Evidence map›Paper›PMID 40129045›Full record

ArticleJournal of the American Geriatrics Society2025

Change in Fall Status of Older People With Dementia and Caregiving Difficulties: Moderation Effects of Living Arrangements.

Yuanjin Zhou, Kylie Meyer, Ellliane Irani, Xiao Liu, Namkee Choi

Abstract read
In one paragraph

Article 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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Yuanjin ZhouUniversity of Texas at Austin, Steve Hicks School of Social Work, Austin, Texas, USA.ORCID 0000-0003-2492-346X
Kylie MeyerCase Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH, USA.ORCID 0000-0003-3032-2054
Ellliane IraniDepartment of Educational Psychology, University of Texas at Austin, Austin, TX, USA.
Xiao LiuUniversity of Texas at Austin, Steve Hicks School of Social Work, Austin, Texas, USA.
Namkee ChoiUniversity of Texas at Austin, Steve Hicks School of Social Work, Austin, Texas, USA.ORCID 0000-0002-8382-1191

Funding

Program Development and Pilot CoreP30AG066614 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI KAREN L FINGERMAN · 2020 to 2026
$5.2M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Catherine A Calder · 2017 to 2026
$5.2M
Caregiving for Alzheimer's Disease and Related Dementias: Enhancing the National Study of Caregiving (NSOC)R01AG054004 · NIA · JOHNS HOPKINS UNIVERSITY · PI FREEDMAN, VICKI A., WOLFF, JENNIFER L. · 2016 to 2020
$4.5M
Academic Leadership Career AwardK07AG076616 · NIA · UNIVERSITY OF MINNESOTA · PI JOSEPH E. GAUGLER · 2023 to 2026
$562k
National Institute of Child Health and Human Development P2CHD042849NIA NIH HHS K07 AG076616NIA NIH HHS K07AG076616NIA NIH HHS P30 AG066614NIA NIH HHS P30AG066614NIA NIH HHS R01 AG054004NIA NIH HHS R01AG054004NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

objectivesWe aim to investigate the associations between 2-year fall status among community-dwelling older people with dementia and care partners' emotional, physical, and financial difficulties, with living arrangements (co-residence vs. separate residence) as a moderator.

methodWe used the 2015-2017 National Health and Aging Trends Study and the linked survey 2017 National Study of Caregiving (935 care partners for 567 community-dwelling older people with dementia). We employed multilevel generalized linear regression models to examine the associations of fall status between 2015 and 2017 with caregiving difficulties in 2017 for co-residing and non-co-residing care partners. We then evaluated the moderation effect of care partners' living arrangements.

resultsFor co-residing care partners, high (p = 0.001), increased (p = 0.001), and decreased (p = 0.001) fall frequency over 2 years was significantly associated with emotional difficulties. For non-co-residing care partners, high (p < 0.001), increased (p = 0.001), and decreased (p = 0.002) fall frequency was significantly associated with their physical difficulties. Compared to co-residing care partners, those who lived apart experienced greater physical difficulties when the fall frequency increased over 2 years (p < 0.05), but this effect became non-significant after the Bonferroni correction. High fall frequency was significantly associated with financial difficulties for co-residing (p = 0.009) and non-co-residing (p = 0.003) care partners, and decreased fall frequency was only significantly associated with financial difficulties for non-co-residing care partners (p = 0.018). All findings for financial difficulties became non-significant after the Bonferroni correction. DISCUSSION: This study found differential associations between fall status over 2 years and care-related difficulties by care partners' living arrangements. Preventing falls for this population can potentially reduce the informal caregiving burden, especially the emotional difficulties for co-residing care partners and the physical difficulties of non-co-residing caregivers. Tailored interventions to manage fall risk among older people with dementia and support care partners with different living arrangements are crucial to improving their well-being.

Indexed as

Accidental FallsCaregiversDementiaIndependent LivingResidence CharacteristicsAgedAged, 80 and overFemaleHumansMalecaregiving difficultycognitive impairmentfallsolder people

Identifiers

PMID40129045
PMCPMC12205294

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.