: Dance Program for People Living With Dementia

TypeinterventionalSponsorDanceStream ProjectsRan2023 to 2024Enrolled72ConditionsDementia, Mild Cognitive Impairment, Alzheimer Disease, Lewy Body DiseaseArmsStories in the Moment Dance Program - Online
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 39 citations in OpenAlex.

  1. Examining Help-Seeking Behavior in People Living Alone With Cognitive Impairment.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  2. Article
  3. Article
  4. "How do You Take that Much Time for One Person's Life?" Experiences of Dementia Caregivers Who are Not Immediate Family.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
  6. Proactive Care-Seeking Strategies Among Adults Aging Solo With Early Dementia: A Qualitative Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 at 4 institutions in 1 country.

Elena PortacoloneInstitute for Health & Aging, University of California San Francisco, San Francisco, CA, USA.
Julene K JohnsonInstitute for Health & Aging, University of California San Francisco, San Francisco, CA, USA.
Kenneth E CovinskyDivision of Geriatric Medicine, University of California San Francisco, San Francisco, CA, USA.
Jodi HalpernSchool of Public Health, University of California Berkeley, Berkeley, CA, USA.
Robert L RubinsteinDepartment of Sociology and Anthropology, University of Maryland Baltimore County, Baltimore, MD, USA.
Institute on Aging · USUniversity of California, Berkeley · USUniversity of California, San Francisco · USUniversity of Maryland, Baltimore County · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
Living Alone in Older Age with Cognitive ImpairmentK01AG049102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2015 to 2019
$724k
NIA NIH HHS K01 AG049102NIA NIH HHS P30 AG015272NIA NIH HHS P30 AG044281
6 · The paper itself

Abstract

backgroundOne third of older adults with cognitive impairment live alone and are at high risk for poor health outcomes. Little is known about how older adults who live alone experience the process of receiving a diagnosis of mild cognitive impairment (MCI) or Alzheimer's disease (AD).

objectiveThe aim of this study was to understand the effects and meanings of receiving a diagnosis of MCI or AD on the lived experience of older adults living alone.

methodsThis is a qualitative study of adults age 65 and over living alone with cognitive impairment. Participants' lived experiences were elicited through ethnographic interviews and participant observation in their homes. Using a qualitative content analysis approach, interview transcripts and fieldnotes were analyzed to identify codes and themes.

resultsTwenty-nine older adults and 6 members of their social circles completed 114 ethnographic interviews. Core themes included: relief, distress, ambiguous recollections, and not knowing what to do. Participants sometimes felt uplifted and relieved by the diagnostic process. Some participants did not mention having received a diagnosis or had only partial recollections about it. Participants reported that, as time passed, they did not know what to do with regard to the treatment of their condition. Sometimes they also did not know how to prepare for a likely worsening of their condition, which they would experience while living alone.

conclusionFindings suggest the need for more tailored care and follow-up as soon as MCI or AD is diagnosed in persons living alone.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCognitive DysfunctionEmotionsFemaleHealth ServicesHumansInterviews as TopicMaleResidence CharacteristicsSingle PersonAlzheimer’s diseasecognitive dysfunctiondiagnosishealth servicesresidence characteristics

Identifiers

PMID29376864
PMCPMC5862539
OpenAlexW2791839455

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.