Evidence map›Paper›PMID 39495962›Full record

ArticleNorth Carolina medical journal2024

The Complex Relationship Between Social and Functional Needs in Frail Older Adults.

Elena Wright, Kathryn E Callahan, Haley Park, Corrinne Dunbar, Jennifer Gabbard, Kristin Lenoir, Jaime M Hughes, Renee Woodard, Deepak Palakshappa

Abstract read
In one paragraph

Article in North Carolina medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  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

9 authors.

Elena WrightDepartment of Implementation Science, Division of Public Health Sciences, School of Medicine, Wake Forest University.
Kathryn E CallahanDepartment of Implementation Science, Division of Public Health Sciences, School of Medicine, Wake Forest University.
Haley ParkSchool of Medicine, Wake Forest University.
Corrinne DunbarSchool of Medicine, Wake Forest University.
Jennifer GabbardCenter for Healthcare Innovation, School of Medicine, Wake Forest University.
Kristin LenoirCenter for Healthcare Innovation, School of Medicine, Wake Forest University.
Jaime M HughesDepartment of Implementation Science, Division of Public Health Sciences, School of Medicine, Wake Forest University.
Renee WoodardCenter for Healthcare Innovation, School of Medicine, Wake Forest University.
Deepak PalakshappaCenter for Healthcare Innovation, School of Medicine, Wake Forest University.

Funding

CTSA UM1 Program at Wake ForestUM1TR004929 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamy D Ard, KRISTIE L FOLEY · 2024 to 2026
$11.9M
Identifying Frailty in Primary Care: Implementation of an Electronic Medical Record-based Frailty IndexK76AG059986 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CALLAHAN, KATHRYN · 2018 to 2022
$1.2M
Implementation Strategies to Promote Advance Care Planning among Persons Living with ADRD and those with Mild Cognitive Impairment in Outpatient Primary Care PracticesK23AG070234 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jennifer Lynn Gabbard · 2022 to 2026
$879k
Mobile Technology for Primary Care to Address Food Insecurity and Improve Cardiovascular HealthK23HL146902 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PALAKSHAPPA, DEEPAK · 2020 to 2024
$776k
NCATS NIH HHS UM1 TR004929NHLBI NIH HHS K23 HL146902NIA NIH HHS K23 AG070234NIA NIH HHS K76 AG059986
6 · The paper itself

Abstract

Background: There has been a growing interest in integrating social and function-focused care into health care settings. Little is known about what older adults perceive as the needs that impact their lives, and the resources to address patients' social and functional needs often exist outside of traditional health care settings. Methods: Our objective was to understand frail older adults' and community organizations' perspectives on what social and functional needs impact older adults' health, the support they receive, and how organizations and health systems could partner to address these needs. We conducted semi-structured interviews with patients and community-based organizations. Patients were aged 65 years or older, frail (electronic frailty index greater than 0.21), and at an increased geographic risk of unmet social needs (Area Deprivation Index greater than or equal to the 75th percentile). Staff were from organizations that provided social and/or functional resources to older adults. We used an inductive content analysis approach and the constant comparative method to analyze the data and identify themes. Results: We interviewed 23 patients and 28 staff from 22 distinct organizations. We found that social, financial, and functional needs were common and highly intertwined among older adults with frailty, but the support they received at home, from their health care providers, and from community organizations was highly varied. Limitations: Our sample was limited to participants from one county, so the results may not be generalizable to other areas. We only inter-viewed organizations and patients with frailty. Conclusions: Health systems and community organizations have distinct areas of expertise, and purposeful collaboration between them could be important in addressing the needs of frail older adults.

Indexed as

Frail ElderlyActivities of Daily LivingAgedAged, 80 and overFemaleHealth Services Needs and DemandHumansInterviews as TopicMaleNeeds AssessmentNorth CarolinaQualitative ResearchSocial SupportDeepak Palakshappafrailtyhealth carehealth policylong term careNorth Carolinaolder adults

Identifiers

PMID39495962
PMCPMC11687326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.