Evidence map›Paper›PMID 37656062›Full record

ArticleJournal of the American Geriatrics Society2023

Preparing for pragmatic trials in dementia care: Health equity considerations for nonpharmacological interventions.

María P Aranda, Rosa Baier, Ladson Hinton, Katherine D Peak, Jonathan D Jackson, Peggye Dilworth-Anderson, Laura N Gitlin, Eric Jutkowitz, Ana R Quiñones

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

9 authors.

María P ArandaSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, Los Angeles, California, USA.
Rosa BaierDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Ladson HintonDepartment of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, California, USA.
Katherine D PeakDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Jonathan D JacksonDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Peggye Dilworth-AndersonDepartment of Health Policy and Management, University of North Carolina, Chapel Hill, North Carolina, USA.
Laura N GitlinCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2869-473X
Eric JutkowitzDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0002-1735-8434
Ana R QuiñonesDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Abraham Aizer Brody · 2019 to 2026
$125.9M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
USC Resource Center for Minority Aging Research (US-RCMAR)P30AG043073 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI EMMA AGUILA, JENNIFER A AILSHIRE · 2012 to 2026
$10.1M
Foundations of Representative Engagement, Valid & Effective Recruitment (FOREVER) in AD ResearchDP1AG069873 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI JACKSON, JONATHAN DAVID · 2020 to 2020
$3.3M
Person-Reported and Health Care Utilization Outcomes of Home and Community Based Care Recipients With and Without Alzheimer's Disease and its Related DementiasRF1AG069771 · NIA · UNIVERSITY OF MINNESOTA · PI JUTKOWITZ, ERIC, SHIPPEE, TETYANA P. · 2020 to 2023
$2.4M
Microsimulation Modeling to Compare the Effectiveness and Cost-Effectiveness of Nondrug Interventions to Manage Clinical Symptoms in Racially/Ethnically Diverse Persons with DementiaR01AG060871 · NIA · BROWN UNIVERSITY · PI JUTKOWITZ, ERIC · 2019 to 2022
$1.7M
Informal Resources of Persons Living with Alzheimer's Disease and Related Dementias: Impact on Hospitalizations, Potentially Avoidable Hopsitalizations and Nursing Home AdmissionsR21AG059623 · NIA · BROWN UNIVERSITY · PI JUTKOWITZ, ERIC · 2018 to 2019
$454k
NIA NIH HHS 1R01AG060871-01NIA NIH HHS 1R21AG059623-01NIA NIH HHS 1RF1AG069771NIA NIH HHS DP1 AG069873NIA NIH HHS P30 AG043073NIA NIH HHS P30AG043073NIA NIH HHS P30 AG066530NIA NIH HHS P30AG066530NIA NIH HHS R01 AG060871NIA NIH HHS R21 AG059623NIA NIH HHS RF1 AG069771NIA NIH HHS U54 AG063546NIA NIH HHS U54AG063546
6 · The paper itself

Abstract

Inequities with regard to brain health, economic costs, and the evidence base for dementia care continue. Achieving health equity in dementia care requires rigorous efforts that ensure disproportionately affected populations participate fully in-and benefit from-clinical research. Embedding-proven interventions under real-world conditions and within existing healthcare systems have the potential to examine the effectiveness of an intervention, improve dementia care, and leverage the use of existing resources. Developing embedded pragmatic controlled trials (ePCT) research designs for nonpharmacological dementia care interventions involves a plethora of a priori assumptions and decisions. Although frameworks exist to determine whether interventions are "ready" for ePCT, there is no heuristic to assess health equity-readiness. We discuss health equity considerations, case examples, and research strategies across ePCT study domains of evidence, risk, and alignment. Future discussions regarding health equity considerations across other domains are needed.

Indexed as

DementiaHealth EquityDelivery of Health CareHumansPragmatic Clinical Trials as Topicdementia careembedded pragmatic controlled trialshealth equitynonpharmacological interventionsunderrepresented groups

Identifiers

PMID37656062
PMCPMC10841288

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.