Evidence map›Paper›PMID 31679047›Full record

SynthesisSocial psychiatry and psychiatric epidemiology2020

Developing the New Interventions for independence in Dementia Study (NIDUS) theoretical model for supporting people to live well with dementia at home for longer: a systematic review of theoretical models and Randomised Controlled Trial evidence.

Kathryn Lord, Jules Beresford-Dent, Penny Rapaport, Alex Burton, Monica Leverton, Kate Walters, Iain Lang, Murna Downs, Jill Manthorpe, Sue Boex and 3 more

Open access · hybridAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The DREAMS START intervention for sleep in dementia: Long-term follow-up of a randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  10. Review
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  12. Home Care Workers Providing Person-Centered Care to People With Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    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

13 authors at 6 institutions in 1 country.

Kathryn LordFaculty of Health Studies, Centre for Applied Dementia Studies, Horton A Building, Richmond Road, Bradford, BD7 1DP, UK.
Jules Beresford-DentFaculty of Health Studies, Centre for Applied Dementia Studies, Horton A Building, Richmond Road, Bradford, BD7 1DP, UK.
Penny RapaportDivision of Psychiatry, University College London, 6th Floor Maple House, Tottenham Court Road, London, W1T 7NF, UK.
Alex BurtonDivision of Psychiatry, University College London, 6th Floor Maple House, Tottenham Court Road, London, W1T 7NF, UK.
Monica LevertonDivision of Psychiatry, University College London, 6th Floor Maple House, Tottenham Court Road, London, W1T 7NF, UK.
Kate WaltersDepartment of Primary Care and Population Health, University College London, Rowland Hill Street, London, NW3 2PF, UK.
Iain LangSouth Cloisters, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Murna DownsFaculty of Health Studies, Centre for Applied Dementia Studies, Horton A Building, Richmond Road, Bradford, BD7 1DP, UK.
Jill ManthorpeSocial Care Workforce Research Unit, King's College London, London, WC2R 2LS, UK.
Sue BoexAlzheimer's Society Research Network Volunteer, London, UK.
Joy JacksonAlzheimer's Society Research Network Volunteer, London, UK.
Margaret OgdenAlzheimer's Society Research Network Volunteer, London, UK.
Claudia CooperDivision of Psychiatry, University College London, 6th Floor Maple House, Tottenham Court Road, London, W1T 7NF, UK. Claudia.cooper@ucl.ac.uk.ORCID http://orcid.org/0000-0002-2777-7616
Alzheimer's Society · GBUniversity College London · GBCourtauld Institute of Art · GBKing's College London · GBRoland Hill (United Kingdom) · GBUniversity of Exeter · GB

Funding

Alzheimer's Society 330
6 · The paper itself

Abstract

purposeTo build an evidence-informed theoretical model describing how to support people with dementia to live well or for longer at home.

methodsWe searched electronic databases to August 2018 for papers meeting predetermined inclusion criteria in two reviews that informed our model. We scoped literature for theoretical models of how to enable people with dementia to live at home independently, with good life quality or for longer. We systematically reviewed Randomised Controlled Trials (RCTs) reporting psychosocial intervention effects on time lived with dementia at home. Two researchers independently rated risk of bias. We developed our theoretical model through discussions with experts by personal, clinical and academic experiences, informed by this evidence base.

resultsOur scoping review included 52 studies. We divided models identified into: values and approaches (relational and recovery models; optimising environment and activities; family carer skills and support); care strategies (family carer-focused; needs and goal-based; self-management); and service models (case management; integrated; consumer-directed). The 11 RCTs included in our systematic review, all judged at low risk of bias, described only two interventions that increased time people with dementia lived in their own homes. These collectively encompassed all these components except for consumer-directed and integrated care. We developed and revised our model, using review evidence and expert consultation to define the final model.

conclusionsOur theoretical model describes values, care strategies and service models that can be used in the design of interventions to enable people with dementia to live well and for longer at home.

trial registrationPROSPERO 2018 registration number: CRD42018099693 (scoping review). PROSPERO 2018 registration number: CRD42018099200 (RCT systematic review).

Indexed as

Case ManagementCaregiversDementiaHome NursingHumansIndependent LivingModels, TheoreticalQuality of LifeRandomized Controlled Trials as TopicDementiaHome careTheoretical models

Identifiers

PMID31679047
OpenAlexW2985010065

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.