Evidence map›Paper›PMID 37706540›Full record

Trial reportJournal of the American Geriatrics Society2023

Technology caregiver intervention for Alzheimer's disease (I-CARE): Feasibility and preliminary efficacy of Brain CareNotes.

Miriam Jocelyn Rodriguez, Vanessa Martinez Kercher, Evan J Jordan, April Savoy, Jordan R Hill, Nicole Werner, Arthur Owora, Pete Castelluccio, Malaz A Boustani, Richard J Holden

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Trial
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  7. Article
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  11. Review
  12. Technology that CARES: Enhancing dementia care through everyday technologies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
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  15. Review
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

10 authors.

Miriam Jocelyn RodriguezDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.ORCID 0000-0002-0816-8313
Vanessa Martinez KercherDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.
Evan J JordanDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.
April SavoyPurdue School of Engineering and Technology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
Jordan R HillDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.
Nicole WernerDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.
Arthur OworaDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.
Pete CastelluccioIndiana University School of Medicine, Indianapolis, Indiana, USA.
Malaz A BoustaniIndiana University School of Medicine, Indianapolis, Indiana, USA.
Richard J HoldenDepartment of Health and Wellness Design, Indiana University Bloomington, Bloomington, Indiana, USA.

Funding

Enhancing shared decision-making to prompt and guide individualized care for people with Alzheimer's Disease and DiabetesK01AG076971 · NIA · PURDUE UNIVERSITY · PI April Savoy · 2022 to 2026
$634k
Technology Intervention to Support Caregiving for Alzheimer's Disease (I-CARE)R21AG062966 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI BOUSTANI, MALAZ, HOLDEN, RICHARD J · 2019 to 2020
$427k
NIA NIH HHS K01 AG076971NIA NIH HHS K01AG076971NIA NIH HHS R21 AG062966NIA NIH HHS R21AG062966
6 · The paper itself

Abstract

backgroundThe primary aim of the current pilot study was to examine enrollment rate, data completion, usability, acceptance and use of a mobile telehealth application, Brain CareNotes. A secondary aim was to estimate the application's effect in reducing caregiver burden and behavioral and psychological symptoms related to dementia (BPSD).

methodsPatient-caregiver dyads (n = 53) were recruited and randomized to intervention and control groups. Assessment of usability, acceptance, BPSD symptoms, and caregiver burden were collected at baseline, 3- and 6-month follow-up.

resultsThe enrollment rate was acceptable despite pandemic related challenges (53/60 target recruitment sample). Among randomized individuals, there was a retention rate of 85% and data completion was attained for 81.5% of those allocated to usual care and 88.5% of those allocated to Brain CareNotes. Mean caregiver-reported app usability at 6 months was 72.5 (IQR 70.0-90.0) on the System Usability Scale-considered "Good to Excellent"-and user acceptance was reasonable as indicated by 85%-90% of caregivers reporting they would intend to use the app to some degree in the next 6 months, if able. Regarding intervention effect, although differences in outcome measures between the groups were not statistically significant, compared to baseline, we found a reduction of caregiver burden (NPI-Caregiver Distress) of 1.0 at 3 months and 0.7 at 6 months for those in the intervention group. BPSD (NPI Total Score) was also reduced from baseline by 4.0 at 3 months and by 0.5 at 6 months.

conclusionsBrain CareNotes is a highly scalable, usable and acceptable mobile caregiver intervention. Future studies should focus on testing Brain CareNotes on a larger sample size to examine efficacy of reducing caregiver burden and BPSD.

Indexed as

Alzheimer DiseaseDementiaBrainCaregiversFeasibility StudiesHumansPilot ProjectsAlzheimers disease and related dementiasbehavioral and psychological symptoms of dementiacaregiver interventionmobile healthtelehealth

Identifiers

PMID37706540
PMCPMC10841172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.