Evidence map›Paper›PMID 35726136›Full record

ArticleJournal of the American Geriatrics Society2022

Aspects of cognition that impact aging-in-place and long-term care planning.

Lee A Lindquist, Amber P Miller-Winder, Allison Schierer, Alaine Murawski, Lauren Opsasnick, Laura M Curtis, Kwang-Youn Kim, Vanessa Ramirez-Zohfeld

Abstract 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
  2. Article
  3. Phenotypes of Older Adults Planning for Alzheimer's Disease Support.Journal of the American Geriatrics Society · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 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.

Lee A LindquistDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-4290-5081
Amber P Miller-WinderDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Allison SchiererDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Alaine MurawskiDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Lauren OpsasnickDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Laura M CurtisDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Kwang-Youn KimDivision of Preventative Medicine, Northwestern University, Chicago, Illinois, USA.
Vanessa Ramirez-ZohfeldDivision of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Funding

The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T. · 2020 to 2024
$7.1M
Decision Making and Implementation of Aging-in-Place/Long Term Care Plans among Older AdultsR01AG058777 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LINDQUIST, LEE A · 2019 to 2023
$3.7M
NIA NIH HHS P30 AG059988NIA NIH HHS R01 AG058777
6 · The paper itself

Abstract

backgroundOlder adults frequently defer decisions about their aging-in-place/long-term care (AIP-LTC) needs. As a result, when older adults experience worsening Alzheimer's disease, family members/friends become surrogate decision makers. We sought to understand what aspects of cognition impact older adult AIP-LTC planning.

methodsAs part of the PlanYourLifespan (PYL)-LitCog study, we longitudinally examined AIP-LTC decision-making among a cohort (LitCog) of community-based older adults (65 years and older) recruited from hospital-associated primary care clinics in Chicago, Illinois, with extensive cognitive testing. PlanYourLifespan.org (PYL) is an evidence-based online intervention that facilitates AIP-LTC planning. Subjects underwent baseline testing, received the PYL online intervention, and then were surveyed at 1, 6, and 12 months about AIP-LTC decision-making. Cross-sectional logistic regression analysis was conducted examining cognitive variables that impacted AIP-LTC decision-making.

resultsOf the 293 older adults interviewed (mean age 73.0 years, 40.4% non-White), subjects were more likely to have made AIP-LTC decisions if they had adequate inductive reasoning (ETS letter sets total-OR = 1.14 (95% CI = 1.03-1.27; p < 0.05)) and adequate working memory (size judgment span total-OR = 1.76 (95% CI = 1.13-2.73; p < 0.05)). There were no differences in decision-making observed in verbal abilities, long-term memory, or processing speed. All analyses were adjusted for participant gender, race, age, and decision-making response at baseline.

conclusionInductive reasoning and working memory are critical to AIP-LTC decision-making. Screening routinely for these specific cognitive domains is important in targeting and helping older adults prepare in time for their future AIP-LTC needs.

Indexed as

CognitionLong-Term CareAgedAgingCross-Sectional StudiesHumansIndependent LivingAlzheimer's diseasecognitionlong-term care planning

Identifiers

PMID35726136
PMCPMC9489627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.