Evidence map›Paper›PMID 30304477›Full record

Trial reportThe Gerontologist2020

Translating an Evidence-based Multicomponent Intervention for Older Adults With Dementia and Caregivers.

Linda Teri, Rebecca G Logsdon, Susan M McCurry, Kenneth C Pike, Ellen L McGough

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01708304 (From Evidence-Base to Practice), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 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.

NCT01708304 nacompletednot on this map

From Evidence-Base to Practice: Implementing RDAD in AAA Community-Based Services

TypeinterventionalSponsorUniversity of WashingtonRan2012 to 2017Enrolled510ConditionsAlzheimer's Disease, Dementia, Memory Impairment, Cognitive ImpairmentArmsRDAD
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. The Effect of the "Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020
    Trial
  7. Trial
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Implementing Dementia Caregiver Programs in Real-World Settings: Fidelity Considerations.Journal of the American Medical Directors Association · 2024
    Review
  17. Review
  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

5 authors.

Linda TeriDepartment of Psychosocial and Community Health, University of Washington, Seattle.
Rebecca G LogsdonDepartment of Psychosocial and Community Health, University of Washington, Seattle.
Susan M McCurryDepartment of Psychosocial and Community Health, University of Washington, Seattle.
Kenneth C PikeOffice of Nursing Research, School of Nursing, University of Washington, Seattle.
Ellen L McGoughDepartment of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle.

Funding

From Evidence-Base to Practice: Implementing RDAD in AAA Community-Based ServicesR01AG041716 · NIA · UNIVERSITY OF WASHINGTON · PI TERI, LINDA · 2012 to 2016
$2.5M
Pilot Core BP30AG034592 · NIA · UNIVERSITY OF WASHINGTON · PI TERI, LINDA · 2009 to 2018
$2.2M
NIA NIH HHS P30 AG034592NIA NIH HHS R01 AG041716
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEffective community-based programs to maintain health and well-being of adults with dementia are needed. This article describes the translation, implementation, and effectiveness of a multicomponent exercise plus behavioral/psychosocial intervention (Reducing Disability in Alzheimer's Disease-NorthWest [RDAD-NW]) conducted by staff in regional Area Agencies on Aging (AAAs). RESEARCH DESIGN AND

methodsStaggered multiple baseline design was used; 10 AAAs, 20 case managers, and 255 community-residing persons with dementia (PWDs), and family caregivers were enrolled. RDAD-NW was conducted in-home over 6 weeks with aerobic/endurance, strength, and balance/flexibility exercises, dementia education, training to increase pleasant events, and activator-behavior-consequence problem-solving approach. Outcomes included case manager treatment fidelity, and caregiver/PWD physical activity, restricted activity days, physical functioning, quality of life, and affect.

resultsRDAD-NW was successfully translated and implemented by AAA agency staff through their usual service provision mechanisms. Staff responded positively and delivered the program with a high degree of fidelity. Caregiver/PWD dyads also responded favorably engaging in both exercise and behavioral/psychosocial portions of the program. A total of 207 dyads (81%) completed the intervention and 140 (55%) completed the 13-month follow-up. PWD physical activity increased significantly pre- to posttreatment (p < .001, ES = .54), and 13 months (p < .01, ES = .21). Quality of life of PWD increased significantly pre- to posttreatment (p < .001, ES = .29); caregiver depression improved pre- to posttreatment (p = .01, ES = -.18). DISCUSSION AND IMPLICATIONS: RDAD-NW was successfully translated and implemented by AAA case managers and resulted in increased physical activity and improved behavioral and emotional outcomes of caregiver/PWDs. Results support continued dissemination and implementation of RDAD-NW. CLINICAL TRIALS REGISTRATION: NCT01708304.

Indexed as

AdultAgedAged, 80 and overAlzheimer DiseaseCaregiversCase ManagersCommunity Health ServicesDementiaEvidence-Based PracticeExerciseExercise TherapyFemaleHumansMaleMiddle AgedProgram EvaluationBehavior managementExercise/physical activityHome and community-based care and servicesRDAD

Identifiers

PMID30304477
PMCPMC7117621

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.