Evidence map›Paper›PMID 37791406›Full record

Trial reportJournal of the American Geriatrics Society2024

Comprehensive Older Adult and Caregiver Help (COACH): A person-centered caregiver intervention prevents elder mistreatment.

Zachary D Gassoumis, Julia M Martinez, Jeanine Yonashiro-Cho, Laura Mosqueda, Anthony Hou, S Duke Han, Bonnie Olsen, Anat Louis, Marie-Therese Connolly, Kylie Meyer and 4 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  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

14 authors.

Zachary D GassoumisDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-0005-9454
Julia M MartinezDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Jeanine Yonashiro-ChoDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-0926-0461
Laura MosquedaDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Anthony HouLos Angeles Medical Center, Kaiser Permanente Southern California, Los Angeles, California, USA.
S Duke HanDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0003-2453-9230
Bonnie OlsenDepartment of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Anat LouisWISE & Healthy Aging, Santa Monica, California, USA.
Marie-Therese ConnollyLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
Kylie MeyerFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.ORCID 0000-0003-3032-2054
Kelly MarnfeldtLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.ORCID 0000-0003-3047-8016
Sheila A Salinas NavarroLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-6320-521X
Mengzhao YanLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-0589-8783
Kathleen H WilberLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.ORCID 0000-0001-6211-9726

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1TR000130NCATS NIH HHS UL1 TR001855NCATS NIH HHS UL1TR001855NIA NIH HHS P30 AG066530
6 · The paper itself

Abstract

backgroundElder mistreatment (EM) harms individuals, families, communities, and society as a whole. Yet research on interventions is lagging, and no rigorous studies demonstrating effective prevention have been published. This pilot study examines whether a first-of-its-kind coaching intervention reduced the experience of EM among older adults with chronic health conditions, including dementia.

methodsWe used a double-blind, randomized controlled trial to test a strengths-based person-centered caregiver support intervention, developed from evidence-based approaches used in other types of family violence. Participants (n = 80), family caregivers of older adults who were members of Kaiser Permanente, completed surveys at baseline, post-test, and 3-month follow-up. The primary outcome was caregiver-reported EM; additional proximal outcomes were caregiver burden, quality-of-life, anxiety, and depression. Nonparametric tests (Mann-Whitney U, Fisher's Exact, Wilcoxon Signed Rank, and McNemar's) were used to make comparisons between treatment and control groups and across time points.

resultsThe treatment group had no EM after intervention completion (assessed at 3-month follow-up), a significantly lower rate than the control group (treatment = 0%, control = 23.1%, p = 0.010).

conclusionsIn this pilot study, we found that the COACH caregiver support intervention successfully reduced EM of persons living with chronic illness, including dementia. Next steps will include: (1) testing the intervention's mechanism in a fully powered RCT and (2) scaling the intervention for testing in a variety of care delivery systems.

Indexed as

DementiaElder AbuseAgedCaregiversChronic DiseaseHumansPilot ProjectsQuality of Lifecaregiver supportcaregiver trainingelder abuseelder abuse preventionelder mistreatment intervention

Identifiers

PMID37791406
PMCPMC10842324

What OpenQuestion holds

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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.