Evidence map›Paper›PMID 37384383›Full record

ArticleJMIR research protocols2023

Community-Led, Cross-Sector Partnership of Housing and Health Care to Promote Aging in Place (Unite Health Project): Protocol for a Prospective Observational Study.

Lesli Skolarus, Erica Thrash-Sall, Abby Katherine Hellem, Michael Giacalone, James Burke, Chun Chieh Lin, Sarah Bailey, Casey Corches, Mackenzie Dinh, Amanda Casetti and 5 more

Erratum issuedOpen access · goldAbstract 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. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Lesli SkolarusDavee Department of Neurology, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-3088-9838
Erica Thrash-SallPresbyterian Villages of Michigan, Flint, MI, United States.ORCID https://orcid.org/0009-0001-6895-1385
Abby Katherine Hellem *Department of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-3139-7819
Michael GiacaloneHamilton Community Health Network, Flint, MI, United States.
James BurkeDepartment of Neurology, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0002-2296-1588
Chun Chieh LinDepartment of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-4470-2648
Sarah BaileyBridges Into the Future, Flint, MI, United States.ORCID https://orcid.org/0000-0002-0149-997X
Casey CorchesDepartment of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0001-7572-639X
Mackenzie DinhEmergency Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-1618-8012
Amanda CasettiDepartment of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-3610-2554
Maria MansourDepartment of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0005-6814-6940
Kaitlyn BowieEmergency Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0003-2211-2759
Rylyn RothDepartment of Neurology, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0003-5123-9839
Candace WhitfieldEmergency Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0001-7801-1883
Anne SalesSinclair School of Nursing, University of Missouri, Columbia, MO, United States.ORCID https://orcid.org/0000-0001-9360-3334
Michigan Medicine · USBuilding Bridges · USHealth Net · USNorthwestern University · USTexas Health Dallas · USThe Ohio State University · USUniversity of Missouri · US

Funding

Aging in Place: A Cross-Sector Partnership of Housing and Health CareR21AG071796 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2021 to 2023
$429k
NIA NIH HHS R21 AG071796
6 · The paper itself

Abstract

backgroundFor many older Americans, aging in place is their preferred living arrangement. Minoritized and socioeconomically disadvantaged older adults are up to 3 times more likely to experience disability than other groups, which increases their likelihood of being unable to age in place. Bold ideas to facilitate aging in place, particularly among vulnerable populations, are needed. One such idea is the Unite care model, a community-initiated, academic-supported, cross-sector initiative that combines 2 sectors: housing and health care. The Unite care model colocates a federally qualified health center clinic on an older adult affordable housing campus in Flint, Michigan.

objectiveThere are two aims to this study. Aim 1 is to evaluate the implementation of the Unite care model in terms of acceptability, adoption, and penetration. Aim 2 is to determine which older adults use the care model and whether the care model promotes aging in place through risk factor reduction and improvement in the physical and social environment.

methodsWe will assess the care model using a concurrent, exploratory mixed methods design. For aim 1, acceptability will be assessed through semistructured interviews with key stakeholder groups; adoption and penetration will be assessed using housing and health care records. For aim 2, residents residing in the Unite clinic building will participate in structured outcome assessments at 6 and 12 months. Risk factor reduction will be measured by change in systolic blood pressure from baseline to 12 months and change in the physical and social environment (item counts) will also be assessed from baseline to 12 months.

resultsData collection for aim 1 began in July 2021 and is anticipated to end in April 2023. Data collection for aim 2 began in June 2021 and concluded in November 2022. Data analysis for aim 1 is anticipated to begin in the summer of 2023 and analysis for aim 2 will begin in the spring of 2023.

conclusionsIf successful, the Unite care model could serve as a new care model to promote aging in place among older adults living in poverty and older Black Americans. The results of this proposal will inform whether larger scale testing of this new model of care is warranted. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/47855.

Indexed as

affordable housingaging in placeblood pressurecommunity-based participatory researchhypertensionimplementation evaluationolder adultssocial determinants of healthstroke prevention

Identifiers

PMID37384383
PMCPMC10365602
OpenAlexW4372313173

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.