Evidence map›Paper›PMID 33367114›Full record

ArticleInnovation in aging2020

Effectiveness of the Care of Persons With Dementia in Their Environments Intervention When Embedded in a Publicly Funded Home- and Community-Based Service Program.

Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine Verrier Piersol, James Grady, Julie T Robison, Sheila Molony, Dorothy Wakefield

Registry-linked trialAbstract read
In one paragraph

Article in Innovation in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02365051 (Translation of COPE for Publicly-Funded Home Care Clients and Their Families), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT02365051 nacompletednot on this map

Translation of COPE for Publicly-Funded Home Care Clients and Their Families

TypeinterventionalSponsorUConn HealthRan2015 to 2019Enrolled582ConditionsDementia, Alzheimer's DiseaseArmsCare of Persons with Dementia in their Environments
3 · Its place in the literature

Who cites it

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

  1. Cognitive rehabilitation for people with mild to moderate dementia.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
  3. Article
  4. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Associations Between Use of Paid Help and Care Experiences Among Medicare-Medicaid Enrolled Older Adults With and Without Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  12. Health Status and Individual Care Needs of Disabled Elderly at Home in Different Types of Care.International journal of environmental research and public health · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. 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

8 authors.

Richard H FortinskyCenter on Aging, School of Medicine, University of Connecticut, Farmington, USA.
Laura N GitlinCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
Laura T PizziCenter for Health Outcomes Research, Rutgers University, Piscataway, New Jersey, USA.
Catherine Verrier PiersolCollege of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
James GradyDepartment of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, USA.
Julie T RobisonCenter on Aging, School of Medicine, University of Connecticut, Farmington, USA.
Sheila MolonySchool of Nursing, Quinnipiac University, North Haven, Connecticut, USA.
Dorothy WakefieldCenter on Aging, School of Medicine, University of Connecticut, Farmington, USA.

Funding

Translation of COPE for Publicly-Funded Home Care Clients and their FamiliesR01AG044504 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI FORTINSKY, RICHARD H · 2014 to 2018
$2.9M
NIA NIH HHS R01 AG044504
6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn the absence of effective pharmacotherapy, there is an urgent need to test evidence-based dementia care interventions using pragmatic trial approaches. We present results from a study in which an evidence-based, nonpharmacologic intervention for persons living with Alzheimer's disease and related dementia (ADRD) and their informal caregivers, Care of Persons with Dementia in their Environments (COPE), was tested in a Medicaid and state revenue-funded home and community-based service (HCBS) program. RESEARCH DESIGN AND

methodsUsing pragmatic trial design strategies, persons living with ADRD and their caregivers were randomly assigned as dyads to receive COPE plus usual HCBS (COPE;

resultsAfter 4 months, caregivers receiving COPE reported greater perceived well-being (least squares mean = 3.2; 95% CI: 3.1-3.3) than caregivers receiving UC (3.0; 2.9-3.0; DISCUSSION AND IMPLICATIONS: Embedding COPE in a publicly funded HCBS program yielded positive immediate effects on caregivers' well-being, marginal positive immediate effects on behavioral and psychological symptoms, and long-term effects on meaningful activity engagement among persons living with ADRD. Findings suggest that COPE can be effectively integrated into this service system, an important step towards widespread adoption. CLINICAL TRIALS REGISTRATION NUMBER: NCT02365051.

Indexed as

Family caregiversMedicaid waiver programsPragmatic trial elements

Identifiers

PMID33367114
PMCPMC7745768

What OpenQuestion holds

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LicenceCC BY
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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.