Evidence map›Paper›PMID 40037805›Full record

ArticleThe Gerontologist2025

Navigating a Skilled Nursing Facility Stay Together: A Dyadic Qualitative Study of Dually Eligible Patients and Care Partners.

Evan Plys, Morgan Seward, Makenna Law, Talea Cornelius, Cari Levy, Ana-Maria Vranceanu

Abstract read
In one paragraph

Article in The Gerontologist, 2025. 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

6 authors.

Evan PlysCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.
Morgan SewardCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.
Makenna LawCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.
Talea CorneliusCenter for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York, USA.
Cari LevyDepartment of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-7485-280X
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-3994-6488

Funding

MassaChusetts General Hospital ROybal CeNter For BehavIoral Dyadic ResEarch in Alzheimer's Disease and Related Dementias (CONFIDE-ADRD): Behavioral Intervention Development CoreP30AG086562 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI OKEREKE, OLIVIA IFEOMA, VRANCEANU, ANA-MARIA · 2024 to 2025
$2.4M
Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
Building Resilience In SKilled nursing facilities (BRISK): Development and Pilot Testing of a Dyadic Intervention for Psychological Distress in Post-Acute Skilled Nursing CareK23AG078410 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Evan Plys · 2023 to 2026
$775k
Ki Sub Joung Innovative Junior Faculty Pilot Award in Aging and Palliative CareNational Center for Complementary and Alternative Medicine K24AT011760NCCIH NIH HHS K24 AT011760NIA NIH HHS K23 AG078410NIA NIH HHS K23AG078410NIA NIH HHS P30 AG086562NIA NIH HHS P30AG086562
6 · The paper itself

Abstract

BACKGROUND AND

objectivesShared stressors are co-experienced by dyad members and increase each's psychological distress. This study analyzes dyadic qualitative data with dually eligible (i.e., Medicare and Medicaid beneficiaries) residents and their care partners during a subacute/postacute skilled nursing facility (SNF) stay. We aimed to (1) identify shared stressors that affect both dyad members and (2) explore differences between dyad relationship types. RESEARCH DESIGN AND

methodsSeventeen dyads (N = 34 individuals) participated in semistructured interviews during a SNF stay, separately. There were no exclusion criteria based on relationship type. The dyadic framework method was used to analyze dyads as a single unit, rather than the sum of separate narratives.

resultsThe sample consisted of adult child (n = 9, 53%), friend (n = 6, 35%), sibling (n = 1, 6%), and parent (n = 1, 6%) care partners. Four themes emerged, providing insight into shared stressors: (1) balancing autonomy and support; (2) long-term care decision-making; (3) cognitive concerns requiring attention; and (4) preexisting relationships. Care roles and shared stressors were mostly similar across relationship types; although, some inter-dyad differences were noted in decision-making processes and interpersonal dynamics. DISCUSSION AND IMPLICATIONS: This study identified multiple shared stressors that occur during SNF stays, as dyads must navigate changes to autonomy-support structures as well as the care environment, caregiving role, and existing relationship, together. We discuss implications for research, practice, and policy, including dyadic psychological intervention; care partner training for psychological, behavioral, and case management; cognitive symptom assessment, education, and management; and support for long-term care decision-making and transitions.

Indexed as

CaregiversSkilled Nursing FacilitiesStress, PsychologicalAdultAgedAged, 80 and overDecision MakingFemaleHumansInterviews as TopicMaleMedicaidMedicareMiddle AgedQualitative ResearchUnited StatesCare transitionsDyadicPostacute carePsychological healthSkilled nursing facility

Identifiers

PMID40037805
PMCPMC12065396

What OpenQuestion holds

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Registered trials

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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.