Evidence map›Paper›PMID 37145967›Full record

ArticleAging & mental health

Unexpected lucidity in dementia: application of qualitative methods to develop an informant-reported lucidity measure.

Mildred Ramirez, Jeanne A Teresi, Julie Ellis, Paloma Gonzalez-Lopez, Stephanie Silver, Mojdeh Rutigliano, Josephine Vidal-Manzano, Gabriel Boratgis, Davangere P Devanand, Irena van Meer and 3 more

Open access · greenAbstract read
In one paragraph

Article in Aging & mental health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. The e-cigarette assessment for youth-Revised (EAsY-R): Preliminary results of a pilot study of measure refinement via cognitive interviewing.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2024
    Article
  4. Article
  5. Lucidity in the Deeply Forgetful: A Scoping Review.Journal of Alzheimer's disease : JAD · 2024
    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

13 authors at 5 institutions in 2 countries.

Mildred RamirezResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.ORCID 0000-0003-1032-1273
Jeanne A TeresiResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Julie EllisNursing and Midwifery Department, La Trobe University, Melbourne, Victoria, Australia.
Paloma Gonzalez-LopezResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Stephanie SilverResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Mojdeh RutiglianoNursing Department, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Josephine Vidal-ManzanoNursing Department, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Gabriel BoratgisResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Davangere P DevanandDivision of Geriatric Psychiatry, Columbia University Irving Medical Center, New York State Psychiatric Institute, New York, NY, USA.
Irena van MeerResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Ismaa BhattiResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
Usama BhattiResearch Division, Hebrew Home at Riverdale by RiverSpring Living, Riverdale, NY, USA.
José A LuchsingerDepartments of Medicine and Epidemiology, Columbia University Irving Medical Center, New York, NY, USA.
Hebrew Home · USCornell University · USColumbia University · USColumbia University Irving Medical Center · USLa Trobe University · AU

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ALBERT L SIU · 2010 to 2026
$21.9M
Research Education CoreP30AG059303 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ADAM M BRICKMAN, Jennifer Jaie Manly · 2018 to 2026
$6.0M
Midcareer Award for Research in Dementia Risk Factors and PreventionK24AG045334 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jose Alejandro Luchsinger · 2016 to 2026
$1.5M
Measurement and estimation of lucidity prevalence in persons with dementia and neurological disordersR21AG069748 · NIA · HEBREW HOME FOR THE AGED AT RIVERDALE · PI LUCHSINGER, JOSE ALEJANDRO, TERESI, JEANNE A. · 2020 to 2020
$397k
NIA NIH HHS K24 AG045334NIA NIH HHS P30 AG028741NIA NIH HHS P30 AG059303NIA NIH HHS R21 AG069748
6 · The paper itself

Abstract

objectivesUnexpected lucidity is a phenomenon of scientific, clinical, and psychological relevance to health professionals, to those who experience it, and their relatives. This paper describes qualitative methods used to develop an informant-based measure of lucidity episodes.

methodsThe approach was refinement of the operationalization of the construct; review of seminal items, modification, and purification; and confirmation of the feasibility of reporting methodology. Modified focus groups were conducted with 20 staff and 10 family members using a web-based survey. Themes included reaction when hearing the term; words that come to mind; description of and first reaction to referenced or observed 'lucidity' events. Semi-structured cognitive interviews were conducted with 10 health professionals working with older adults with cognitive impairment. Data were extracted from Qualtrics or Microsoft 365 Word® for analysis using NVivo.

resultsConceptual issues, as well as issues regarding comprehension, interpretation, clarity, semantics, and standardization of definitions derived from an external advisory board, focus groups and cognitive interviews informed items' modification, and resulted in the final lucidity measure.

conclusionsAn obstacle to understanding the mechanisms and estimating the prevalence of lucid events among individuals with dementia and other neurological conditions is the scarcity of reliable and valid measures. The substantive and varied data gathered from multiple methods including the collaborative work of an External Advisory Board, modified focus groups with staff and family caregivers, and structured cognitive interviews with health professionals were central in creating the revised version of the lucidity measure.

Indexed as

Cognitive DysfunctionDementiaAgedCaregiversCognitionFocus GroupsHumanscognitive impairmentDementialuciditymeasurementqualitative methods

Identifiers

PMID37145967
PMCPMC10592548
OpenAlexW4372271659

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.