Evidence map›Paper›PMID 39531391›Full record

Trial reportAnnals of internal medicine2024

The Effect of the "Safety in Dementia" Online Tool to Assist Decision Making for Caregivers of Persons With Dementia and Access to Firearms : A Randomized Trial.

Marian E Betz, Jennifer Portz, Christopher Knoepke, Megan L Ranney, Stacy M Fischer, Ryan A Peterson, Rachel L Johnson, Faris Omeragic, Mirella Castaneda, Emily Greenway and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173922 ("Safety in Dementia"), which is not on this 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.

NCT05173922 nacompletednot on this map

"Safety in Dementia": An Online Caregiver Intervention

TypeinterventionalSponsorUniversity of Colorado, DenverRan2022 to 2024Enrolled500ConditionsCaregivers, Decision Making, Alzheimer Disease, Social MediaArmsSafety in Dementia
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Marian E BetzDepartment of Emergency Medicine and Firearm Injury Prevention Initiative, University of Colorado School of Medicine, and VA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, Colorado (M.E.B.).ORCID 0000-0003-1643-6565
Jennifer PortzDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado (J.P.).ORCID 0000-0003-3107-3598
Christopher KnoepkeFirearm Injury Prevention Initiative; Adult and Child Center for Outcomes Research and Delivery Science; and Division of Cardiology, University of Colorado School of Medicine, Aurora, Colorado (C.K.).ORCID 0000-0003-3521-7157
Megan L RanneyDepartment of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut (M.L.R.).ORCID 0000-0002-8450-9642
Stacy M FischerVA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center; Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine; and Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado (S.M.F.).ORCID 0000-0003-2814-7576
Ryan A PetersonDivision of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado (R.A.P., R.L.J.).ORCID 0000-0002-4650-5798
Rachel L JohnsonDivision of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado (R.A.P., R.L.J.).ORCID 0000-0003-3002-5412
Faris OmeragicDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado (F.O., M.C., E.G.).ORCID 0000-0002-0509-9754
Mirella CastanedaDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado (F.O., M.C., E.G.).
Emily GreenwayDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado (F.O., M.C., E.G.).ORCID 0000-0002-4683-7717
Daniel MatlockVA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, Colorado; Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, Colorado; and Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut (D.M.).ORCID 0000-0001-9597-9642

Funding

Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
"Safety in Dementia": An Online Caregiver Intervention.R01AG076364 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2021 to 2021
$1.7M
NCATS NIH HHS UM1 TR004399NIA NIH HHS R01 AG076364
6 · The paper itself

Abstract

backgroundCaregivers face challenges (including competing desires to prevent injury, respect autonomy, and avoid conflict) when addressing firearm access by community-dwelling persons with Alzheimer disease and related dementias (ADRD).

objectiveTo test the effect of the online Safety in Dementia (SiD) decision aid on caregivers' decision making about firearm access for people with ADRD.

designProspective 2-group randomized trial with longitudinal follow-up. (ClinicalTrials.gov: NCT05173922).

settingUnited States.

participantsEnglish- or Spanish-speaking caregivers (aged ≥18 years) of community-dwelling adults with ADRD and firearm access.

interventionSiD versus a web-based information control. MEASUREMENTS: The primary outcome was preparation for decision making about firearm access. The secondary outcome at follow-up was self-reported action to reduce access.

resultsAmong 500 participants enrolled between June 2022 and February 2024, the mean age was 47 years, 69% identified as female, half were the adult child or stepchild of the person with ADRD, and 99% chose study participation in English. Participant characteristics were similar by study group. For the primary outcome, SiD significantly increased preparation for decision making versus the control (69.8 vs. 64.8 out of 100; mean difference, 4.80 [95% CI, 0.53 to 9.07]; LIMITATION: The results may not be generalizable to non-English-speaking populations.

conclusionThe online SiD decision aid increased preparation for decision making about firearm access in this sample of ADRD caregivers in the United States. Use of such resources in clinical or community settings may support caregivers and people with ADRD in avoiding firearm injury or death. PRIMARY FUNDING SOURCE: National Institute on Aging, National Institutes of Health.

Indexed as

CaregiversDecision MakingDementiaFirearmsAdultAgedDecision Support TechniquesFemaleHumansMaleMiddle AgedProspective StudiesUnited States

Identifiers

PMID39531391
PMCPMC12765473

What OpenQuestion holds

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Registered trials

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.