Evidence map›Paper›PMID 30084133›Full record

Trial reportJournal of the American Geriatrics Society2018

Comparative Effectiveness of 2 Interventions for Hispanic Caregivers of Persons with Dementia.

José A Luchsinger, Louis Burgio, Mary Mittelman, Ilana Dunner, Jed A Levine, Carolina Hoyos, Dante Tipiani, Yefrenia Henriquez, Jian Kong, Stephanie Silver and 2 more

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

12 authors.

José A LuchsingerDepartment of Medicine, Columbia University Medical Center, New York, New York.
Louis BurgioBurgio Geriatric Consulting, Tuscaloosa, Alabama.
Mary MittelmanDepartment of Psychiatry, School of Medicine, New York University, New York, New York.
Ilana DunnerRiverstone Senior Life Services, New York, New York.
Jed A LevineCaringKind, New York, New York.
Carolina HoyosNew York City Department for the Aging, New York, New York.
Dante TipianiDepartment of Medicine, Columbia University Medical Center, New York, New York.
Yefrenia HenriquezDepartment of Medicine, Columbia University Medical Center, New York, New York.
Jian KongHebrew Home at Riverdale, Research Division, New York, New York.
Stephanie SilverHebrew Home at Riverdale, Research Division, New York, New York.
Mildred RamirezHebrew Home at Riverdale, Research Division, New York, New York.
Jeanne A TeresiHebrew Home at Riverdale, Research Division, New York, New York.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
PSYCHOSOCIAL COREP30AG008051 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MITTELMAN, MARY SHERMAN · 1990 to 2019
$36.1M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
New York City Hispanic Dementia Caregiver Research Program (NHiRP)R01NR014430 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BAKKEN, SUZANNE, LUCHSINGER, JOSE ALEJANDRO · 2013 to 2017
$2.9M
National Institute of Health R01NR014430National Institute of Health UL1TR000040National Institute of Health UL1TR001873NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR001873NIA NIH HHS P30 AG008051NINR NIH HHS R01 NR014430Patient-Centered Outcomes Research Institute CE-1304-7160
6 · The paper itself

Abstract

objectivesTo compare the effectiveness of 2 caregiver interventions with known efficacy: the Resources for Enhancing Caregiver Health-Offering Useful Treatment (REACH-OUT) and the New York University Caregiver Intervention (NYUCI).

design1:1 randomized pragmatic trial.

settingNew York City.

participantsInformal Hispanic caregivers of persons with dementia (N=221; mean age 58.2, 82.8% female, 63.3% adult children, 31.7% spouses).

interventionParticipants were randomized to 6 months of NYUCI (n=110) or REACH-OUT (n=111), balanced on characteristics at baseline. All participants were referred for social supportive services. MEASUREMENTS: The primary outcomes were changes between baseline and 6 months in depressive symptoms, measured using the Geriatric Depression Scale (GDS), and caregiver burden, measured using the Zarit Caregiver Burden Scale (ZCBS).

resultsThere were no differences in outcomes between NYUCI and REACH-OUT. Both interventions showed a reduction in burden (REACH-OUT: 5.2 points, 95% confidence interval (CI)=2.2-8.1, p<.001; NYUCI: 4.6-points, 95% CI=1.7-7.5, p=.002). There were no significant changes on the GDS. Effects for the ZCBS were significant only for spouses and older caregivers.

conclusionAlthough there were no significant intervention group differences, both interventions resulted in significantly reduced burden for Hispanic caregivers at 6 months, particularly for spouses and older caregivers.

Indexed as

Community-Institutional RelationsHealth ResourcesAdult ChildrenAgedAged, 80 and overCaregiversComparative Effectiveness ResearchCost of IllnessDementiaDepressionFemaleHispanic or LatinoHumansMaleMiddle AgedNew York CityAlzheimer'scaregiverclinical trialsdementiaminority aging

Identifiers

PMID30084133
PMCPMC6157000

What OpenQuestion holds

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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.