Evidence map›Paper›PMID 30298901›Full record

ArticleJournal of the American Geriatrics Society2018

Personalized Goal Attainment in Dementia Care: Measuring What Persons with Dementia and Their Caregivers Want.

Lee A Jennings, Karina D Ramirez, Ron D Hays, Neil S Wenger, David B Reuben

Abstract read
In one paragraph

Article 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 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
18.7field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Investigating the Role of Situational Disruptors in Engagement with Digital Mental Health Tools.CSCW : proceedings of the Conference on Computer-Supported Cooperative Work. Conference on Computer-Supported Cooperative Work · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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

5 authors at 4 institutions in 1 country.

Lee A JenningsReynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, Los Angeles, Los Angeles, California.
Karina D RamirezMulticampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Ron D HaysDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Neil S WengerDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
David B ReubenMulticampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
University of California, Los Angeles · USLos Angeles County Department of Health Services · USOklahoma State University Center for Health Sciences · USUniversity of California System · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI MILBURN, NORWEETA GERMAINE, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
MENTORED CLINICAL SCIENTIST DEVELOPMENT PROGRAMK12AG001004 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2000 to 2009
$4.3M
Los Angeles Clinical and Translational Science Institute UL1TR000124National Institutes of Health, National Center for Advancing Translational Science University of CaliforniaNCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NIA NIH HHS K12 AG001004NIA NIH HHS NIA 5P30AG028748NIA NIH HHS P30 AG021684NIA NIH HHS P30-AG021684NIA NIH HHS P30 AG028748NIMHD NIH HHS P20 MD000182NIMHD NIH HHS P20-MD000182Patient Centered Outcomes Research Institute ME-1303-5845Patient-Centered Outcomes Research Institute ME-1303-5845
6 · The paper itself

Abstract

objectivesTo develop a process of goal-setting and measurement of goal attainment in a dementia care management program.

designObservational.

settingDementia care management program in an urban academic medical center.

participantsPersons with dementia (N=101) and their caregivers; nurse practitioner dementia care managers (N=5).

interventionSpecification of a personalized health goal and action plan and measurement of goal attainment using goal attainment scaling in a clinical care visit. MEASUREMENTS: Goal attainment at 6 and 12 months; focus groups of 5 dementia care managers.

resultsEighty-four percent of participant goals were nonmedical, 47% were related to quality of life, and 29% were caregiver support goals. Eighty-eight percent of participants felt that the goal they set was meaningful and 74% that the goal-setting process captured something different from usual care, and 85% found the process helpful in planning for future care. At 6 months, 74% of dyads had achieved or exceeded their expected level of goal attainment. Dementia care managers felt that the goal-setting process improved their understanding of what was most important to the patient, helped set expectations about disease progression and care needs, and provided positive reinforcement when goals were accomplished and an opportunity for revision when goals were not met.

conclusionGoal setting using goal attainment scaling can be incorporated into the care of persons with dementia to establish and attain person-centered goals. Research is needed to further develop personalized goal attainment as an outcome measure for dementia care. J Am Geriatr Soc 66:2120-2127, 2018.

Indexed as

Disease ManagementGoalsActivities of Daily LivingAged, 80 and overCaliforniaCaregiversDementiaFemaleFocus GroupsHumansMaleNurse PractitionersPatient-Centered CareQuality of LifeSurveys and QuestionnairesTime Factorsdementiagoal-attainment scalingperson-centered outcomes

Identifiers

PMID30298901
PMCPMC7023482
OpenAlexW2896247474

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.