Evidence map›Paper›PMID 31930736›Full record

Observational studyJournal of the American Geriatrics Society2020

The Impact of Home Health Physical Therapy on Medicare Beneficiaries With a Primary Diagnosis of Dementia.

Cherie V LeDoux, Richard C Lindrooth, Katie J Seidler, Jason R Falvey, Jennifer E Stevens-Lapsley

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors Association · 2026
    Article
  2. Observational
  3. Racial and Ethnic Differences in Post-acute Home Health Services Among Older Adults With Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

5 authors at 4 institutions in 1 country.

Cherie V LeDouxDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID 0000-0003-1724-2826
Richard C LindroothDepartment of Health Systems, Management and Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Katie J SeidlerDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Jason R FalveyDivision of Geriatrics, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-9063-0617
Jennifer E Stevens-LapsleyDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USColorado School of Public Health · USGeriatric Research Education and Clinical Center · USYale University · US

Funding

Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
Movement pattern biofeedback training after total knee arthroplastyR01AG056585 · NIA · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2017 to 2021
$3.3M
Impact of impaired physical function on emergency room utilization, hospitalization, and nursing home admission in community-based long-term settingsF31AG056069 · NIA · UNIVERSITY OF COLORADO DENVER · PI FALVEY, JASON RAYMOND · 2017 to 2017
$29k
HSRD VA SDR 02-237NIA NIH HHS F31 AG056069NIA NIH HHS R01 AG056585NIA NIH HHS T32 AG019134
6 · The paper itself

Abstract

backgroundDementia is a leading cause of disability for adults older than 65 years. Exercise intervention slows functional decline and improves balance; however, the efficacy of physical therapy (PT) services for persons with dementia is unknown. The purpose of this study is to assess the effect of home health PT services on physical function for Medicare beneficiaries with a primary diagnosis of dementia.

designObservational cohort study using a combined Medicare data set of home health beneficiaries; we performed augmented inverse probability weighted regression with demographic, comorbidity, and symptom-level characteristics analyzed as covariates.

settingHome healthcare, United States, 2012.

participantsMedicare beneficiaries who had a primary diagnosis of dementia and home health function evaluations at discharge (n = 1477).

interventionPT treatment, examined by (1) any PT and (2) PT visit number. MEASUREMENT: Improvement in composite activity of daily living (ADL) scores from home health admit to discharge.

resultsAny PT increased the probability of improvement in ADLs by 15.2% (P < .001). Compared to 1 to 5 PT visits, 6 to 13 visits increased the probability of ADL improvement by 11.6% (P < .001).

conclusionPT intervention is beneficial for ADL function improvement in Medicare home health beneficiaries with a primary diagnosis of dementia. J Am Geriatr Soc 68:867-871, 2020.

Indexed as

Activities of Daily LivingAgedAged, 80 and overCohort StudiesDementiaFee-for-Service PlansFemaleGeriatric AssessmentHome Care ServicesHumansMaleMedicarePhysical Therapy ModalitiesTreatment OutcomeUnited Statesdementiahome healthphysical functionphysical therapypropensity score

Identifiers

PMID31930736
PMCPMC9261466
OpenAlexW2999824184

What OpenQuestion holds

Textmetadata
LicenceTDM
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.