Evidence map›Paper›PMID 37191978›Full record

ArticleJMIR research protocols2023

Care Partner Inclusion of People Hospitalized With Alzheimer Disease and Related Dementias: Protocol for a Mixed Methods Systems Engineering Approach to Designing a Health Care System Toolkit.

Beth Fields, Catherine Still, Austin Medlin, Andrea Strayer, Alicia I Arbaje, Andrea Gilmore-Bykovskyi, Nicole Werner

Abstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. 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

7 authors.

Beth Fields *Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0002-8192-7144
Catherine Still *Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0002-8308-8137
Austin Medlin *Department of Design & Wellness, Indiana University, Bloomington, IN, United States.ORCID https://orcid.org/0000-0002-4626-4541
Andrea Strayer *College of Nursing, University of Iowa, Iowa City, IA, United States.ORCID https://orcid.org/0000-0002-2632-8165
Alicia I Arbaje *Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, United States.ORCID https://orcid.org/0000-0002-3224-3942
Andrea Gilmore-Bykovskyi *BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0003-4930-3558
Nicole Werner *Department of Design & Wellness, Indiana University, Bloomington, IN, United States.ORCID https://orcid.org/0000-0003-2363-9491

Funding

Adapting and Testing the Care Partner Hospital Assessment Tool (CHAT) for Use in Dementia CareK23AG080068 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Beth Fields · 2023 to 2026
$526k
Development of the ADRD Systematic Hospital Inclusion Family Toolkit: A-SHIFTR21AG077439 · NIA · TRUSTEES OF INDIANA UNIVERSITY · PI FIELDS, BETH, WERNER, NICOLE E · 2022 to 2022
$429k
NIA NIH HHS K23 AG080068NIA NIH HHS R21 AG077439
6 · The paper itself

Abstract

backgroundResearch and policy demonstrate the value and need for the systematic inclusion of care partners in hospital care delivery of people living with Alzheimer disease and related dementias (ADRD). Support provided to care partners through information and training regarding caregiving responsibilities is important to facilitating their active inclusion and ultimately improving hospital outcomes of people living with ADRD. To promote care partners' active inclusion, a toolkit that guides health systems in the identification, assessment, and training of care partners is needed. User-centered approaches can address this gap in practice by creating toolkits that are practical and responsive to the needs of care partners and their hospitalized family members and friends living with ADRD.

objectiveThis paper describes the study protocol for the development and refinement of the ADRD Systematic Hospital Inclusion Family Toolkit (A-SHIFT). A-SHIFT will provide health care systems with guidance on how to effectively identify, assess, and train care partners of hospitalized persons living with ADRD.

methodsThe A-SHIFT study protocol will use a 3-aimed, convergent mixed method approach to iteratively develop and refine the toolkit. In Aim 1, we will use a systems-engineering approach to characterize patterns of care partner inclusion in hospital care for people living with ADRD. In Aim 2, we will partner with stakeholders to identify and prioritize health care system facilitators and barriers to the inclusion for care partners of hospitalized people living with ADRD. In Aim 3, we will work with stakeholders to co-design an adaptable toolkit to be used by health systems to facilitate the identification, assessment, and training of care partners of hospitalized people living with ADRD. Our convergent mixed method approach will facilitate triangulation across all 3 aims to increase the credibility and transferability of results. We anticipate this study to take 24 months between September 1, 2022, and August 31, 2024.

resultsThe A-SHIFT study protocol will yield (1) optimal points in the hospital workflow for care partner inclusion, (2) a prioritized list of potentially modifiable barriers and facilitators to including care partners in the hospitalization of people living with ADRD, and (3) a converged-upon, ready for feasibility testing of the toolkit to guide the inclusion of care partners of people living with ADRD in hospital care.

conclusionsWe anticipate that the resultant A-SHIFT will provide health systems with a readiness checklist, implementation plan, and resources for identifying, assessing, and training care partners on how to fulfill their caregiving roles for people living with ADRD after hospital discharge. A-SHIFT has the potential to not only improve care partner preparedness but also help reduce health and service use outcomes for people living with ADRD after hospital discharge. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/45274.

Indexed as

caregivingco-designdementiahealth caremixed methodssystems

Identifiers

PMID37191978
PMCPMC10230354

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.