Evidence map›Paper›PMID 31866419›Full record

Trial reportJournal of the American Medical Directors Association2020

Effectiveness of Powerful Tools for Caregivers on Caregiver Burden and on Care Recipient Behavioral and Psychological Symptoms of Dementia: A Randomized Controlled Trial.

Antonio Terracciano, Ashley Artese, Jenie Yeh, LaVon Edgerton, Lisa Granville, Damaris Aschwanden, Martina Luchetti, Robert L Glueckauf, Yannick Stephan, Angelina R Sutin and 1 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02697721 (Optimization of "Powerful Tools for Caregivers" of Dementia Patients), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT02697721 nacompletednot on this map

Optimization of "Powerful Tools for Caregivers" of Dementia Patients

TypeinterventionalSponsorFlorida State UniversityRan2016 to 2019Enrolled60ConditionsCaregivers, Dementia, Alzheimer DiseaseArmsPowerful Tools for Caregivers, Control with delayed intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 3 institutions in 2 countries.

Antonio TerraccianoCollege of Medicine, Florida State University, Tallahassee, FL. Electronic address: antonio.terracciano@med.fsu.edu.
Ashley ArteseHealth and Human Performance, Roanoke College, Salem, VA.
Jenie YehCollege of Medicine, Florida State University, Tallahassee, FL.
LaVon EdgertonCollege of Medicine, Florida State University, Tallahassee, FL.
Lisa GranvilleCollege of Medicine, Florida State University, Tallahassee, FL.
Damaris AschwandenCollege of Medicine, Florida State University, Tallahassee, FL.
Martina LuchettiCollege of Medicine, Florida State University, Tallahassee, FL.
Robert L GlueckaufCollege of Medicine, Florida State University, Tallahassee, FL.
Yannick StephanEuromov, University of Montpellier, Montpellier, France.
Angelina R SutinCollege of Medicine, Florida State University, Tallahassee, FL.
Paul KatzCollege of Medicine, Florida State University, Tallahassee, FL.
Florida State University · USRoanoke College · USUniversité de Montpellier · FR

Funding

Prenatal and Early Life Antecedents of Personality: An Intergenerational Lifespan ApproachR01AG053297 · NIA · FLORIDA STATE UNIVERSITY · PI Angelina R Sutin · 2017 to 2026
$4.3M
Uric acid and behavioral and psychological symptoms of dementiaR21AG057917 · NIA · FLORIDA STATE UNIVERSITY · PI TERRACCIANO, ANTONIO · 2018 to 2019
$422k
NIA NIH HHS R01 AG053297NIA NIH HHS R21 AG057917
6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the effectiveness of a psychoeducational intervention, Powerful Tools for Caregivers (PTC), for family caregivers of individuals with dementia.

designA pragmatic, 2-arm randomized controlled trial compared the PTC intervention, as delivered in practice, to usual care. Participants randomized to usual care functioned as a control group and then received the PTC intervention.

interventionPTC is a 6-week manualized program that includes weekly 2-hour classes in a group setting facilitated by 2 trained and certified leaders. The educational program helps caregivers to enhance self-care practices and manage emotional distress. SETTING AND

participantsTwo stakeholder organizations delivered the intervention in community settings. Participants were family caregivers of individuals with dementia recruited from the community in Florida.

methodsPrimary outcomes were caregiver burden and behavioral and psychological symptoms of dementia of the care recipient. Secondary outcomes included caregiver depressive symptoms, self-efficacy, self-rated health, and life satisfaction. Measures were collected at baseline (n = 60 participants), postintervention (n = 55), and at 6-week follow-up (n = 44).

resultsIntent-to-treat analyses found PTC reduced caregiver burden (d = -0.48) and depressive symptoms (d = -0.53), and increased self-confidence (d = 0.68), but found no significant benefit for behavioral and psychological symptoms of dementia in care recipients. PTC was rated highly by participants and program attrition was low, with 94% of caregivers completing at least 4 of the 6 classes. CONCLUSIONS AND IMPLICATIONS: Although no significant effects were found for behavioral and psychological symptoms of dementia, this trial supports the effectiveness of PTC to improve caregiver outcomes as delivered in the community.

Indexed as

CaregiversDementiaCaregiver BurdenFloridaHumansQuality of LifeAlzheimer's diseasebehavioral and psychological symptoms of dementiaburdenCaregiverdementiadepressive symptoms

Identifiers

PMID31866419
PMCPMC7302999
OpenAlexW2996418440

What OpenQuestion holds

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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.