Evidence map›Paper›PMID 40604535›Full record

Trial reportBMC geriatrics2025

Influences of social support following hip-fracture surgery for older adults with cognitive impairment and their family caregivers.

Ming-Yueh Tseng, Jersey Liang, Ying-Jen Chen, Chi-Chuan Wu, Yea-Ing L Shyu

Abstract readRandomized 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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Unraveling the Effects ofInternational journal of molecular sciences · 2025
    Review
  5. 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

5 authors.

Ming-Yueh TsengDepartment of Senior Citizen Services, National Tainan Junior College of Nursing, Tainan, Taiwan.ORCID http://orcid.org/0000-0003-2036-5720
Jersey LiangDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, United States.
Ying-Jen ChenDepartment of Geriatrics and General Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chi-Chuan WuDepartment of Orthopedic Surgery, Division of Orthopedic Traumatology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Yea-Ing L ShyuSchool of Nursing, College of Medicine, Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan, 33302, Taiwan. yeaing@mail.cgu.edu.tw.ORCID http://orcid.org/0000-0002-9697-535X

Funding

Chang Gung Medical Foundation Grant No. BMRP297, CMRPD1H0221-2National Health Research Institutes, Taiwan NHRI-EX106-10405PIThe Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan EMRPD1K0401The Ministry of Science and Technology, Taiwan MOST 106-2314-B-182-008-MY3
6 · The paper itself

Abstract

backgroundSocial support can impact family caregivers and influence the care receiver's recovery from surgery following hospital discharge. This study aimed to explore the influence of perceived social support on outcomes for dyads of older adults with cognitive impairment recovering from hip fracture surgery and their family caregivers.

methodsThis secondary analysis utilized data from a single-blind clinical trial involving 131 dyads randomly assigned to an intervention or control group. Perceived social support was assessed one month post-discharge using the Medical Outcomes Study Social Support Survey (MOS-SSS) and categorized as good (score = 95) or poor (< 95). Outcomes measured at 1, 3, 6, and 12 months included care receiver-specific outcomes (hip range of motion, muscle strength, nutritional status, depressive symptoms, and health-related quality of life [HRQoL]) and caregiver-specific outcomes (competence, self-efficacy, and HRQoL). The influence of good social support compared with poor social support on outcomes for care receivers and caregivers was analyzed with hierarchical linear modeling as a function of GSS and controlling for covariates of group assignment, pre-fracture activities of daily living of care receivers, and attrition.

resultsCare receivers with perceived good social support showed significantly better trajectories in hip range of motion, muscle strength, nutritional status, depressive symptoms, and MCS-HRQoL. Caregivers with good social support demonstrated significantly higher PCS-HRQoL and MCS-HRQoL scores, although no differences in caregiver competence or self-efficacy were observed. However, caregivers whose care receivers had good social support exhibited significantly higher competence and self-efficacy at three months post-discharge, with effects sustained over 12 months.

conclusionsGood perceived social support positively influenced recovery trajectories for older adults with cognitive impairment and improved HRQoL for both care receivers and caregivers, highlighting the importance of developing targeted interventions to enhance social support during post-surgical recovery for this vulnerable population.

Indexed as

CaregiversCognitive DysfunctionHip FracturesSocial SupportAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedQuality of LifeSingle-Blind MethodCompetenceDepressive symptomsHealth-related quality of lifeNutritionSelf-care ability

Identifiers

PMID40604535
PMCPMC12220168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.