Evidence map›Paper›PMID 29669536›Full record

Trial reportBMC geriatrics2018

Effects of a caregiver-inclusive assistive technology intervention: a randomized controlled trial.

W Ben Mortenson, Louise Demers, Marcus J Fuhrer, Jeffrey W Jutai, Jessica Bilkey, Michelle Plante, Frank DeRuyter

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01640470 (A Multi-Site Trial of the Impact of Assistive Technology With Individuals With Mobility Limitations and Their Caregivers.), which is 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.

NCT01640470 phase2unknown statusnot on this map

A Multi-Site Trial of the Impact of Assistive Technology With Individuals With Mobility Limitations and Their Caregivers.

TypeinterventionalSponsorCentre de Recherche de l'Institut Universitaire de Geriatrie de MontrealRan2011 to 2017Enrolled240ConditionsMobility Disability, Older Adults, Community DwellingArmsAssistive Technology Provision and Tune-Up Intervention, Customary Care
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Available Assistive Technology Outcome Measures: Systematic Review.JMIR rehabilitation and assistive technologies · 2023
    Review
  10. Article
  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

7 authors.

W Ben MortensonDepartment of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada. ben.mortenson@ubc.ca.ORCID 0000-0002-0183-6163
Louise DemersCentre de recherche de l'Institut universitaire de gériatrie de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, PQ, Canada.
Marcus J FuhrerEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Jeffrey W JutaiInterdisciplinary School of Health Sciences, University of Ottawa, and Bruyère Research Institute, Ottawa, ON, Canada.
Jessica BilkeyDepartment of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.
Michelle PlanteCentre de recherche de l'Institut universitaire de gériatrie de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, PQ, Canada.
Frank DeRuyterDepartment of Surgery/Speech Pathology and Audiology, Duke University, Durham, NC, USA.

Funding

CIHR NRF- 111147
6 · The paper itself

Abstract

backgroundThe principal aim of this study was to investigate whether a caregiver-inclusive assistive technology intervention improved older care recipients' functional autonomy and decreased the perceived burden of their family caregivers compared to customary care.

methodsThe study was a single-blind, mixed-methods, randomized controlled trial with baseline data collection and follow-ups at 6-, 22-, and 58-weeks after baseline evaluation, which was prospectively registered ( ClinicalTrials.gov Identifier: NCT01640470. Registered 11/21/2011). Dyads comprising a care recipient and family caregiver were randomly assigned to either a caregiver-inclusive experimental group (N = 44) or a customary-care comparison group (N = 46). Eligible care recipients were aged ≥55 years and had one or more limitations with mobility or daily activities, and family caregivers provided at least four hours per week of assistance. Outcome measures were administered to both groups at baseline and at the three follow-up time points. The data collectors were blinded regarding participants' intervention group. The primary outcome measures were the Functional Autonomy Measurement System to assess care recipients' functional performance, and the Caregiver Assistive Technology Outcome Measure to assess caregivers' burden. Qualitative interviews examined participants' perceptions of the caregiver-inclusive and customary care interventions.

resultsThe experimental intervention addressed significantly more dyad-identified problematic activities, but caregiver involvement was evident in both groups and outcomes were not significantly different over time. In both groups, care recipients' functional autonomy declined significantly (P < .01), and caregivers' activity-specific and overall burden decreased significantly (P < .01).

conclusionsGiven the unintended congruence between the caregiver-inclusive and customary care interventions, the overall findings lend support for the provision of assistive technology to reduce caregiver burden.

Indexed as

Activities of Daily LivingCaregiversMobility LimitationSelf-Help DevicesAdaptation, PsychologicalAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedOutcome Assessment, Health CareRecovery of FunctionSingle-Blind MethodAssistive technologyFamily caregiversOlder adultsRandomized controlled trial

Identifiers

PMID29669536
PMCPMC5907288

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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.