Evidence map›Paper›PMID 30868641›Full record

ArticleInternational journal of geriatric psychiatry2019

Problem-solving therapy reduces subjective burden levels in caregivers of family members with mild cognitive impairment or early-stage dementia: Secondary analysis of a randomized clinical trial.

Linda Garand, Jennifer Q Morse, Lichun ChiaRebecca, Jennifer Barnes, Victoria Dadebo, Oscar L Lopez, Mary Amanda Dew

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04748666 (Problem Solving Training), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT04748666 nacompletednot on this mapstarted 2021, after this paper: background citation

Problem Solving Training (PST) for English- and Spanish-speaking Care Partners of Adults With Alzheimer's and Alzheimer'S-related Dementia

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2021 to 2023Enrolled94ConditionsAlzheimer Disease, Frontotemporal Degeneration (FTD), Lewy Body Dementia (LBD), Vascular Contributions to Cognitive Impairment and Dementia (VCID)ArmsProblem Solving Training
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  8. Developing and Testing a Two-Part Intervention: Enhancing Dementia Instruction and Tool in Home Hospice Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
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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 at 3 institutions in 1 country.

Linda GarandDuquesne University School of Nursing, Pittsburgh, Pennsylvania, United States.ORCID 0000-0003-2711-2988
Jennifer Q MorseChatham University, Pittsburgh, Pennsylvania, United States.
Lichun ChiaRebeccaDuquesne University School of Nursing, Pittsburgh, Pennsylvania, United States.
Jennifer BarnesDuquesne University School of Nursing, Pittsburgh, Pennsylvania, United States.
Victoria DadeboDuquesne University School of Pharmacy, Pittsburgh, Pennsylvania, United States.
Oscar L LopezDepartments of Neurology and Psychiatry. Director, Alzheimer Disease Research Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.
Mary Amanda DewDepartments of Psychiatry, Biostatistics, Epidemiology, Psychology and Clinical and Translational Science, University of Pittsburgh Schools of Medicine and Public Health, Pittsburgh, Pennsylvania, United States.
Duquesne University · USUniversity of Pittsburgh · USChatham University · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 2011 to 2015
$8.3M
Prevention of Psychiatric Morbidity in AD CaregiversK23MH070719 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GARAND, LINDA · 2005 to 2009
$628k
NCRR NIH HHS UL1 RR024153NIA NIH HHS P50 AG005133NIMH NIH HHS K23 MH070719NIMH NIH HHS P30 MH090333
6 · The paper itself

Abstract

objectivesInterventions addressing burden have limited impact among long-term family caregivers. We examined whether problem-solving therapy (PST) would reduce burden levels of caregivers of individuals diagnosed with mild cognitive impairment (MCI) or early-stage dementia (AD).

methodsCaregivers (N = 73) randomly received PST or nutritional training (NT). Burden measures were assessed over 1-year post-intervention.

resultsRelative to NT, caregivers receiving PST endorsed improved perceived burden levels over time, regardless of the type of caregiver. Distress over the care recipient's dementia-related behaviors remained low over time among MCI caregivers receiving PST, while these burden levels among MCI caregivers receiving NT rose over time. AD caregivers receiving PST endorsed reductions in these burden levels over time, while AD caregivers in the NT group endorsed higher burden levels over time.

conclusionPST, taught early in the caregiving trajectory, improves subjective burden levels among caregivers of family members with relatively mild cognitive deficits.

Indexed as

Problem SolvingAgedAged, 80 and overCaregiversCognitive DysfunctionFamilyFemaleHumansMaleMiddle AgedPsychotherapyStress, Psychologicalcaregiver burdendementiafamily caregivingmild cognitive impairmentproblem-solving therapy

Identifiers

PMID30868641
PMCPMC6579659
OpenAlexW2922159316

What OpenQuestion holds

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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.