Evidence map›Paper›PMID 37085899›Full record

ArticlePilot and feasibility studies2023

Feasibility of conducting qualitative research with persons living with dementia and their caregivers during a home-delivered meals pilot trial.

Emily A Gadbois, Jennifer N Bunker, Michelle Hilgeman, Renee Shield, Kathleen E McAuliff, Whitney Mills, Kali Thomas

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04850781 (Home-delivered Meals for Persons With Dementia), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT04850781 nacompletednot on this map

Home-delivered Meals for Persons With Dementia: Which Model Delays Nursing Home Placement?

TypeinterventionalSponsorBrown UniversityRan2021 to 2022Enrolled243ConditionsDementiaArmsBi-weekly frozen meal home delivery, Daily home meal delivery
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Trial
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

7 authors at 2 institutions in 1 country.

Emily A GadboisBrown University School of Public Health, Providence, RI, USA. emily_gadbois@brown.edu.ORCID http://orcid.org/0000-0003-1643-2732
Jennifer N BunkerBrown University School of Public Health, Providence, RI, USA.
Michelle HilgemanResearch and Development Service, Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, AL, USA.
Renee ShieldBrown University School of Public Health, Providence, RI, USA.
Kathleen E McAuliffBrown University School of Public Health, Providence, RI, USA.
Whitney MillsBrown University School of Public Health, Providence, RI, USA.
Kali ThomasBrown University School of Public Health, Providence, RI, USA.
Brown University · USUniversity of Alabama · US

Funding

Home-delivered meals for persons with dementia: Which model delays nursing home placement?R61AG070170 · NIA · BROWN UNIVERSITY · PI THOMAS, KALI ST. MARIE · 2020 to 2021
$1.1M
NIA NIH HHS R61 AG070170NIA NIH HHS R61AG070170
6 · The paper itself

Abstract

backgroundAmong older adults, food insecurity is associated with poor health status and health outcomes; people living with dementia (PLWD) are at increased risk for insecurity. Approaches to addressing food insecurity among homebound older adults include two modes of home-delivered meals: (1) meals delivered daily to participants' homes by a volunteer or paid driver who socializes with the client or (2) frozen meals that are mailed to participants' homes. Research has not examined benefits of these meals for PLWD or their caregivers nor compared the effectiveness of these two approaches in reducing food insecurity. The objective of this study was to test the processes for recruiting and engaging in qualitative research with PLWD and caregivers in an effort to understand the context, implementation, and mechanisms of impact by which relationships between meal delivery and outcomes may be achieved in preparation for a larger, follow-on study.

methodsThis is a qualitative sub-study of a pilot, multisite, two-arm pragmatic feasibility trial comparing the effect of two modes of meal delivery on nursing home placement among 243 PLWD. In this sub-study, we tested recruitment and enrollment procedures and piloted interview guides among a subset of participants and caregivers.

resultsWe recruited and conducted interviews with nine PLWD and seven caregivers. In testing the informed consent process, all participants were able to consent to be interviewed, and PLWD all demonstrated capacity to consent. We successfully used a cognitive screener to obtain scores of cognitive impairment for PLWD and observed scores indicating a broad range of function. Our interview guides successfully resulted in information about the context, implementation, and mechanisms of impact for meal delivery during the pilot.

conclusionsIn addition to establishing feasibility for the future trial, the substantive findings identified through the qualitative interviews provide an initial understanding of the contextual factors for meal delivery and the potential mechanisms of impact across meal delivery types that warrant further examination in a full-scale trial. Findings from our study provide crucial pilot data to support a follow-on trial to understand how to address food insecurity among PLWD. NAME OF THE REGISTRY: ClinicalTrials.gov

trial registrationNCT04850781 DATE OF REGISTRATION: April 20, 2021, retrospectively registered https://clinicaltrials.gov/ct2/show/NCT04850781.

Indexed as

Alzheimer’s disease and related dementiasCaregiversCognitive assessmentHome-delivered mealsInformed consentPilot interventionRecruitment

Identifiers

PMID37085899
PMCPMC10122359
OpenAlexW4366768874

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.