Evidence map›Paper›PMID 38452494›Full record

ArticleGeriatric nursing (New York, N.Y.)

Implementation of STAR-VA for behavioral symptoms of dementia in acute care: Lessons learned.

Hannah M Bashian, Julia T Boyle, Seneca Correa, Jane Driver, Caroline Madrigal, Isabel Desroches, Mackenzie Farrell, Olivia Eiten, Katie Flanagan, Talya Shahal and 1 more

Abstract read
In one paragraph

Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

11 authors.

Hannah M BashianVA Boston Healthcare System, United States; Harvard Medical School, United States. Electronic address: Hannah.bashian@va.gov.
Julia T BoyleVA Boston Healthcare System, United States; New England Geriatric Research Education and Clinical Center, United States; Harvard Medical School, United States.
Seneca CorreaVA Boston Healthcare System, United States.
Jane DriverVA Boston Healthcare System, United States; Harvard Medical School, United States.
Caroline MadrigalVA Boston Healthcare System, United States.
Isabel DesrochesVA Boston Healthcare System, United States.
Mackenzie FarrellVA Boston Healthcare System, United States.
Olivia EitenVA Boston Healthcare System, United States.
Katie FlanaganVA Boston Healthcare System, United States.
Talya ShahalVA Boston Healthcare System, United States; Boston University Chobanian & Avedisian School of Medicine, United States; Harvard Medical School, United States.
Kelly A O'MalleyVA Boston Healthcare System, United States; New England Geriatric Research Education and Clinical Center, United States; Harvard Medical School, United States.

Funding

Insomnia and Physical Function in Older Veterans During and After CLC Rehabilitation AdmissionIK1RX004762 · VA · VA BOSTON HEALTH CARE SYSTEM · PI BOYLE, JULIA T · 2023 to 2025
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RRD VA IK1 RX004762
6 · The paper itself

Abstract

As the population grows, the incidence of dementia will increase. A common occurrence in people with dementia is behavioral and psychological symptoms of dementia (BPSD). BPSD can include apathy, aggression, resistance to care, and agitation. BPSD can start or worsen during an acute hospitalization, but these units are not well-equipped to handle BPSD, often relying on pharmacological interventions to address distress behaviors. One known behavioral intervention for BPSD is STAR-VA, an interdisciplinary approach to managing these behaviors. However, this intervention has not been utilized in acute care. Our team implemented STAR-VA in acute care at a Veterans Affairs hospital in the northeastern United States. Using the VA's Quality Enhancement Research Initiative (QUERI) implementation roadmap to guide our work, we first outlined the problem, completed a needs assessment with staff, and began implementation. Results from this quality improvement project demonstrated the feasibility and efficacy of STAR-VA in an acute care setting.

Indexed as

DementiaQuality ImprovementAgedBehavioral SymptomsHospitals, VeteransHumansUnited StatesUnited States Department of Veterans AffairsAcute careBehavioral interventionsDementia careNeurocognitive disorderOlder veterans

Identifiers

PMID38452494
PMCPMC12961570

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.