SynthesisJournal of general internal medicine2020
Interventions to Prevent or Delay Long-Term Nursing Home Placement for Adults with Impairments-a Systematic Review of Reviews.
Synthesis in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review.BMC geriatrics · 2026Pooled it
- Evaluation of Hybrid-Virtual Home Visits for Comprehensive Geriatric Management: A Quality Improvement Project.Journal of general internal medicine · 2026Article
- The economics of decision-making in dementia care and related life-limiting illness: a narrative review.Health economics review · 2026Review
- Models of care across settings supporting ageing in place: a narrative review.The Medical journal of Australia · 2025Review
- Non-medical barriers and facilitators of ageing in place: a cohort study in the Netherlands.European journal of ageing · 2025Article
- The in- and outpatient health care use of patients with COPD before and after initiation of home care: a registry study from Norway.Scandinavian journal of primary health care · 2025Article
- Association of home and community-based services and cognitive function of Chinese older adults: social participation as a mediator.BMC geriatrics · 2023Article
- Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older.Geriatrics (Basel, Switzerland) · 2023Article
- Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Effectiveness of a home health monitoring and education program for complex chronic patients, led by primary care nurses.Frontiers in public health · 2023Article
- Technology to support aging in place: key messages for policymakers and funders.Frontiers in psychology · 2023Review
- Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living.PloS one · 2023Article
- Improving Prediction of Long-Term Care Utilization Through Patient-Reported Measures: Cross-Sectional Analysis of High-Need U.S. Veterans Affairs Patients.Medical care research and review : MCRR · 2022Article
- Engaging Veterans, caregivers, and system stakeholders to improve VA home and community-based services.Health services research · 2022Article
- Long-term care service mix in the Veterans Health Administration after home care expansion.Health services research · 2021Article
- Article
- Comparing the case-mix of frail older people at home and of those being admitted into residential care: a longitudinal study.BMC geriatrics · 2020Article
- Interventions to Facilitate Access to Long-Term Care for Community-Dwelling Older Adults: A Scoping Review.Research on agingArticle
- Supporting Veterans with dementia to remain in the community: strategies used in 12 Veterans Health Administration programs.Home health care services quarterlyArticle
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 at 3 institutions in 1 country.
Funding
Abstract
backgroundWith continued growth in the older adult population, US federal and state costs for long-term care services are projected to increase. Recent policy changes have shifted funding to home and community-based services (HCBS), but it remains unclear whether HCBS can prevent or delay long-term nursing home placement (NHP).
methodsWe searched MEDLINE (OVID), Sociological Abstracts, PsycINFO, CINAHL, and Embase (from inception through September 2018); and Cochrane Database of Systematic Reviews, Joanna Briggs Institute Database, AHRQ Evidence-based Practice Center, and VA Evidence Synthesis Program reports (from inception through November 2018) for English-language systematic reviews. We also sought expert referrals. Eligible reviews addressed HCBS for community-dwelling adults with, or at risk of developing, physical and/or cognitive impairments. Two individuals rated quality (using modified AMSTAR 2) and abstracted review characteristics, including definition of NHP and interventions. From a prioritized subset of the highest-quality and most recent reviews, we abstracted intervention effects and strength of evidence (as reported by review authors).
resultsOf 47 eligible reviews, most focused on caregiver support (n = 10), respite care and adult day programs (n = 9), case management (n = 8), and preventive home visits (n = 6). Among 20 prioritized reviews, 12 exclusively included randomized controlled trials, while the rest also included observational studies. Prioritized reviews found no overall benefit or inconsistent effects for caregiver support (n = 2), respite care and adult day programs (n = 3), case management (n = 4), and preventive home visits (n = 2). For caregiver support, case management, and preventive home visits, some reviews highlighted that a few studies of higher-intensity models reduced NHP. Reviews on other interventions (n = 9) generally found a lack of evidence examining NHP. DISCUSSION: Evidence indicated no benefit or inconsistent effects of HCBS in preventing or delaying NHP. Demonstration of substantial impacts on NHP may require longer-term studies of higher-intensity interventions that can be adapted for a variety of settings. Registration PROSPERO # CRD42018116198.
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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.