Evidence map›Paper›PMID 40879706›Full record

ArticleJournal of the American Geriatrics Society2025

Awareness and Implementation of the Age-Friendly 4Ms Framework: A Needs Assessment Survey.

Yu-Hua Fu, Jing Wu, Barbara Zarowitz, Avra L Thomas, Dagmara Zajac, Christine R Valeriann, Chad Worz, Nicole Brandt, Catherine E Cooke

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.

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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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.

Yu-Hua FuDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland Baltimore School of Pharmacy, Baltimore, Maryland, USA.ORCID 0009-0000-9978-0323
Jing WuMaps for Health Collaborative, Tamarac, Florida, USA.
Barbara ZarowitzDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland Baltimore School of Pharmacy, Baltimore, Maryland, USA.ORCID 0000-0002-3979-1706
Avra L ThomasAmerican Society of Consultant Pharmacists, Alexandria, Virginia, USA.
Dagmara ZajacAmerican Society of Consultant Pharmacists, Alexandria, Virginia, USA.
Christine R ValeriannDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland Baltimore School of Pharmacy, Baltimore, Maryland, USA.
Chad WorzAmerican Society of Consultant Pharmacists, Alexandria, Virginia, USA.
Nicole BrandtDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland Baltimore School of Pharmacy, Baltimore, Maryland, USA.ORCID 0000-0003-2766-6120
Catherine E CookeDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland Baltimore School of Pharmacy, Baltimore, Maryland, USA.ORCID 0000-0002-3397-9679

Funding

The John A. Hartford Foundation 2023-0344
6 · The paper itself

Abstract

backgroundThe Age-Friendly Health Systems (AFHS) initiative, focusing on the 4Ms-"What Matters," "Medication," "Mentation," and "Mobility," aims to provide high quality care to adults aged 65 and older. Pharmacists are well-positioned to champion the 4Ms within collaborative, interprofessional care teams. Yet, little is known about pharmacists' awareness of and comfort with the 4Ms.

methodsA needs assessment survey was distributed to American Society of Consultant Pharmacists members to evaluate their familiarity with the 4Ms framework and comfort in assessing and acting on the 4Ms. The survey included 38 items across three sections: participant characteristics, familiarity with AFHS initiative, and comfort with the 4Ms. Comfort was rated on a five-point Likert scale, with scores of 4-5 categorized as comfortable and 1-3 as not/less comfortable. Participants were considered comfortable with a specific 4M domain if they scored 4 or 5 on all related items.

resultsThe survey had a view rate of 11.3% and a viewer participation rate of 58.3%. Of 232 respondents, 44.0% chose consultant pharmacist for their primary professional role, and 51.7% practiced in post-acute, long-term, and residential care settings. Most (62.1%) respondents were aware of the AFHS initiative, but just 20% reported facility-level involvement. Comfort in assessing each of the 4Ms varied: "Medication" (73.3%), "What Matters" (71.1%), "Mobility" (28.9%) and "Mentation" (27.2%). Only 17.7% of respondents were comfortable assessing the set of 4Ms. Although 81% of respondents routinely assessed high-risk medications, 71.6% were confident in deprescribing them. A sizable percentage had never assessed "Mobility" (61.2%) or "Mentation" (46.5% for depression; 53.0% for dementia).

conclusionsFindings underscore the need for targeted education and training to enhance pharmacists' comfort in assessing "Mobility" and "Mentation," improve skills in medication optimization, and promote integration of the set of 4Ms as a cohesive approach to person-centered care.

Indexed as

Health Services for the AgedNeeds AssessmentPharmacistsAgedFemaleHumansMalePatient Care TeamSurveys and QuestionnairesUnited States4Msage‐friendly health systemgeriatric populationneeds assessment surveypharmacist

Identifiers

PMID40879706
PMCPMC12748031

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.