Evidence map›Paper›PMID 31425586›Full record

ArticleThe Gerontologist2020

Daily Context for Abusive and Neglectful Behavior in Family Caregiving for Dementia.

Carolyn E Z Pickering, Maria Yefimova, Christopher Maxwell, Frank Puga, Tami Sullivan

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 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Elder Mistreatment Within Stroke Family Caregiving.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  8. Article
  9. Delirium-like symptomatology in community-dwelling older adults with dementia.Psychogeriatrics : the official journal of the Japanese Psychogeriatric 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

5 authors at 4 institutions in 1 country.

Carolyn E Z PickeringSchool of Nursing, University of Texas Health Science Center at San Antonio, Menlo Park, California.
Maria YefimovaCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California.
Christopher MaxwellSchool of Criminal Justice, Michigan State University, East Lansing.
Frank PugaSchool of Nursing, University of Texas Health Science Center at San Antonio, Menlo Park, California.
Tami SullivanDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Menlo School · USCenter for Innovation · USMichigan State University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Daily Dynamics and Long-Term Trajectories of Elder Abuse and Neglect in the Family CaregivingR01AG060083 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PICKERING, CAROLYN E ZIMINSKI · 2018 to 2021
$1.7M
NCATS NIH HHS UL1 TR001863NIA NIH HHS R01 AG060083
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe purpose of this study was to identify risk and protective factors for abusive and neglectful behavior in the context of daily caregiving. RESEARCH DESIGN AND

methodsFamily caregivers who co-reside with a care recipient with Alzheimer's disease and related dementia, recruited from social media, completed 21-days of diaries. Multilevel modeling with days (n = 831) nested within caregivers (N = 50) was used to evaluate relationships between hypothesized risk and protective factors and the odds of an abusive or neglectful behavior on a given day.

resultsDisruptions in the daily routine and stress of the caregiver related to behavioral symptoms of the care recipient are significant risk factors for abusive and neglectful behavior. Participating in a meaningful activity with the care recipient when it occurs twice in a day is a significant protective factor against use of a neglect behavior (OR = 0.19; CI 0.06-0.64; p = .01), but not for abusive behavior. Hypotheses that spending the full day together would increase risk, and that receipt of instrumental support and caregiver participation in self-care would decrease risk, were not supported. DISCUSSION AND IMPLICATIONS: Findings demonstrate that risk of an abusive or neglectful behavior varies from day-to-day in the presence and absence of contextual factors, and that the majority of the variance in the odds an abusive or neglectful behavior occurring is related to day-level factors. Findings demonstrate that diary surveys are critical to identifying ecologically valid modifiable risk and protective factors for abusive and neglectful behaviors that can be targeted in future interventions.

Indexed as

Activities of Daily LivingAdultAgedAggressionAlzheimer DiseaseCaregiversDementiaDiaries as TopicElder AbuseFemaleHumansMaleMiddle AgedRisk FactorsSelf CareSurveys and QuestionnairesDaily diaryDementiaElder mistreatmentFamily caregivingMicro-longitudinal

Identifiers

PMID31425586
PMCPMC7350411
OpenAlexW2969345001

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.