Evidence map›Paper›PMID 33832424›Full record

ArticleBMC geriatrics2021

"Helping fill that gap:" a qualitative study of aging in place after disaster through the lens of home-based care providers.

Sue Anne Bell, Lydia K Krienke, Sarah Dickey, Raymond G De Vries

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. "I Don't Know What I'm Going to Meet Today": Home Care Workers' Decision-Making About Safety During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Why Do They Not Come Home? Three Cases of Fukushima Nuclear Accident Evacuees.International journal of environmental research and public health · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. 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

4 authors at 2 institutions in 1 country.

Sue Anne BellUniversity of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI, 48109, USA. sabell@umich.edu.ORCID 0000-0002-6890-2006
Lydia K KrienkeJohns Hopkins University School of Nursing, Baltimore, USA.
Sarah DickeyUniversity of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI, 48109, USA.
Raymond G De VriesUniversity of Michigan Medical School, Ann Arbor, USA.
University of Michigan · USJohns Hopkins University · US

Funding

The Home Safe Study: Testing the feasibility of a respondent-driven sampling strategy among dementia home care workersK23AG059890 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BELL, SUSAN ANNE · 2018 to 2022
$1.0M
NIA NIH HHS K23 AG059890
6 · The paper itself

Abstract

backgroundDuring a disaster, home-based care fills the critical need for continuation of health care. Home-based care is intended to function using existing care delivery models, continuing to provide care for patients wherever they are located, including in shelters and hotels. Home-based care providers are often the closest in contact with their patients -seeing them in place, even throughout a disaster- through which they develop a unique insight into aging in place during a disaster. The purpose of this study was to identify individual and community-level support needs of older adults after a disaster through the lens of home-based care providers.

methodsUsing qualitative inquiry, five focus groups were conducted with home-based care providers (n = 25) who provided in-home care during Hurricane Irma and Hurricane Harvey. Participants were identified by contacting home health agencies listed in an open-source database of agencies participating in Centers for Medicare and Medicaid Services programs. Data were coded using an abductive analytic approach, and larger themes were generated in light of existing theory.

resultsThe results were distilled into eight themes that related to the importance of community and family, informal and formal supports throughout the disaster management cycle, maintaining autonomy during a disaster, and institutional and systemic barriers to obtaining assistance.

conclusionsIn this study, home-based care providers described the challenges aging adults face in the response and recovery period after a large-scale disaster including maintaining continuity of care, encouraging individual preparedness, and accessing complex governmental support. Listening to home-based care providers offers new and important insights for developing interventions to address social and health needs for older adults aging in place after a large-scale disaster.

Indexed as

Disaster PlanningDisastersHome Care ServicesAgedHumansIndependent LivingMedicareUnited StatesDisaster management cycleDisaster responseEmergency preparednessHome-based care providersNatural disaster

Identifiers

PMID33832424
PMCPMC8033697
OpenAlexW3148091638

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.