Evidence map›Paper›PMID 39948465›Full record

Trial reportBMC geriatrics2025

Understanding the implementation process of the Adult Day Services Plus program.

Quinton D Cotton, Dionne Bailey, Elle Albers, Steph Ingvalson, Emily Bloomquist, Katie Marx, Keith Anderson, Holly Dabelko-Schoeny, Lauren Parker, Laura N Gitlin and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02927821 (Improving Outcome for Family Caregivers of Older Adults With Complex Conditions), which is not on this map. Cited by 2 papers.

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

NCT02927821 nacompletednot on this map

Improving Outcome for Family Caregivers of Older Adults With Complex Conditions: The Adult Day Plus (ADS Plus) Program

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2024Enrolled208ConditionsStressArmsADS Plus
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Advancing the Evidence Base for Adult Day Services: A New Five-Year Research Agenda for 2026-2031.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. 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

11 authors.

Quinton D CottonSchool of Social Work, University of Pittsburgh, Pittsburgh, USA.
Dionne BaileySchool of Public Health, University of Minnesota, Minneapolis, USA.
Elle AlbersSchool of Public Health, University of Minnesota, Minneapolis, USA.
Steph IngvalsonSchool of Public Health, University of Minnesota, Minneapolis, USA.
Emily BloomquistSchool of Public Health, University of Minnesota, Minneapolis, USA.
Katie MarxJohns Hopkins University, Baltimore, USA.
Keith AndersonUniversity of Mississippi, Oxford, USA.
Holly Dabelko-SchoenyOhio State University, Columbus, USA.
Lauren ParkerJohns Hopkins University, Baltimore, USA.
Laura N GitlinDrexel University College of Nursing and Health Professions, Philadelphia, USA.
Joseph E GauglerSchool of Public Health, University of Minnesota, Minneapolis, USA. gaug0015@umn.edu.

Funding

Improving Outcomes for Family Caregivers and Older Adults with Complex Conditions: The Adult Day Service Plus ProgramR01AG049692 · NIA · JOHNS HOPKINS UNIVERSITY · PI GAUGLER, JOSEPH E., GITLIN, LAURA N. · 2016 to 2020
$4.9M
NIA NIH HHS R01 AG049692NIA NIH HHS R01AG049692
6 · The paper itself

Abstract

backgroundAmong the available evidence-based interventions targeting dementia family caregivers, there is limited evidence on implementation processes that produce desired outcomes (i.e., reductions in depression and burden) for caregivers, people living with dementia (PLWD), and community-based programs themselves. In a national multi-site hybrid effectiveness trial, we investigated the implementation success and challenges of embedding an evidence-based intervention (ADS Plus) targeting dementia family caregivers whose PLWD was enrolled in an adult day service (ADS).

methodsInformed by the Consolidated Framework for Implementation Research, we conducted a directed qualitative content analysis to understand caregiver (n = 15) and staff (n = 14) perceptions of facilitators of and potential barriers to implementation of ADS Plus in nine ADS programs to guide future dissemination efforts.

resultsResults demonstrated that successful delivery of ADS Plus was achieved through intervention adaptability, personalization, and structure (innovation); responsiveness of ADS Plus to external changes and intervention marketability (outer domain); presence of aligned goals and familiarity (inner setting); involvement of research staff, connections among practitioners, and meeting caregiver needs (individual domain); and understanding caregivers' needs and addressing staff capacity to take action (implementation process). This adaptability reassures us of the potential to implement ADS Plus in heterogeneous programmatic settings.

conclusionGlobally, our results demonstrate that ADS Plus offers a viable community-based solution for supporting dementia family caregivers with high implementation potential for diverse ADS settings.

trial registrationClinicalTrials.gov ID: NCT02927821 (Registration Date 10/7/2016).

Indexed as

Adult Day Care CentersCaregiversDay Care, MedicalDementiaAdultAgedFemaleHumansMaleMiddle AgedAlzheimer’s diseaseCaregivingCommunity-based long-term careDementiaImplementation scienceLong-term care

Identifiers

PMID39948465
PMCPMC11823245

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.