ArticleArchives of gerontology and geriatrics
COVID-19 exposures and infection control among home care agencies.
Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05192096 (Capacity Building and Service Enhancement of Integrated Home Care Services During COVID-19), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Capacity Building and Service Enhancement of Integrated Home Care Services During COVID-19
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Systematic review of experiences and perceptions of key actors and organisations at multiple levels within health systems internationally in responding to COVID-19.Implementation science : IS · 2021Pooled it
- A comparative analysis of cluster based interventions on healthcare-associated infections in a tertiary care hospital in China.Frontiers in public health · 2025Article
- Infection prevention practice in home healthcare: a mixed-method study in two Swiss home healthcare organisations.BMC health services research · 2024Article
- Barriers and facilitators to infection prevention practices in home healthcare: a scoping review and proposed implementation framework.Infection prevention in practice · 2024Article
- How did providers of home care for older adults manage the early phase of the Covid-19 pandemic? A qualitative case study of managers' experiences in Region Stockholm.BMC health services research · 2023Article
- Public Opinions About Palliative and End-of-Life Care During the COVID-19 Pandemic: Twitter-Based Content Analysis.JMIR formative research · 2023Article
- A Qualitative Study of Home Health Aides' Perspectives towards COVID-19 Vaccination.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Essential but Excluded: Building Disaster Preparedness Capacity for Home Health Care Workers and Home Care Agencies.Journal of the American Medical Directors Association · 2022Article
- Improvement in self-efficacy among older adults aging-in-place during COVID-19.Journal of the American Geriatrics Society · 2022Article
- Personal Assistants' role in infection prevention and control: Their experiences during the Covid-19 pandemic.Health & social care in the community · 2022Article
- COVID-19 Vaccines in Older Adults: Challenges in Vaccine Development and Policy Making.Clinics in geriatric medicine · 2022Review
- Before the COVID-Vaccine-Vulnerable Elderly in Homecare.Nursing reports (Pavia, Italy) · 2022Article
- Assessment of Patient Perspectives and Barriers to Self-Infusion of Augmentation Therapy for Alpha-1 Antitrypsin Deficiency During the COVID-19 Pandemic.Pulmonary therapy · 2022Article
- Certified Nursing Aides' Training Hours and COVID Case and Mortality Rates Across States in the U.S.: Implications for Infection Prevention and Control and Relationships With Nursing Home Residents.Frontiers in public health · 2022Article
- The impact of the SARS-CoV-2 pandemic on the management of chronic limb-threatening ischemia and wound care.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2022Review
- Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada.PloS one · 2022Article
- "It changed everything": The safe Home care qualitative study of the COVID-19 pandemic's impact on home care aides, clients, and managers.BMC health services research · 2021Article
- Opportunities and Challenges of Telehealth in Disease Management during COVID-19 Pandemic: A Scoping Review.Applied clinical informatics · 2021Article
- Protecting the most vulnerable among us: Access to care and resources for persons with disability from spinal cord injury during the COVID-19 pandemic.PM & R : the journal of injury, function, and rehabilitation · 2021Article
- Anxiety and depression symptoms in older adults during coronavirus disease 2019 pandemic: A community-based cross-sectional study.SAGE open medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesHome care agencies (HCAs) provide caregivers, who perform an important role in maintaining the health and well-being of older adults. However, during the COVID-19 pandemic, paid caregivers had the potential to inadvertently spread COVID-19. We sought to characterize the effects of COVID-19 on HCAs and examine HCAs' infection prevention and control (IPC) policies. RESEARCH DESIGN AND
methodsThis was a qualitative analysis of data collected from a national survey of HCAs. Surveys were e-mailed to members of a national HCA association on March 18, 2020. Questions included queries on demographics, COVID-19 exposures, effects of COVID-19, and IPC protocols.
results1204 HCAs responded with an average census of 96.2 (5-2800) patients daily. Across 36 states, 238 HCAs reported COVID-19 cases or exposures among caregivers. HCAs experienced challenges related to changing patient needs (e.g. decreased caregiver requests), staffing shortages (e.g., fear of COVID-19, inability to train caregivers), and management issues (e.g., inability to obtain supplies). ICP protocols varied in how HCAs followed recommended guidelines, responded to COVID-19 exposures, performed infection surveillance, and implemented precautions. Additionally, HCAs had varying policies for caregiver PTO.
conclusionsHCAs experienced COVID-19 exposures and/or cases early in the pandemic. HCAs identified staffing and PPE shortages, and lack of IPC guidance as challenges. Although caregivers are providing essential care for millions of older adults, they have been largely absent from federal, state, and health system strategies for mitigating the spread of COVID-19. Future policies must include HCAs and their caregivers to optimize care for older adults.
Indexed as
Identifiers
What OpenQuestion holds
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.