Evidence map›Paper›PMID 31837269›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2020

Patterns of Home Environmental Modification Use and Functional Health: The Women's Health Initiative.

Laura M Welti, Kristen M Beavers, Annie Mampieri, Stephen R Rapp, Edward Ip, Sally A Shumaker, Daniel P Beavers

Open access · greenAbstract readClinical TrialMulticenter StudyObservational Study
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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 1 institution in 1 country.

Laura M WeltiDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina.
Kristen M BeaversDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina.
Annie MampieriDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina.
Stephen R RappDepartment of Psychiatry and Behavioral Medicine Research, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Edward IpDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Sally A ShumakerDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Daniel P BeaversDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Wake Forest University · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Wake Forest Alzheimer's Disease Core CenterP30AG049638 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ESPELAND, MARK ANDREW · 2016 to 2020
$12.2M
Home Environmental Modifications and Functional Independence in Older WomenR03AG049232 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BEAVERS, DANIEL P · 2016 to 2017
$155k
NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018CNIA NIH HHS P30 AG021332NIA NIH HHS P30 AG049638NIA NIH HHS R03 AG049232
6 · The paper itself

Abstract

backgroundWe examined common patterns of home environmental modification (HEM) use and associated major (including disability-, cardiovascular-, and cancer-related) health conditions and events among older women.

methodsWomen, aged 78.6 ± 6.3 years (n = 71,257), self-reported utilization of nine types of HEMs (hand rails, grab bars, ramps, nonslip surfaces, tacking carpets/rugs, decreasing clutter, increasing lighting, raised sink/counter heights, other). Concurrent history of major health conditions and events was collected. Odds ratios (ORs) were estimated based on overall HEM use and four latent classes (low HEM use [56%], rails/grab bars [20%], lighting/decluttering [18%], high HEM use [5%]), adjusted for age, marital status, race/ethnicity, education, depression, and obesity.

resultsFifty-five percent of women reported using any HEM (overall), with strongest associations among disability-related conditions. Activities of daily living limitations were strongly associated with high HEM use (OR = 8.16, 95% confidence interval [CI] = 6.62-10.05), railing/grab bar use (OR = 4.02, 95% CI = 3.26-4.95), and lighting/declutter use (OR = 1.87, 95% CI = 1.40-2.50) versus low HEM use. Recent falls were positively associated with overall HEM use (OR = 1.79, 95% CI = 1.72-1.87); high HEM use (OR = 2.89, 95% CI = 2.64-3.16), railings/grab bars use (OR = 2.32, 95% CI = 2.18-2.48), and lighting/declutter use (OR = 1.93, 95% CI = 1.79-2.08) were positively associated with recent falls. Modest associations were observed between HEM use and select (ie, atrial fibrillation, heart valve disease, stroke) cardiovascular outcomes.

conclusionsAmong older women, disability-related conditions, including functional limitations and recent falls, were strongly associated with overall HEM use, high HEM use, and railings/grab bar use.

Indexed as

Environment DesignHousingSelf-Help DevicesAccidents, HomeActivities of Daily LivingAgedDisability EvaluationFemaleGeriatric AssessmentHumansLatent Class AnalysisMiddle AgedWomen's HealthAging in placeDisabilityFunctional independenceLatent class analysisMajor health events

Identifiers

PMID31837269
PMCPMC7566318
OpenAlexW2995609954

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.