Evidence map›Paper›PMID 33217776›Full record

ArticleJournal of the American Geriatrics Society2021

Assessing and Addressing Family Caregivers' Needs and Risks in Primary Care.

Catherine Riffin, Jennifer L Wolff, Karl A Pillemer

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A Pilot Trial Evaluating Collaborative Healthcare Encounters With Caregivers: A Checklist-Based Intervention for Primary Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  10. Care Partner Perspectives on the Use of a Patient Portal Intervention to Promote Care Partner Identification in Dementia Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  17. Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  18. What Motivates Physicians to Address Caregiver Needs? The Role of Experiential Similarity.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Catherine RiffinDivision of Geriatrics & Palliative Medicine, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-2361-3083
Jennifer L WolffDepartment of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Karl A PillemerDepartment of Human Development, Cornell University, Ithaca, New York, USA.

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
Promoting Research Continuity and Progress toward the Development of a Novel Screening Intervention for Family Caregivers in Primary CareK01AG061275 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI RIFFIN, CATHERINE · 2019 to 2023
$680k
NCATS NIH HHS UL1 TR002384NIA NIH HHS K01 AG061275NIA NIH HHS P30 AG022845NIA NIH HHS T32 AG049666NIH HHS UL1TR002384
6 · The paper itself

Abstract

objectivesTo characterize current practices, barriers, and facilitators to assessing and addressing family caregivers' needs and risks in primary care.

designCross-sectional, national mail-based survey.

settingAmerican Medical Association Masterfile database.

participantsU.S. primary care physicians (N = 106), including general internists (n = 44) and geriatricians (n = 62). MEASUREMENTS: Approaches to assessing and addressing family caregivers' needs and risks; barriers and facilitators to conducting caregiver assessments.

resultsFew respondents reported conducting a formal caregiver assessment using a standardized instrument in the past year (10.5%). Informal, unstructured discussions about caregivers' needs and risks were common and encompassed a range of issues, most frequently caregivers' management of patients' safety (41.0%), ability to provide assistance (40.0%), and need for support (40.0%). To address caregiver needs, most respondents endorsed referring patients to services (e.g., adult day care, home care) (69.8%), assessing the appropriateness of the patient's living situation (67.9%), and referring caregivers to community agencies (63.2%). Lack of time was the most frequently cited barrier to assessing caregivers' needs (81.1%). The most commonly endorsed facilitators were access to better referral options (67.0%) and easier referral mechanisms (65.1%). Practice patterns, barriers, and facilitators to caregiver assessment did not differ by physician type.

conclusionsPrimary care physicians use informal, unstructured discussions rather than standardized instruments to assess caregivers' needs and risks. There is heterogeneity in the topics discussed and types of referrals made. Findings indicate the lack of translation of caregiver assessment tools from research to practice.

Indexed as

Mental HealthSocial SupportAgedCaregiversCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeeds AssessmentPatient CarePrimary Health CareReferral and ConsultationRespite CareRisk AssessmentSleep Wake Disorderscaregivingprimary carescreening

Identifiers

PMID33217776
PMCPMC8062767

What OpenQuestion holds

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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.