Evidence map›Paper›PMID 32167573›Full record

ArticleJournal of the American Geriatrics Society2020

Caregiver Needs Assessment in Primary Care: Views of Clinicians, Staff, Patients, and Caregivers.

Catherine Riffin, Jennifer L Wolff, Matthew Estill, Sheela Prabhu, Karl A Pillemer

Abstract read
In one paragraph

Article 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
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

43 citing papers in PubMed.

  1. A Pilot Trial Evaluating Collaborative Healthcare Encounters With Caregivers: A Checklist-Based Intervention for Primary Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  12. A look at caregivers for community-living persons with dementia: Implications for the GUIDE model.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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

5 authors.

Catherine RiffinDivision of Geriatrics & Palliative Medicine, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-2361-3083
Jennifer L WolffDepartment of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Matthew EstillDepartment of Internal Medicine, The Guthrie Clinic, Ithaca, New York, USA.
Sheela PrabhuDepartment of Internal Medicine, The Guthrie Clinic, Sayre, Pennsylvania, USA.
Karl A PillemerDepartment of Human Development, Cornell University, Ithaca, New York, USA.

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Promoting Research Continuity and Progress toward the Development of a Novel Screening Intervention for Family Caregivers in Primary CareK01AG061275 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI RIFFIN, CATHERINE · 2019 to 2023
$680k
NCATS NIH HHS UL1 TR002384NIA NIH HHS K01 AG061275NIA NIH HHS K01AG061275NIA NIH HHS P30 AG022845
6 · The paper itself

Abstract

objectivesTo understand current practices, challenges, and opportunities for a systematic assessment of family caregivers' needs and risks in primary care.

designQualitative study consisting of in-depth semi-structured interviews.

settingFour primary care practices located in urban and rural settings.

participantsPrimary care clinicians, staff, and administrators (N = 30), as well as older adult patients and family caregivers (N = 40), recruited using purposive and maximum variation sampling. MEASUREMENTS: Current experiences, challenges, and opportunities for integrating standardized caregiver assessment into primary care delivery. Interviews were audio-recorded and transcribed; transcripts were analyzed using the constant comparative method of data analysis.

resultsParticipating clinicians had been in practice for an average of 12.8 years (range = 1-36 y). Patients had a mean age of 84.0 years (standard deviation [SD] = 9.7); caregivers had a mean age of 67.0 years (SD = 9.3). There was wide variability in current practices for identifying caregivers' needs and risks, encompassing direct and indirect approaches, when such issues are considered. Participants posited that integrating standardized caregiver assessment into primary care delivery could help improve patient care, enhance clinician-caregiver communication, and validate caregivers' efforts. Barriers to assessment included insufficient time and reimbursement, liability concerns, lack of awareness of community resources, and concerns about patient autonomy. To facilitate future uptake of caregiver assessment, participants recommended brief self-administered assessment tools and post-screen discussions with practice staff.

conclusionIdentification of caregivers' needs and risks in primary care is highly variable. Integration of standardized caregiver assessment into practice requires coordinated changes to policy, revision of practice workflows, and an interdisciplinary approach to the development of appropriate assessment tools. J Am Geriatr Soc 68:1262-1270, 2020.

Indexed as

CaregiversHealth PersonnelNeeds AssessmentPrimary Health CareAgedAged, 80 and overFemaleHumansInterviews as TopicMaleQualitative Researchcaregivingprimary carescreening

Identifiers

PMID32167573
PMCPMC7325837

What OpenQuestion holds

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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.