Evidence map›Paper›PMID 37674161›Full record

ArticleBMC nursing2023

Better caregiver mastery is associated with less anxiety in individuals with cognitive impairment.

Yeji Hwang, Miranda V McPhillips, Liming Huang, G Adriana Perez, Nancy A Hodgson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03682185 (The Role of Palliative Care Interventions to Reduce Circadian Rhythm Disorders in Persons With Dementia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT03682185 phase3completednot on this map

The Role of Palliative Care Interventions to Reduce Circadian Rhythm Disorders in Persons With Dementia: The Healthy Patterns Study

TypeinterventionalSponsorUniversity of PennsylvaniaRan2016 to 2021Enrolled421ConditionsDementia, Alzheimer Disease, Circadian Rhythm Disorders, Circadian Rhythm Sleep DisorderArmsAttention-Control Condition, Timed Activity Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 4 countries.

Yeji HwangCollege of Nursing and Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Korea. yejihwang@snu.ac.kr.
Miranda V McPhillipsUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Liming HuangUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA.
G Adriana PerezUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Nancy A HodgsonUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA.
University of Pennsylvania · USNational University College · PR

Funding

The Role of Palliative Care Interventions to Reduce Circadian Rhythm Disorders in Persons with DementiaR01NR015226 · NINR · UNIVERSITY OF PENNSYLVANIA · PI HODGSON, NANCY A · 2016 to 2020
$3.0M
Multicomponent Behavioral Sleep Intervention for Insomnia in Older Adults with Mild Cognitive ImpairmentK23NR018487 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MCPHILLIPS, MIRANDA VARRASSE · 2019 to 2021
$496k
NINR NIH HHS K23 NR018487NINR NIH HHS K23NR018487NINR NIH HHS R01 NR015226NINR NIH HHS R01NR015226
6 · The paper itself

Abstract

backgroundWhen caregivers have a high level of caregiver mastery, their care recipients with cognitive impairment have less behavioral health problems. However, the relationship between caregiver mastery and anxiety among care recipients over time is unknown. Therefore, this study was conducted to examine that better caregiver mastery is associated with less anxiety in individuals with cognitive impairment over time.

methodsA secondary data analysis was conducted using the Healthy Patterns Clinical Trial (NCT03682185) dataset and guided by Factors Associated with Behavioral and Psychological Symptoms of Dementia conceptual framework. This study included 154 dyads of individuals with cognitive impairment and their caregivers. Multiple linear regression analyses were performed on changes in anxiety. Model 1 included variables at the level of neurodegeneration (i.e., cognitive impairment and age). Model 2 added patient factors (i.e., sleep problems and depression) with the Model 1. Finally, Model 3 included caregiver factor (i.e., caregiver mastery) with the Model 2 to examine how changes in caregiver mastery influence changes in anxiety of care recipients.

resultsModel 3 was statistically significant; after controlling for variables at the level of neurodegeneration associated with cognitive impairment and patient factors, improvement of caregiver mastery over time (β =-0.230, p = 0.015) was related to decreased anxiety over time (R

conclusionsCaregivers with high caregiver mastery may have better knowledge on how to care for their loved ones and how to manage their neuropsychiatric symptoms. Therefore, improving the level of caregiver mastery by providing psychoeducational programs and resources that family caregivers need will help reduce the frequency of anxiety in individuals with cognitive impairment.

Indexed as

AnxietyBehavioral and psychological symptoms of DementiaCaregiversCognitive dysfunctionSelf-efficacy

Identifiers

PMID37674161
PMCPMC10483800
OpenAlexW4386508503

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.