Evidence map›Paper›PMID 31112604›Full record

ArticleThe Gerontologist2020

Paid Caregiver Communication With Homebound Older Adults, Their Families, and the Health Care Team.

Jennifer M Reckrey, Emma T Geduldig, Lee A Lindquist, R Sean Morrison, Kathrin Boerner, Alex D Federman, Abraham A Brody

Open access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. When Do Paid Caregivers Support the Health of Older Adults? Geriatrician Perspectives.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
  6. Variation in Hospice Aide Care by Residential Setting.Journal of palliative medicine · 2024
    Article
  7. Article
  8. Article
  9. The Social Ecology of Caregiving: Applying the Social-Ecological Model across the Life Course.International journal of environmental research and public health · 2024
    Article
  10. Article
  11. Associations Between Use of Paid Help and Care Experiences Among Medicare-Medicaid Enrolled Older Adults With and Without Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  12. Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  13. Article
  14. Family Caregiver Perspectives on Benefits and Challenges of Caring for Older Adults With Paid Caregivers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Health Literacy among Non-Familial Caregivers of Older Adults: A Study Conducted in Tuscany (Italy).International journal of environmental research and public health · 2019
    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

7 authors at 5 institutions in 1 country.

Jennifer M ReckreyDepartment of Geriatrics and Palliative Medicine, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Emma T GeduldigDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
Lee A LindquistDepartment of Medicine, Division of General Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
R Sean MorrisonDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Kathrin BoernerDepartment of Gerontology, University of Massachusetts Boston, New York.
Alex D FedermanDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York.
Abraham A BrodyDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Icahn School of Medicine at Mount Sinai · USGeriatric Research Education and Clinical Center · USJames J. Peters VA Medical Center · USNorthwestern University · USUniversity of Massachusetts Boston · US

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNA INTRATOR · 2010 to 2026
$21.9M
Home-based Primary Care for Homebound Seniors: a Randomized Controlled TrialR01AG052557 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FEDERMAN, ALEX D · 2016 to 2020
$3.5M
Paid Caregiving Among Persons with Dementia: Patient and Family Caregiver OutcomesR03AG060092 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RECKREY, JENNIFER M · 2018 to 2019
$254k
NIA NIH HHS P30 AG028741NIA NIH HHS R01 AG052557NIA NIH HHS R03 AG060092
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough paid caregivers (e.g., home health aides and home care workers) provide essential care for homebound older adults with serious illness in their homes, little is known about how and to whom paid caregivers communicate about the health needs they encounter. This study explored how paid caregivers (i) communicate when older adults experience symptoms or clinical changes and (ii) interact with the health care team. RESEARCH DESIGN AND

methodsWe conducted separate one-on-one, semi-structured interviews (n = 30) lasting 40-60 min with homebound older adults (or their proxies if they had cognitive impairment) and their paid caregivers (provided they had worked with the older adult for ≥8 hr per week for ≥6 months). Interviews were audio-recorded, transcribed, and coded.

resultsThematic analysis identified four themes: (i) older adults or their families were the gatekeepers to paid caregiver communication with the health care team; (ii) communication between older adults, their families, and paid caregivers was enhanced when close relationships were present; (iii) paid caregivers responded to health care team inquiries but rarely communicated proactively; and (4) most older adults, families, and paid caregivers were satisfied with existing paid caregiver communication with the health care team. DISCUSSION AND IMPLICATIONS: Rather than discuss concerns with the health care team, paid caregivers communicated directly with older adults or their families about the health needs they encounter. Understanding how communication occurs in the home is the first step to maximizing the potentially positive impact of paid caregivers on the health of older adults living at home.

Indexed as

CommunicationFamilyHomebound PersonsHome Health AidesPatient Care TeamAdultAgedAged, 80 and overCaregiversFemaleHome Care ServicesHome NursingHumansMaleMiddle AgedCaregivingDirect care workerHome careQualitative researchWorkforce

Identifiers

PMID31112604
PMCPMC7228443
OpenAlexW2946731830

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.