Evidence map›Paper›PMID 32588985›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2020

Difficulty and help with activities of daily living among older adults living alone with cognitive impairment.

Ryan D Edwards, Willa D Brenowitz, Elena Portacolone, Ken E Covinsky, Andrew Bindman, M Maria Glymour, Jacqueline M Torres

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Housing characteristics of older adults with cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  8. Article
  9. Examining Help-Seeking Behavior in People Living Alone With Cognitive Impairment.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. "How do You Take that Much Time for One Person's Life?" Experiences of Dementia Caregivers Who are Not Immediate Family.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  18. Article
  19. Exploring the impact of early-stage dementia on everyday activities.The British journal of occupational therapy · 2024
    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

7 authors.

Ryan D EdwardsDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Willa D BrenowitzDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Elena PortacoloneInstitute for Health & Aging, University of California, San Francisco, California, USA.
Ken E CovinskyDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Andrew BindmanPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.
M Maria GlymourDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Jacqueline M TorresDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
Unnecessary and Harmful Medication Use in Older Adults with DementiaP01AG066605 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MELISSA Diane ALDRIDGE · 2020 to 2026
$17.7M
Translational Epidemiology - Training for Research on Aging and Chronic diseaseT32AG049663 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Elizabeth Rose Mayeda, Mark J Pletcher · 2016 to 2026
$5.8M
Living Alone in Older Age with Cognitive ImpairmentK01AG049102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2015 to 2019
$724k
A cross-national perspective on social integration and cognitive aging for Mexican-origin adults in the U.S. and Mexico: Quantifying the effects of both local and cross-border social integrationK01AG056602 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TORRES, JACQUELINE MARIE · 2017 to 2021
$652k
Access and use of long-term services and supports for older adults living alone with Alzheimer's disease and related dementias from four racial/ethnic groupsR56AG062165 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2018 to 2018
$617k
NIA NIH HHS K01 AG049102NIA NIH HHS K01 AG056602NIA NIH HHS K01AG056602NIA NIH HHS P01 AG066605NIA NIH HHS P30 AG044281NIA NIH HHS R56 AG062165NIA NIH HHS R56AG062165NIA NIH HHS T32 AG049663NIA NIH HHS T32AG049663
6 · The paper itself

Abstract

introductionThere is limited research on difficulties with activities of daily living (I/ADLs) among older adults living alone with cognitive impairment, including differences by race/ethnicity.

methodsFor U.S. Health and Retirement Study (2000-2014) participants aged 55+ living alone with cognitive impairment (4,666 individuals; 9,091 observations), we evaluated I/ADL difficulty and help.

resultsAmong 4.3 million adults aged 55+ living alone with cognitive impairment, an estimated 46% reported an I/ADL difficulty; 72% reported not receiving help with an I/ADL. Women reported more difficulty than men. Compared to white women, black women were 22% more likely to report a difficulty without help, and Latina women were 36% more likely to report a difficulty with help. Among men, racial/ethnic differences in outcomes were not significant. Patterns of difficulty without help by race/ethnicity were similar among Medicaid beneficiaries. DISCUSSION: Findings call for targeted efforts to support older adults living alone with cognitive impairment.

Indexed as

Activities of Daily LivingAgedAged, 80 and overCognitive DysfunctionFemaleHumansIndependent LivingMaleMiddle Agedactivities of daily livingaging in placeCINDdementiadisabilitylimitationsliving arrangementpopulation-based studyservice gaps

Identifiers

PMID32588985
PMCPMC7416441

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.