Evidence map›Paper›PMID 36893987›Full record

ArticleContemporary clinical trials2023

Design and development of the first randomized controlled trial of an intervention (IDEA) for sexual and gender minority older adults living with dementia and care partners.

Karen Fredriksen-Goldsen, Linda Teri, Hyun-Jun Kim, David La Fazia, Glenise McKenzie, Ryan Petros, Hailey H Jung, Brittany R Jones, Char Brown, Charles A Emlet

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Aging with Pride: Innovations in Dementia Empowerment and Action (IDEA).Contemporary clinical trials communications · 2023
    Article
  9. Exploring the Effect of Eligibility Criteria on AD Severity and Severe Adverse Event in Eligible Patients.Proceedings. IEEE International Conference on Healthcare Informatics · 2023
    Article
  10. 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

10 authors at 2 institutions in 1 country.

Karen Fredriksen-GoldsenUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: fredrikk@uw.edu.
Linda TeriUniversity of Washington, School of Nursing, Box 357260, Seattle, WA 98195, USA. Electronic address: lteri@uw.ed.
Hyun-Jun KimUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: hyunjkim@uw.edu.
David La FaziaUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: dlafazia@uw.edu.
Glenise McKenzieOregon Health & Sciences University, School of Nursing, 3076, 3455 SW US Veterans Hospital Rd, Portland, OR 97239, USA. Electronic address: mckenzig@ohsu.edu.
Ryan PetrosUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: petrosr@uw.edu.
Hailey H JungUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: hzjung@uw.edu.
Brittany R JonesUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: jonesbri@uw.edu.
Char BrownUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: Cbrown15@vt.edu.
Charles A EmletUniversity of Washington, School of Social Work, 4101 15(th) Ave NE, Seattle, WA 98105, USA. Electronic address: caemlet@uw.edu.
University of Washington · USOregon Health & Science University · US

Funding

Older Adults Living with Alzheimer's Disease and their Caregivers: Testing an Evidence-Based Intervention for Underserved PopulationsR01AG055488 · NIA · UNIVERSITY OF WASHINGTON · PI FREDRIKSEN-GOLDSEN, KAREN ILENE, TERI, LINDA · 2017 to 2021
$3.7M
NIA NIH HHS R01 AG055488
6 · The paper itself

Abstract

backgroundHeightened risks of cognitive impairment, disability, and barriers to care among sexual and gender minority (SGM) older adults are well documented. To date, culturally responsive evidence-based dementia interventions for this population do not exist.

objectiveThis study describes the design of the first randomized controlled trial (RCT) testing a culturally responsive cognitive behavioral and empowerment intervention, Innovations in Dementia Empowerment and Action (IDEA), developed to address the unique needs of SGM older adults living with dementia and care partners.

methodsIDEA is a culturally enhanced version of Reducing Disability in Alzheimer's Disease (RDAD), an efficacious, non-pharmaceutical intervention for people with dementia and care partners. We utilized a staggered multiple baseline design with the goal to enroll 150 dyads randomized into two arms of 75 dyads each, enhanced IDEA and standard RDAD.

resultsIDEA was adapted using findings from the longitudinal National Health, Aging, and Sexuality/Gender study, which identified modifiable factors for SGM older adults, including SGM-specific discrimination and stigma, health behaviors, and support networks. The adapted intervention employed the original RDAD strategies and enhanced them with culturally responsive empowerment practices designed to cultivate engagement, efficacy, and support mobilization. Outcomes include adherence to physical activity, reduction in perceived stress and stigma, and increased physical functioning, efficacy, social support, engagement, and resource use.

conclusionIDEA addresses contemporary issues for underserved populations living with dementia and their care partners. Our findings will have important implications for marginalized communities by integrating and evaluating the importance of cultural responsiveness in dementia and caregiving interventions.

Indexed as

Alzheimer DiseaseCognitive DysfunctionSexual and Gender MinoritiesAgedCaregiversGender IdentityHumansRandomized Controlled Trials as TopicAlzheimer's diseaseCultural diversityIDEALGBTRDADUnderserved populations

Identifiers

PMID36893987
PMCPMC10639124
OpenAlexW4323350653

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.