Evidence map›Paper›PMID 32589277›Full record

ArticleJournal of the American Geriatrics Society2020

Dissemination and Implementation of Evidence-Based Dementia Care Using Embedded Pragmatic Trials.

Laura N Gitlin, Rosa R Baier, Eric Jutkowitz, Zachary G Baker, Allison M Gustavson, Justine S Sefcik, Nancy A Hodgson, Sokha Koeuth, Joseph E Gaugler

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 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing 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

42 citing papers in PubMed.

  1. Trial
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  8. Barriers and Facilitators for Implementing a Dementia Family Caregiver Support Strategy Among Latinos in Primary Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  9. Article
  10. Article
  11. Dissemination of the Care Ecosystem Collaborative Care Model for Dementia.Journal of the American Geriatrics Society · 2025
    Article
  12. Article
  13. Article
  14. Evidence Map of Non-Pharmacological Dementia Care Partner Interventions Implemented in the US: Gaps and Impact Opportunities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Implementing Dementia Caregiver Programs in Real-World Settings: Fidelity Considerations.Journal of the American Medical Directors Association · 2024
    Review
  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

9 authors.

Laura N GitlinCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
Rosa R BaierSchool of Public Health, Brown University, Providence, Rhode Island, USA.
Eric JutkowitzSchool of Public Health, Brown University, Providence, Rhode Island, USA.ORCID 0000-0002-1735-8434
Zachary G BakerSchool of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Allison M GustavsonCenter for Care Delivery and Outcomes Research, Minneapolis Veterans Administration Healthcare System, Minneapolis, Minnesota, USA.ORCID 0000-0002-6401-1230
Justine S SefcikCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
Nancy A HodgsonBiobehavioral Health Sciences Department, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sokha KoeuthCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
Joseph E GauglerSchool of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

There are many nonpharmacologic interventions tested in randomized clinical trials that demonstrate significant benefits for people living with Alzheimer's disease (AD) and AD-related dementia, their care partners, or professional care providers. Nevertheless, with few exceptions, proven interventions have not been translated for delivery in real-world settings, such as home care, primary care, hospitals, community-based services, adult day services, assisted living, nursing homes, or other healthcare systems (HCSs). Using embedded pragmatic clinical trial (ePCT) methods is one approach that can facilitate dissemination and implementation (D&I) of dementia care interventions. The science of D&I can inform the integration of evidence-based dementia care in HCSs by offering theoretical frameworks that capture field complexities and guiding evaluation of implementation processes. Also, D&I science can suggest evidence-based strategies for implementing dementia care in HCSs. Although D&I considerations can inform each stage of dementia care intervention development, it is particularly critical when designing ePCTs. This article examines fundamental considerations for implementing dementia-specific interventions in HCSs and how best to prepare for successful dissemination upstream in the context of ePCTs, thereby illustrating the critical role of the D&I Core of the National Institute on Aging Imbedded Pragmatic Alzheimer's Disease and AD-Related Dementias Clinical Trials Collaboratory. The scientific premise of the D&I Core is that having the "end" in mind, upfront in the design and testing of dementia care programs, can lead to decision-making that optimizes the ultimate goal of wide-scale D&I of evidence-based dementia care programs in HCSs. J Am Geriatr Soc 68:S28-S36, 2020.

Indexed as

Delivery of Health CareDementiaEvidence-Based PracticeInformation DisseminationPragmatic Clinical Trials as TopicAssisted Living FacilitiesHome Care ServicesHospitalsHumansNursing Homescaregiversdementia caredisseminationhealthcare systemsimplementation

Identifiers

PMID32589277
PMCPMC7470172

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.