Evidence map›Paper›PMID 40979469›Full record

ArticleInnovation in aging2025

Fidelity matters: implementing ADS Plus, an evidence-based program, in multiple adult day service sites.

Laura N Gitlin, Katherine B Marx, David L Roth, Keith Anderson, Holly Dabelko-Schoeny, Danny Scerpella, Lauren J Parker, Sokha Koeuth, Joseph E Gaugler

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Innovation in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02927821 (Improving Outcome for Family Caregivers of Older Adults With Complex Conditions), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02927821 nacompletednot on this map

Improving Outcome for Family Caregivers of Older Adults With Complex Conditions: The Adult Day Plus (ADS Plus) Program

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2024Enrolled208ConditionsStressArmsADS Plus
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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.

Laura N GitlinCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, United States.ORCID https://orcid.org/0000-0003-2869-473X
Katherine B MarxCenter for Equity in Aging, School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States.
David L RothDivision of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States.ORCID https://orcid.org/0000-0003-2105-0536
Keith AndersonDepartment of Social Work, School of Applied Sciences, University of Mississippi, Oxford, Mississippi, United States.ORCID https://orcid.org/0000-0001-9572-5677
Holly Dabelko-SchoenyCollege of Social Work, The Ohio State University, Columbus, Ohio, United States.ORCID https://orcid.org/0000-0002-0952-819X
Danny ScerpellaDepartment of Health Policy and Management, School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States.
Lauren J ParkerDepartment of Health, Behavior and Society, School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States.
Sokha KoeuthPlans4Care, Inc., Philadelphia, Pennsylvania, United States.
Joseph E GauglerSchool of Public Health, University of Minnesota, Minneapolis, Minnesota, United States.ORCID https://orcid.org/0000-0003-4797-485X

Funding

Improving Outcomes for Family Caregivers and Older Adults with Complex Conditions: The Adult Day Service Plus ProgramR01AG049692 · NIA · JOHNS HOPKINS UNIVERSITY · PI GAUGLER, JOSEPH E., GITLIN, LAURA N. · 2016 to 2020
$4.9M
NIA NIH HHS R01 AG049692
6 · The paper itself

Abstract

Background and Objectives: In a cluster randomized trial, we found that augmenting adult day services (ADS) with a multicomponent caregiver support program, ADS Plus, reduced caregiver depressive symptoms and increased ADS use. Unclear is whether the program was implemented with fidelity across sites and the relationship of fidelity to site characteristics and caregiver outcomes. Research Design and Methods: Sixteen ADS sites were randomly assigned to ADS Plus ( Results: Of 102 caregivers, 79.5% were in high ( Discussion and Implications: Most caregivers received ADS Plus with moderate to high fidelity. High/moderate fidelity sites delivered more sessions to more caregivers with substantially stronger caregiver benefits. As fidelity varied by site characteristics, adaptations to staff training and the program appear needed for low-fidelity sites. Clinical Trial Registration Number: NCT02927821.

Indexed as

Caregiver supportDeliveryImplementationTreatment fidelityTreatment integrity

Identifiers

PMID40979469
PMCPMC12448453

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.