Trial reportContemporary clinical trials2019
Embedding caregiver support in community-based services for older adults: A multi-site randomized trial to test the Adult Day Service Plus Program (ADS Plus).
Trial report in Contemporary clinical trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02927821 (Improving Outcome for Family Caregivers of Older Adults With Complex Conditions), which is not on this map. Cited by 26 papers.
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.
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.
Improving Outcome for Family Caregivers of Older Adults With Complex Conditions: The Adult Day Plus (ADS Plus) Program
Who cites it
26 citing papers in PubMed.
- Understanding the implementation process of the Adult Day Services Plus program.BMC geriatrics · 2025Trial
- Embedding Caregiver Support Within Adult Day Services: Outcomes of a Multisite Trial.The Gerontologist · 2024Trial
- Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.Journal of the American Medical Directors Association · 2022Trial
- Implications of the COVID-19 Pandemic on Adult Day Services and the Families They Serve.American journal of Alzheimer's disease and other dementiasTrial
- "But Then They Don't Use the Same Money to Give Us Services": Attitudes and Perspectives on Dementia Care Community-Based Research in Hispanic Communities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Dementia Caregivers' Perspectives on Technology's Place in Care Practices: Mixed Methods Survey.JMIR formative research · 2025Article
- How did the Sudden Closures of Adult Day Services During COVID-19 Impact Dementia Care Dyads?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Fidelity matters: implementing ADS Plus, an evidence-based program, in multiple adult day service sites.Innovation in aging · 2025Article
- Interventions by Rehabilitation Nurse Specialists in the Training of Informal Carers of Older People at Home with Chronic Diseases: A Scoping Review.International journal of environmental research and public health · 2025Article
- Toward a payment model for augmenting Adult Day Services (ADS) with caregiver support: costs, willingness, and ability to pay for the ADS Plus program.Innovation in aging · 2025Article
- Using Hybrid Effectiveness Studies to Facilitate Implementation in Community-Based Settings: Three Case Studies in Dementia Care Research.Journal of the American Medical Directors Association · 2024Article
- Qualitative Analysis of Implementation Factors of an Embedded Caregiver Support Intervention into Adult Day Services.Journal of Alzheimer's disease : JAD · 2024Article
- Implementation and dissemination of home- and community-based interventions for informal caregivers of people living with dementia: a systematic scoping review.Implementation science : IS · 2023Article
- It's More Than Language: Cultural Adaptation of a Proven Dementia Care Intervention for Hispanic/Latino Caregivers.The Gerontologist · 2023Article
- Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research.The Gerontologist · 2022Article
- Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.Journal of the American Geriatrics Society · 2022Article
- Engaging and Supporting Care Partners of Persons With Dementia in Health-Care Delivery: Results From a National Consensus Conference.The Public policy and aging report · 2022Article
- COVID-19 and the Need for Adult Day Services.Journal of the American Medical Directors Association · 2021Article
- Unmet needs for assistance related to subjective cognitive decline among community-dwelling middle-aged and older adults in the US: prevalence and impact on health-related quality of life.International psychogeriatrics · 2021Article
- Using the half normal distribution to quantify covariate balance in cluster-randomized pragmatic trials.Trials · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
There are over five million people in the United States living with dementia. Most live at home and are cared for by family. These family caregivers often assume care responsibilities without education about the disease, skills training, or support, and in turn become at risk for depression, burden, and adverse health outcomes when compared to non-dementia caregivers. Despite over 200 caregiver interventions with proven benefits, many caregivers lack access to these programs. One approach to enhance access is to embed evidence-based caregiver support programs in existing community-based services for people with dementia such as adult day services (ADS). Here we describe the protocol for an embedded pragmatic trial designed to augment standard ADS known as ADS Plus. ADS Plus provides family caregivers with support via education, referrals, and problem-solving techniques over 12 months, and is delivered on-site by existing ADS staff. Embedding a program in ADS requires an understanding of outcomes and implementation processes in that specific context. Thus, we deploy a hybrid design involving a cluster randomized two-group trial to evaluate treatment effects on caregiver wellbeing, ADS utilization, as well as nursing home placement. We describe implementation practices in 30 to 50 geographically and racially/ethnically diverse participating sites. Clinical trial registration #: NCT02927821.
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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.