Evidence map›Paper›PMID 40049580›Full record

ArticleJournal of the American Medical Directors Association2025

Identifying Patient, Care Partner, and Clinician Needs for Functional Recovery Following Hospitalization When Dementia is Present.

Allison M Gustavson, Emily M Hudson, Jennifer P Wisdom, Alicia B Woodward-Abel, Rashelle Hoffman, Matthew J Miller, Howard A Fink, Joseph E Gaugler, Hildi J Hagedorn

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Allison M GustavsonVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Veterans Affairs Rehabilitation Research and Development Center for Rehabilitation and Engineering Center for Optimizing Veteran Engagement and Reintegration, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Medicine, University of Minnesota, Minneapolis, MN, USA. Electronic address: Allison.Gustavson@va.gov.
Emily M HudsonVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Jennifer P WisdomWisdom Consulting, New York, New York, NY, USA.
Alicia B Woodward-AbelVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Rashelle HoffmanDepartment of Physical Therapy, Creighton University, Omaha, NE, USA.
Matthew J MillerDepartment of Physical Therapy and Rehabilitation Science, University of California, San Francisco, CA, USA.
Howard A FinkVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Medicine, University of Minnesota, Minneapolis, MN, USA; Geriatric Research Education and Clinical Center, Veterans Affairs Healthcare System, Minneapolis, MN, USA.
Joseph E GauglerDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Hildi J HagedornVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Psychiatry, University of Minnesota School of Medicine, Minneapolis, MN, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
AHRQ HHS K12 HS026379NCATS NIH HHS KL2 TR001870
6 · The paper itself

Abstract

objectivesPersons with dementia are frequently hospitalized, which threatens their ability to return to and live at home. Current post-acute paradigms tend to default to short-term rehabilitation in a nursing home. Still, alternative post-acute care models are crucial for veterans with dementia to recover at home. This study aims to identify the needs of veterans with dementia, care partners, and rehabilitation clinicians in relation to home-based models of care to inform the implementation and adaptation of models to the post-acute context.

designQualitative study. SETTING AND

participantsParticipants included veterans with dementia with recent history of hospitalization, care partners, and rehabilitation clinicians.

methodsSemi-structured interviews were conducted across 3 groups (veterans with dementia, care partners, and rehabilitation clinicians) and analyzed using a rapid qualitative approach guided by the Practical, Robust Implementation and Sustainability Model (PRISM).

resultsParticipants included 11 veterans with dementia, 13 care partners, and 23 rehabilitation clinicians. We identified 3 themes from the interviews: (1) collaborative decision making and planning are crucial to high-quality care, (2) follow-through is necessary to ensure needs are met when transitioning from hospital to home, and (3) alternative care options, including technology use, are important when optimizing transitions of care. CONCLUSION AND IMPLICATIONS: Alternative options for home care after hospital discharge may enhance patient-and family-centered outcomes. Future research must identify evidence-based models that can be collaboratively adapted or developed to provide effective, safe, and feasible post-acute care to optimize independence in the home and quality of life.

Indexed as

CaregiversDementiaHospitalizationNeeds AssessmentRecovery of FunctionAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchUnited StatesVeteranscare giversCare partnerspost-acuterehabilitationtransitions

Identifiers

PMID40049580
PMCPMC12058380

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.