SynthesisJournal of the American Geriatrics Society2018
State of Science: Bridging the Science-Practice Gap in Aging, Dementia and Mental Health.
Synthesis in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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.
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.
Who cites it
23 citing papers in PubMed.
- Epidemiology of Severe Mental Disorders in Older Adults: A Population-Based Longitudinal Study in Aragón, Spain.Healthcare (Basel, Switzerland) · 2026Article
- The geographic digital divide among dementia caregivers in the U.S.: a cross-sectional study.BMC health services research · 2026Article
- Evidence-Based Laboratory Medicine for Cardiovascular Disease Management in Mental Healthcare: A Literature Review.Cureus · 2026Review
- Diagnosis of prolonged grief disorder among older adults: mapping physicians' knowledge and practice, and evaluating the effectiveness of a brief targeted training program.Frontiers in psychiatry · 2026Article
- Pragmatic trial of a virtual dementia collaborative care management program: protocol for the Aging Brain Care Virtual (ABCV) program.BMJ open · 2025Article
- Dissemination of the Care Ecosystem Collaborative Care Model for Dementia.Journal of the American Geriatrics Society · 2025Article
- Enhancing early detection of cognitive impairment in primary care with the TabCAT-BHA.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Agile implementation for hypertension control in primary care.BMC health services research · 2025Article
- Improving Early Dementia Detection Among Diverse Older Adults With Cognitive Concerns With the 5-Cog Paradigm: Protocol for a Hybrid Effectiveness-Implementation Clinical Trial.JMIR research protocols · 2025Article
- Effects of Community Assets on Major Health Conditions in England: A Data Analytic Approach.Healthcare (Basel, Switzerland) · 2024Article
- Agile implementation of alcohol screening in primary care.BMC primary care · 2024Article
- Mapping implementation strategies of evidence-based interventions for three preselected phenomena in people with dementia-a scoping review.Implementation science communications · 2023Article
- The methodology of the Agile Nudge University.Frontiers in health services · 2023Article
- Geropsychiatric Nursing Leadership in Long-Term Care.The Nursing clinics of North America · 2022Review
- Lessons from Detecting Cognitive Impairment Including Dementia (DetectCID) in Primary Care.Journal of Alzheimer's disease : JAD · 2022Article
- Challenges and Facilitators in Implementing a Focus on Function in Structured Clinical Settings.The Public policy and aging report · 2022Article
- Editorial: The Interplay Between Long-Term Psychiatric Disorders and Age-Related Brain Changes.Frontiers in psychiatry · 2022Article
- Brain Health Living Labs.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Critical Care Recovery Center: a model of agile implementation in intensive care unit (ICU) survivors.International psychogeriatrics · 2020Article
- Advances in geropsychiatric nursing: A decade in review.Archives of psychiatric nursing · 2020Review
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
Abstract
The workforce available to care for older adults has not kept pace with the need. In response to workforce limitations and the growing complexity of healthcare, scientists have tested new models of care that redesign clinical practice. This article describes why new models of care in aging, dementia, and mental health diffuse inadequately into the healthcare systems and communities where they might benefit older adults. We review a general framework for the diffusion of innovations and highlight the importance of other features of innovations that deter or facilitate diffusion. Although scientists often focus on generating evidence-based innovations, end-users apply their own criteria to determine an innovation's value. In 1962, Rogers suggested six features of an innovation that facilitate or deter diffusion suggested: relative advantage, compatibility with the existing environment, ease or difficulty of implementation, trial-ability or ability to "test drive", adaptability, and observed effectiveness. We describe examples of models of care in aging, dementia and mental health that enjoy a modicum of diffusion into practice and place the features of these models in the context of deterrents and facilitators for diffusion. Developers of models of care in aging, dementia, and mental health typically fail to incorporate the complexities of health systems, the barriers to diffusion, and the role of emotion into design considerations of new models. We describe agile implementation as a strategy to facilitate the speed and scale of diffusion in the setting of complex adaptive systems, social networks, and dynamic macroenvironments.
Indexed as
Identifiers
What OpenQuestion holds
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.