Evidence map›Paper›PMID 40713884›Full record

ArticleThe Gerontologist2025

Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers' decision-making.

Alma A Manzo, Joahana Segundo, Maggie Britton, Ashley J Housten, Zachary G Baker

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 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.

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

2 citing papers in PubMed.

  1. 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

5 authors.

Alma A ManzoEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, United States.ORCID 0009-0008-0133-6186
Joahana SegundoEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, United States.
Maggie BrittonDepartment of Behavioral Science, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States.
Ashley J HoustenDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri, United States.
Zachary G BakerEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, United States.ORCID 0000-0001-5345-7643

Funding

The Engaging Communities of Hispanics for Aging Research (ECHAR) NetworkR24AG065170 · NIA · UNIVERSITY OF HOUSTON · PI MEDINA, LUIS D · 2020 to 2022
$2.5M
NIA NIH HHS R24 AG065170
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough there are benefits to formal care, Hispanic/Latino family caregivers of people with dementia face multiple barriers to access. Moreover, the decision-making processes Hispanic/Latino family caregivers use when considering formal care are unclear. The present study examines how Hispanic/Latino family caregivers make formal care decisions, explores why they choose to use or avoid formal care, and identifies accessible methods of disseminating information about formal care options. RESEARCH DESIGN AND

methodsWe conducted virtual interviews with 14 Hispanic/Latino caregivers of people with dementia in the United States. These interviews were guided by the Ottawa Decision Support Framework, conducted in English and Spanish, and analyzed deductively using thematic analysis.

resultsFour main themes were identified: (1) reasons family caregivers may not choose formal care, (2) perceived benefits of formal care, (3) how family caregivers choose formal care, and (4) recommendations for delivering information about formal care options. Although Hispanic/Latino family caregivers recognize formal care provides respite and support, many prefer to use it when their caregiving responsibilities become overwhelming. Researchers also found that participants' ability to embrace Hispanic/Latino culture and Spanish proficiency were crucial. Participants expressed the importance of guidance from doctors and the efficiency of online methods in disseminating information. DISCUSSION AND IMPLICATIONS: This study provides a foundation for addressing ethnic disparities in access to formal care. It also lays crucial groundwork for the future development of decision-support interventions by examining decisional needs, identifying accessible methods for disseminating information, and centering the Hispanic/Latino experience.

Indexed as

CaregiversDecision MakingDementiaHealth Services AccessibilityHispanic or LatinoAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchUnited StatesCaregivingDecision-supportDisparities (healthHome and community-based careracial)Thematic analysis

Identifiers

PMID40713884
PMCPMC12756986

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.