Evidence map›Paper›PMID 32057083›Full record

ReviewThe Gerontologist2020

Social Determinants of Health: Underreported Heterogeneity in Systematic Reviews of Caregiver Interventions.

Heather M Young, Janice F Bell, Robin L Whitney, Ronit A Ridberg, Sarah C Reed, Peter P Vitaliano

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06635876 (Piloting an Online Emergency Preparedness Toolkit for Caregivers Preparing for Their Own Health Care Emergency), which is not on this map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
10.9field-weighted citation impact, top 1% 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.

NCT06635876 nacompletednot on this mapstarted 2025, after this paper: background citation

Piloting an Online Emergency Preparedness Toolkit for Caregivers Preparing for Their Own Health Care Emergency

TypeinterventionalSponsorUniversity of California, DavisRan2025 to 2026Enrolled72ConditionsDementia, Caregiver BurdenArmsCoaching Sessions
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  6. "Don't tell me I'm going to feel joy": The emotional burden of informal caregivers of patients with a fragility fracture discharged from a rehabilitation hospital.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  9. Review
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  14. The Saskatchewan Caregiver Experience Study: Support Priorities of Caregivers of Older Adults.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Article
  15. Article
  16. Article
  17. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  18. Integrating Perspectives on Family Caregiving After Critical Illness: A Qualitative Content Analysis.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2024
    Article
  19. Article
  20. 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

6 authors at 5 institutions in 1 country.

Heather M YoungBetty Irene Moore School of Nursing, University of California, Davis, Sacramento.
Janice F BellBetty Irene Moore School of Nursing, University of California, Davis, Sacramento.
Robin L WhitneyThe Valley Foundation School of Nursing, San Jose State University, San Jose, California.
Ronit A RidbergCenter for Healthcare Policy and Research, University of California, Davis, Sacramento.
Sarah C ReedBetty Irene Moore School of Nursing, University of California, Davis, Sacramento.
Peter P VitalianoDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
University of California, Davis · USCenter For Policy Research · USSan Jose State University · USUC Davis Health System · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough most people have some experience as caregivers, the nature and context of care are highly variable. Caregiving, socioeconomic factors, and health are all interrelated. For these reasons, caregiver interventions must consider these factors. This review examines the degree to which caregiver intervention research has reported and considered social determinants of health. RESEARCH DESIGN AND

methodsWe examined published systematic reviews and meta-analyses of interventions for older adults with age-related chronic conditions using the PRISMA and AMSTAR 2 checklists. From 2,707 papers meeting search criteria, we identified 197 potentially relevant systematic reviews, and selected 33 for the final analysis.

resultsWe found scant information on the inclusion of social determinants; the papers lacked specificity regarding race/ethnicity, gender, sexual identity, socioeconomic status, and geographic location. The majority of studies focused on dementia, with other conditions common in later life vastly underrepresented. DISCUSSION AND IMPLICATIONS: Significant gaps in evidence persist, particularly for interventions targeting diverse conditions and populations. To advance health equity and improve the effectiveness of interventions, research should address caregiver heterogeneity and improve assessment, support, and instruction for diverse populations. Research must identify aspects of heterogeneity that matter in intervention design, while recognizing opportunities for common elements and strategies.

Indexed as

CaregiversSocial Determinants of HealthSystematic Reviews as TopicAgedChronic DiseaseDementiaHealthcare DisparitiesHumansMiddle AgedQuality of LifeAMSTAR 2Health disparitiesIntervention specificity

Identifiers

PMID32057083
PMCPMC7019663
OpenAlexW3005540323

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.