Evidence map›Paper›PMID 34590304›Full record

ArticleJournal of the American Geriatrics Society2022

Firearm access and dementia: A qualitative study of reported behavioral disturbances and responses.

Evan R Polzer, Kathryn A Nearing, Christopher E Knoepke, Daniel D Matlock, Marian E Betz

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

  • Commented on by
    2022
5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Evan R PolzerDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-6161-2903
Kathryn A NearingDivision of Geriatrics and Multidisciplinary Center on Aging, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Christopher E KnoepkeDivision of Cardiology, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Daniel D MatlockDivision of Geriatrics and Multidisciplinary Center on Aging, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Marian E BetzDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Geriatric Research Education and Clinical Center · USOutcomes Research Consortium · USUniversity of Colorado Denver · US

Funding

A Patient Decision Aid to Augment Lethal Means Counseling for Suicidal PatientsR34MH113539 · NIMH · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2017 to 2018
$1.1M
Decision Support for Older and Frail Patients Considering Advanced Cardiovascular Therapies: Improving Models of Personal Values ClarificationK23HL153892 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KNOEPKE, CHRISTOPHER · 2020 to 2024
$824k
NHLBI NIH HHS K23 HL153892NIMH NIH HHS R34 MH113539NIMH NIH HHS R34MH113539-02S1
6 · The paper itself

Abstract

backgroundCognitive impairment and behavioral changes associated with Alzheimer's disease and related dementias (ADRDs) can impair safe firearm handling ability, an issue that can be challenging for ADRD caregivers to address. In this qualitative analysis, we sought to explore behavioral disruptions that raise concerns about firearm access in dementia and how caregivers react and respond.

methodsSecondary qualitative analysis using data from semi-structured, one-on-one interviews originally conducted as part of a study to develop firearm safety educational materials for ADRD caregivers. Interviewees were English-speaking adults (≥18 years) from three stakeholder groups: ADRD caregivers (professional or informal), medical professionals (geriatricians, neurologists), and firearm professionals (retailers, range employees, instructors). For secondary analysis, transcripts of interviews were recoded and analyzed after an inductive-deductive thematic analysis process.

resultsAmong 24 participants, 17 (70%) were female and 20 (83%) white; 13 (54%) had personal or professional experience with ADRD caregiving; and 5 (21%) had a firearm affiliation. Major themes were: (1) behavioral disturbances that make caregivers concerned about firearm access; (2) caregiver emotional responses to and difficulties associated with these disturbances; and (3) caregiver actions (planned or actual) to limit firearms access.

conclusionVarious behavioral disturbances and emotional burdens can trigger ADRD caregiver concern about firearms access, but strategies exist for restricting or safeguarding firearms in the home. Study findings suggest a need for caregiver support on this topic, including counseling by healthcare providers, advance planning for older firearm owners, and development of community resources.

Indexed as

FirearmsOwnershipSafety ManagementAdultAgedAlzheimer DiseaseAttitudeCaregiversFemaleHumansInterviews as TopicMaleMiddle AgedProblem BehaviorQualitative Researchbehavioral disturbancescaregiverscognitive impairmentdementiafirearms

Identifiers

PMID34590304
PMCPMC8821127
OpenAlexW3204087061

What OpenQuestion holds

Textmetadata
LicenceTDM
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.