Evidence map›Paper›PMID 39729078›Full record

Trial reportJournal of the American Geriatrics Society2025

Implementation of Function Focused Care for Acute Care Using the Evidence Integration Triangle.

Barbara Resnick, Marie Boltz, Elizabeth Galik, Rachel McPherson, Ashley Kuzmik, Brittany Drazich, Nayeon Kim, Shijun Zhu, Chris Wells

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2025. 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. Interventions for preventing falls in older people in hospitals.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Trial
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.

Barbara ResnickAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Marie BoltzInterim Associate Dean for Research & Innovation, Elouise Ross Eberly and Robert Eberly Endowed Chair, Penn State University, College of Nursing, University Park, Pennsylvania, USA.ORCID 0000-0003-1133-2249
Elizabeth GalikAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Rachel McPhersonAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Ashley KuzmikInterim Associate Dean for Research & Innovation, Elouise Ross Eberly and Robert Eberly Endowed Chair, Penn State University, College of Nursing, University Park, Pennsylvania, USA.ORCID 0000-0002-2921-6767
Brittany DrazichAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Nayeon KimAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Shijun ZhuAssociate Dean of Research Department of Research and Scholarship, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Chris WellsChair of the Department of Organizational Systems and Health, University of Maryland Medical Center, University of Maryland School of Nursing, Baltimore, Maryland, USA.

Funding

Testing the Efficacy of FFC-AC-EIT in Patients with Alzheimers Disease and Related DementiasR01AG065338 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI BOLTZ, MARIE, RESNICK, BARBARA · 2020 to 2024
$2.4M
Pilot Testing Function Focused Care for Acute CareR21NR013736 · NINR · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2013 to 2014
$362k
NIA NIH HHS R01 AG065338NIA NIH HHS R01AG065338-03NINR NIH HHS R21 NR013736
6 · The paper itself

Abstract

backgroundThe purpose of this study was to test the impact of Function Focused Care for Acute Care Using the Evidence Integration Triangle (FFC-AC-EIT) on hospitalized patients living with dementia.

methodsThis was a clustered randomized clinical trial including 12 hospitals from two states and 455 patients living with dementia. Hospitals were randomized to FFC-AC-EIT versus FFC Education Only. The mean age of the participants was 82.5 (SD = 8.5), the majority were women (62.6%), White (65.3%), married (64.4%), and had 3.0 (SD = 2.4) comorbidities. Outcome measures included the Barthel Index; the Physical Activity Survey, the Confusion Assessment Method Short Form (CAM-S), the Neuropsychiatric Inventory (NPI), and the Pain Assessment in Advanced Dementia.

resultsAt discharge, both groups improved in function and physical activity, patients in the intervention group had less increase in pain than those in the control group (β = -0.58, 95% confidence interval [95% CI] (-0.89, -0.26), p < 0.001). There were no group differences in behavioral symptoms or delirium. At 1 month post-discharge there was a significant improvement in function (β = 5.55, 95% CI [0.36, 10.75], p = 0.036) and physical activity (β = 3.07, 95% CI [1.87, 4.28], p < 0.001).

conclusionsExposure to information about function focused care may help staff in acute care settings maintain and increase function and physical activity for older patients living with dementia during the hospital stay and help facilitate an increase in function and physical activity after discharge.

Indexed as

DementiaActivities of Daily LivingAgedAged, 80 and overExerciseFemaleHospitalizationHumansMaledementiafunctionphysical activity

Identifiers

PMID39729078
PMCPMC12101945

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.