Evidence map›Paper›PMID 29525474›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2018

Medical Care Tasks among Spousal Dementia Caregivers: Links to Care-Related Sleep Disturbances.

Courtney A Polenick, Amanda N Leggett, Donovan T Maust, Helen C Kales

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 36% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Courtney A PolenickDepartment of Psychiatry, University of Michigan, Ann Arbor, MI; Program for Positive Aging, 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.
Donovan T MaustDepartment of Psychiatry, University of Michigan, Ann Arbor, MI; Program for Positive Aging, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; HSR&D Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, MI.
Helen C KalesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI; Program for Positive Aging, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; HSR&D Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, MI; Geriatric Research, Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI.
University of Michigan–Ann Arbor · USVA Ann Arbor Healthcare System · US

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectiveMedical care tasks are commonly provided by spouses caring for persons living with dementia (PLWDs). These tasks reflect complex care demands that may interfere with sleep, yet their implications for caregivers' sleep outcomes are unknown. The authors evaluated the association between caregivers' medical/nursing tasks (keeping track of medications; managing tasks such as ostomy care, intravenous lines, or blood testing; giving shots/injections; and caring for skin wounds/sores) and care-related sleep disturbances.

methodsA retrospective analysis of cross-sectional data from the 2011 National Health and Aging Trends Study and National Study of Caregiving was conducted. Spousal caregivers and PLWDs/proxies were interviewed by telephone at home. The U.S. sample included 104 community-dwelling spousal caregivers and PLWDs. Caregivers reported on their sociodemographic and health characteristics, caregiving stressors, negative caregiving relationship quality, and sleep disturbances. PLWDs (or proxies) reported on their health conditions and sleep problems.

resultsCaregivers who performed a higher number of medical/nursing tasks reported significantly more frequent care-related sleep disturbances, controlling for sociodemographic and health characteristics, caregiving stressors, negative caregiving relationship quality, and PLWDs' sleep problems and health conditions. Post hoc tests showed that wound care was independently associated with more frequent care-related sleep disturbances after accounting for the other medical/nursing tasks and covariates.

conclusionSpousal caregivers of PLWDs who perform medical/nursing tasks may be at heightened risk for sleep disturbances and associated adverse health consequences. Interventions to promote the well-being of both care partners may benefit from directly addressing caregivers' needs and concerns about their provision of medical/nursing care.

Indexed as

Activities of Daily LivingAgedAged, 80 and overCaregiversCross-Sectional StudiesDatabases, FactualDementiaFemaleHumansMaleMedicareRetrospective StudiesSleep Wake DisordersSpousesUnited StatesDementia careinformal caregivingmedical caremedical/nursing care

Identifiers

PMID29525474
PMCPMC5940559
OpenAlexW2787671227

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.