Evidence map›Paper›PMID 30247549›Full record

ArticleThe Gerontologist2019

Daily Routine: Associations With Health Status and Urgent Health Care Utilization Among Older Adults.

Rachel O'Conor, Julia Yoshino Benavente, Mary J Kwasny, Kamal Eldeirawi, Romana Hasnain-Wynia, Alex D Federman, Jennifer Hebert-Beirne, Michael S Wolf

Open access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. When Routines Break: The Health Implications of Disrupted Daily Life.American journal of lifestyle medicine · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Roles of Busyness and Daily Routine in Medication Management Behaviors Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    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

8 authors at 6 institutions in 2 countries.

Rachel O'ConorDivision of General Internal Medicine and Geriatrics, Northwestern University, Chicago, IL.
Julia Yoshino BenaventeDivision of General Internal Medicine and Geriatrics, Northwestern University, Chicago, IL.
Mary J KwasnyDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Kamal EldeirawiCollege of Nursing, University of Illinois at Chicago, Chicago, IL.
Romana Hasnain-WyniaOffice of Research, Denver Health and Hospital Authority, Denver, Colorado.
Alex D FedermanDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York.
Jennifer Hebert-BeirneDivision of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL.
Michael S WolfDivision of General Internal Medicine and Geriatrics, Northwestern University, Chicago, IL.
Northwestern University · USChicago Department of Public Health · USHealth and Hospital Corporation · USIcahn School of Medicine at Mount Sinai · USNorthwestern University · PHUniversity of Illinois Chicago · US

Funding

Supplement to LitCog III: Health Literacy and Cognitive Function among Older AdultsR01AG030611 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOLF, MICHAEL S · 2007 to 2024
$11.6M
NIA NIH HHS R01 AG030611
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChronically ill older adults must integrate self-care behaviors into their daily routine to promote health and reduce urgent health care utilization. Individuals of lower socioeconomic position (SEP) experience a disproportionate burden of stressors that challenge the formation of regular routines. We examined associations between the presence of a daily routine and older adults' health status and urgent health care utilization, to determine whether higher levels of daily routine mediates associations between SEP and health outcomes. RESEARCH DESIGN AND

methodsWe used data from a cohort of older adult primary care patients in Chicago. Daily routine was measured using a brief, validated scale. A single factor score of SEP was created with measures of education, income, homeownership, and insurance status. Health status was assessed by Patient Reported Outcomes Measurement Information Service physical function, depression, and anxiety. Urgent health care utilization was patient reported. Multivariable models were used to assess the effect of routine and SEP on health status and urgent health care utilization.

resultsIndividuals reporting low levels of daily routine reported worse physical function (β = -2.34; 95% CI -4.18, -0.50), more anxiety (β = 2.73; 95% CI 0.68, 4.78) and depressive symptoms (β = 2.83; 95% CI 0.94, 4.74) than those with greater daily routine. No differences in urgent health care utilization were observed by daily routine. Daily routine varied by SEP (p < .001); routine partially mediated the relationship between SEP and physical function and anxiety symptoms (ps < .05). DISCUSSION AND IMPLICATIONS: A daily routine may be an under recognized modifiable factor that could promote health outcomes among older adults.

Indexed as

Health StatusPatient Acceptance of Health CareActivities of Daily LivingAgedAmbulatory CareAnxietyChicagoChronic DiseaseCohort StudiesDepressionFemaleHumansMaleMiddle AgedSelf CareSocioeconomic FactorsAnalysis—regression modelsChronic illnessHealthSocioeconomic position

Identifiers

PMID30247549
PMCPMC6857682
OpenAlexW2892715211

What OpenQuestion holds

Textmetadata
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.