Evidence map›Paper›PMID 32826749›Full record

ArticleMedical care2020

Measurement Properties of the CAPACITY Instrument to Assess Perceived Communication With the Health Care Team Among Care Partners of Patients With Cognitive Impairment.

Courtney H Van Houtven, Steven J Lippmann, Emmanuelle Bélanger, Valerie A Smith, Hailey J James, Megan Shepherd-Banigan, Eric Jutkowitz, Emily O'Brien, Jennifer L Wolff, James R Burke and 1 more

Abstract read
In one paragraph

Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  7. The Impact of Care Intensity and Work on the Mental Health of Family Caregivers: Losses and Gains.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
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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

11 authors.

Courtney H Van HoutvenCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System.
Steven J LippmannDepartment of Population Health Sciences, Duke University School of Medicine.
Emmanuelle BélangerDepartment of Health Services, Policy, and Practice.
Valerie A SmithCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System.
Hailey J JamesDepartment of Population Health Sciences, Duke University School of Medicine.
Megan Shepherd-BaniganCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System.
Eric JutkowitzDepartment of Health Services, Policy, and Practice.
Emily O'BrienDepartment of Population Health Sciences, Duke University School of Medicine.
Jennifer L WolffDepartment of Health Policy and Management.
James R BurkeDepartments of Neurology.
Brenda L PlassmanDepartments of Neurology.

Funding

Caregivers' Reactions and Experience: Imaging Dementia Evidence for Amyloid Scanning CARE IDEASR01AG053934 · NIA · BROWN UNIVERSITY · PI WETLE, TERRIE FOX · 2017 to 2020
$4.5M
Caregivers' Reactions and Experience: Imaging Dementia Evidence for Amyloid Scanning CARE IDEASR56AG053934 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2016 to 2016
$1.5M
NIA NIH HHS R01 AG053934NIA NIH HHS R56 AG053934
6 · The paper itself

Abstract

backgroundThe CAregiver Perceptions About CommunIcaTion with Clinical Team members (CAPACITY) instrument measures how care partners perceive themselves to be supported by the patient's health care team and their experiences communicating with the team.

objectivesThe objective of this study was to assess the measurement properties (ie, structural validity of the construct and internal consistency) of the CAPACITY instrument in care partners of patients with cognitive impairment, and to examine whether care partner health literacy and patient cognitive impairment are associated with a higher or lower CAPACITY score. RESEARCH

designThis was a retrospective cohort study. SUBJECTS: A total of 1746 dyads of community-dwelling care partners and older adults in the United States with cognitive impairment who obtained an amyloid positron emission tomography scan. MEASURES: The CAPACITY instrument comprises 12 items that can be combined as a total score or examined as subdomain scores about communication with the team and care partner capacity-assessment by the team. The 2 covariates of primary interest in the regression model are health literacy and level of cognitive impairment of the patient (Modified Telephone Interview Cognitive Status).

resultsConfirmatory factor analysis showed the CAPACITY items fit the expected 2-factor structure (communication and capacity). Higher cognitive functioning of patients and higher health literacy among care partners was associated with lower communication domain scores, lower capacity domain scores, and lower overall CAPACITY scores.

conclusionsThe strong psychometric validity of the CAPACITY measure indicates it could have utility in other family caregivers or care partner studies assessing the quality of interactions with clinical teams. Knowing that CAPACITY differs by care partner health literacy and patient impairment level may help health care teams employ tailored strategies to achieve high-quality care partner interactions.

Indexed as

CommunicationAgedAged, 80 and overAge FactorsCaregiversCognitive DysfunctionFactor Analysis, StatisticalFemaleHealth Care SurveysHealth LiteracyHealth StatusHumansMalePatient Care TeamPsychometricsReproducibility of Results

Identifiers

PMID32826749
PMCPMC7717666

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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.