ArticleJournal of the American Geriatrics Society2021
Unmet family caregiver training needs associated with acute care utilization during home health care.
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 25 papers.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 35 citations in OpenAlex.
- Implementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.Health services research · 2024Trial
- 'Whole person' caregiver assessment: Insights from heart failure and stroke caregivers.Social sciences & humanities open · 2026Article
- Associations between caregiver-provider communication quality and unmet care needs among older adults.BMC geriatrics · 2026Article
- Mapping health literacy challenges among COPD caregivers: a scoping review.Frontiers in public health · 2026Article
- Dementia Severity Associated With Unmet Caregiving Needs During Skilled Home Health Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Associations between Caregiver-Provider Communication Quality and Unmet Care Needs Among Older Adults.Research square · 2025Article
- Factors Associated With an Elder Mistreatment Diagnosis Among Medicare Home Health Care Recipients.Journal of the American Medical Directors Association · 2025Article
- Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities.JAMA health forum · 2025Article
- Long-Term Care Services and Supports Needed for Successful Aging-in-Place: A Critical Review.Annual review of public health · 2025Review
- Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.Innovation in aging · 2025Article
- Perceived Training Needs of the Informal Caregivers of Older Adults: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage.JAMA health forum · 2024Article
- Uncovering hidden trends: identifying time trajectories in risk factors documented in clinical notes and predicting hospitalizations and emergency department visits during home health care.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Influence of medical care tasks on subjective burden and gain among older adults' family caregivers: structural equation modeling for testing the role of formal and informal support.BMC geriatrics · 2023Article
- Shared Care Networks Assisting Older Adults: New Insights From the National Health and Aging Trends Study.The Gerontologist · 2023Article
- Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Mandated Caregiver Training in the Veterans Health Administration: Caregiver Inquiry Informs National Dissemination.The Gerontologist · 2023Article
- Unmet Caregiving Needs Among Sepsis Survivors Receiving Home Health Care: The Need for Caregiver Training.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- A day in the life of caregivers to older adults with and without dementia: Comparisons of care time and emotional health.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND/
objectivesMedicare-certified home health agencies are required to offer family caregiver training, but little is known regarding the potential impact of this training on outcomes during home health care. We estimate the proportion of family caregivers assisting Medicare home health patients who have unmet training needs and examine whether these unmet training needs are associated with older adults' risk of acute care utilization during home health care.
designObservational, nationally representative cohort study.
settingLinked National Health and Aging Trends Study, Outcome and Assessment Information Set (OASIS), Medicare Provider of Services file, and Medicare claims data from 2011 to 2016.
participantsThousand two hundred seventeen (weighted n = 5,870,905) community-living Medicare beneficiaries who received home health care between 2011 and 2016. MEASUREMENTS: Family caregivers' unmet training needs measured from OASIS and Medicare claims; home health patients' acute care utilization (including emergency department use and hospitalization) measured from OASIS.
resultsRates of unmet need for training varied by activity, from 8.2% of family caregivers assisting with household chores to 16.0% assisting with self-care tasks. After controlling for older adult and home health provider characteristics, older adults whose family caregivers had an unmet need for training with any caregiving activity were twice as likely to incur acute care utilization during their home health episode (adjusted odds ratio [aOR]: 2.01, 95% confidence interval [CI]: 1.20-3.38). This relationship held across specific caregiving activities including household chores (aOR: 1.98; 95% CI: 1.13-3.46), medication management (aOR: 2.50; 95% CI: 1.46-4.26), patient supervision (aOR: 2.92; 95% CI: 1.36-6.24), and self-care tasks (aOR: 3.11; 95% CI: 1.62-6.00). CONCLUSIONS AND RELEVANCE: Unmet training needs among family caregivers are associated with greater likelihood of acute care utilization among Medicare beneficiaries receiving home health care. Identifying and addressing family caregivers' training needs may reduce older adults' risk of acute care utilization during home health care.
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Registered trials
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