Evidence map›Paper›PMID 35313830›Full record

ArticleBMC geriatrics2022

Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications.

Sue Anne Bell, Lydia Krienke, Allyson Brown, Jen Inloes, Zoe Rettell, Tamar Wyte-Lake

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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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

6 authors at 2 institutions in 1 country.

Sue Anne BellSchool of Nursing, University of Michigan, Ann Arbor, MI, USA. sabell@umich.edu.
Lydia KrienkeJohns Hopkins University School of Nursing, Baltimore, MD, USA.
Allyson BrownUniversity of Michigan, Ann Arbor, MI, USA.
Jen InloesSchool of Nursing, University of Michigan, Ann Arbor, MI, USA.
Zoe RettellSchool of Nursing, University of Michigan, Ann Arbor, MI, USA.
Tamar Wyte-LakeVeterans Emergency Management Evaluation Center, North Hills, CA, USA.
University of Michigan–Ann Arbor · 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 AG059890NIA NIH HHS K23AG059890
6 · The paper itself

Abstract

objectiveThe purpose of this study is to describe the experiences of home-based care providers (HBCP)  in providing care to older adults during the pandemic in order to inform future disaster planning, including during pandemics.

designQualitative inquiry using an abductive analytic approach. SETTING AND

participantsHome-based care providers in COVID-19 hotspots.

methodsTelephone interviews were conducted with 27 participants (administrators, registered nurses and other members of the allied healthcare team), who provided in-home care during the pandemic in Medicare-certified home health agencies. Interviews focused on eliciting experiences from HBCP on challenges and successes in providing home-based care to older adults, including barriers to care and strategies employed to keep patients, and providers, safe in their homes during the pandemic.

resultsData was distilled into four major themes that have potential policy and practice impact. These included disrupted aging-in-place resources, preparedness actions contributing to readiness for the pandemic, limited adaptability in administrative needs during the pandemic and challenges with unclear messaging from public health officials.

conclusionsHome-based care plays an essential role in maintaining the health of older adults in disaster contexts, including pandemics. Innovative solutions, informed by policy that generate evidence-based best practices to support HBCP are needed to reduce barriers and increase protective factors, in order to maintain continuity of care for this vulnerable population during disruptive events.

Indexed as

COVID-19Home Care ServicesAgedHumansMedicarePandemicsPolicyUnited StatesCOVID-19DisasterHome-based carePolicyPractice

Identifiers

PMID35313830
PMCPMC8936035
OpenAlexW4220911832

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.