Evidence map›Paper›PMID 32237994›Full record

ArticleAmerican journal of Alzheimer's disease and other dementias

Addressing Behavioral Symptoms of Dementia Through STAR-VA Implementation: Do Outcomes Vary by Behavior Type?

Jenefer M Jedele, Kim Curyto, Brian M Ludwin, Michele J Karel

Open access · goldAbstract read
In one paragraph

Article in American journal of Alzheimer's disease and other dementias. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. No Wrong Floor on the Elevator: A Vision for the VA as an Age-Friendly Health System.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  3. Article
  4. 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

4 authors at 3 institutions in 1 country.

Jenefer M JedeleSerious Mental Illness Treatment Resource Evaluation Center, Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Ann Arbor, MI, USA.ORCID 0000-0003-2350-1273
Kim CurytoCenter for Integrated Healthcare, VA Western NY Healthcare System, Department of Veterans Affairs, Batavia, NY, USA.ORCID 0000-0002-5342-0370
Brian M LudwinNew England Geriatric Research Education and Clinical Center, Edith Nourse Rogers Memorial Veterans Hospital, Department of Veterans Affairs, Bedford, MA, USA.
Michele J KarelOffice of Mental Health and Suicide Prevention, Department of Veterans Affairs, Washington, DC, USA.
Edith Nourse Rogers Memorial Veterans Hospital · USNew York State Office of Mental Health · USVA Western New York Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe STAR-VA program in Veterans Health Administration Community Living Centers (CLCs, nursing home settings) trains teams to implement a psychosocial intervention with residents with behavioral symptoms of dementia (BSD).

methodsAcross 71 CLCs, 302 residents selected as training cases had target behaviors categorized into one of 5 types: physically aggressive (PA), physically nonaggressive, verbally aggressive, verbally nonaggressive, and behavior deficit (BD).

resultsAcross all groups, there were significant declines in team-rated behavior frequency (36%) and severity (44%), agitation (10%), distress behaviors (42%), depression (17%), and anxiety (20%). The magnitude of changes varied across behavior category. For example, those with a PA target behavior experienced a greater percentage decline in agitation and distress behavior scores, and those with a BD target behavior experienced a greater percentage decline in depressive and anxiety symptoms.

conclusionsSTAR-VA, a multicomponent intervention, is generally effective across various types of behavioral symptoms associated with dementia.

Indexed as

Nursing HomesPhysical AbuseUnited States Department of Veterans AffairsAgedAged, 80 and overAggressionDementiaFemaleHumansMalePsychomotor AgitationUnited StatesVeteransbehavioral and psychological symptomsdementiaecopsychosocial interventionsnursing homesveterans

Identifiers

PMID32237994
PMCPMC10623909
OpenAlexW3014779062

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.