Evidence map›Paper›PMID 38954524›Full record

SynthesisClinical gerontologist

Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.

Katherine Ramos, Megan Shepherd-Banigan, Cara McDermott, Eleanor S McConnell, Sudha R Raman, Dazhe Chen, Tatyana Der, Amir Alishahi Tabriz, Joel C Boggan, Nathan A Boucher and 11 more

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Characterizing Intervention Components and Complexity of Nonpharmacologic Healthcare Interventions to Manage Distress Behaviors in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    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

21 authors.

Katherine RamosDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.ORCID 0000-0002-7584-3040
Megan Shepherd-BaniganDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.ORCID 0000-0002-4020-8936
Cara McDermottDepartment of Population Health Sciences, Duke University School of Medicine, Duke University, Durham, North Carolina, USA.
Eleanor S McConnellGeriatric Research, Education, and Clinical Center (GRECC), Durham VA Health Care System, Durham, North Carolina, USA.
Sudha R RamanDepartment of Population Health Sciences, Duke University School of Medicine, Duke University, Durham, North Carolina, USA.
Dazhe ChenEpidemiology Branch, National Institute of Environmental Health Sciences, Durham, North Carolina, USA.ORCID 0000-0001-9951-5458
Tatyana DerSchool of Medicine, Duke University, Durham, North Carolina, USA.
Amir Alishahi TabrizDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Joel C BogganSchool of Medicine, Duke University, Durham, North Carolina, USA.
Nathan A BoucherSchool of Medicine, Duke University, Durham, North Carolina, USA.
Scott M CarlsonDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Letha JosephDurham VA Health Care System, Durham, North Carolina, USA.
Catherine A SimsSchool of Medicine, Duke University, Durham, North Carolina, USA.
Jessica E MaSchool of Medicine, Duke University, Durham, North Carolina, USA.
Adelaide M GordonDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Paul DennisDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Julee SnyderDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Morgan JacobsDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Sarah CantrellSchool of Medicine, Duke University, Durham, North Carolina, USA.
Jennifer M GierischDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.
Karen M GoldsteinDurham Evidence Synthesis Program (ESP) Center, Durham VA Health Care System, Durham, NC, USA.

Funding

University of Michigan (UM) HEAL Initiative National K12 Clinical Pain Career Development Program (UM-HCPDP)K12NS130673 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Daniel J Clauw, Steven Edward Harte · 2022 to 2026
$12.5M
A Patient-Caregiver Behavioral Intervention for Older Adults with Cancer and Mild Cognitive ImpairmentK08CA258947 · NCI · DUKE UNIVERSITY · PI Katherine Ramos · 2022 to 2026
$809k
Increasing mental health services use through enabling resources & family supportIK2HX002591 · VA · DURHAM VA MEDICAL CENTER · PI SHEPHERD-BANIGAN, MEGAN ELIZABETH · 2019 to 2024
–
HSRD VA IK2 HX002591NCI NIH HHS K08 CA258947NINDS NIH HHS K12 NS130673
6 · The paper itself

Abstract

objectivesThis review examines health care team-focused interventions on managing persistent or recurrent distress behaviors among older adults in long-term residential or inpatient health care settings.

methodsWe searched interventions addressing health care worker (HCW) knowledge and skills related to distress behavior management using Ovid MEDLINE, Elsevier Embase, and Ovid PsycINFO from December 2002 through December 2022.

resultsWe screened 6,582 articles; 29 randomized trials met inclusion criteria. Three studies on patient-facing HCW interactions (e.g. medication management, diagnosing distress) showed mixed results on agitation; one study found no effect on quality of life. Six HCW-focused studies suggested short-term reduction in distress behaviors. Quality-of-life improvement or decreased antipsychotic use was not evidenced. Among 17 interventions combining HCW-focused and patient-facing activities, 0 showed significant distress reduction, 8 showed significant antipsychotic reduction (OR = 0.79, 95%CI [0.69, 0.91]) and 9 showed quality of life improvements (SMD = 0.71, 95%CI [0.39, 1.04]). One study evaluating HCW, patient-, and environmental-focused intervention activities showed short-term improvement in agitation. CONCLUSIONS AND CLINICAL IMPLICATIONS: Novel health care models combining HCW training and patient management improve patient quality of life, reduce antipsychotic use, and may reduce distress behaviors. Evaluation of intervention's effects on staff burnout and utilization is needed.

Indexed as

Patient Care TeamPsychological DistressQuality of LifeAgedHealth PersonnelHumansRandomized Controlled Trials as TopicDistress behaviorshealth care workersinstitutional settingsolder adultspatient-centered interventions

Identifiers

PMID38954524
PMCPMC11479828

What OpenQuestion holds

Textmetadata
LicenceTDM
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.