Evidence map›Paper›PMID 41170531›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Piloting the MIND at Home Dementia Care Navigation Program in primary care.

Elizabeth Ciemins, Stephen Shields, Halima Amjad, Monette McKinnon, Melissa Reuland, Mia Yang, Quincy Samus

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Bridging the diagnostic gap: Expanding dementia care navigation for timely diagnosis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  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

7 authors.

Elizabeth CieminsDepartment of Research & Analytics American Medical Group Association (AMGA) Alexandria Virginia USA.ORCID https://orcid.org/0000-0003-1262-7946
Stephen ShieldsDepartment of Research & Analytics American Medical Group Association (AMGA) Alexandria Virginia USA.
Halima AmjadDivision of Geriatric Medicine and Gerontology Johns Hopkins University School of Medicine and Gerontology Baltimore Maryland USA.
Monette McKinnonDepartment of Research & Analytics American Medical Group Association (AMGA) Alexandria Virginia USA.
Melissa ReulandDivision of Geriatric Psychiatry and Neuropsychiatry Johns Hopkins University School of Nursing Baltimore Maryland USA.
Mia YangDepartment of Neuroscience Wake Forest Atrium Health Winston-Salem North Carolina USA.
Quincy SamusDivision of Geriatric Psychiatry and Neuropsychiatry Johns Hopkins University School of Nursing Baltimore Maryland USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI THOMAS COSTIN REGISTER · 2021 to 2026
$24.3M
Improving Post-Diagnosis Dementia Care in Primary CareK23AG064036 · NIA · JOHNS HOPKINS UNIVERSITY · PI AMJAD, HALIMA · 2020 to 2024
$932k
NIA NIH HHS K23 AG064036NIA NIH HHS P30 AG072947NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

introductionPersons living with dementia (PLWDs) have complex needs and high expenses, and primary care (PC) plays a key role in their care. However, few American PLWDs receive adequate care, and many have unmet but potentially modifiable dementia-related care needs. Embedding effective evidence-based care strategies into PC settings is an opportunity to reduce excess burden but remains rare. This study evaluated the feasibility and potential impact of adapting and implementing the MIND at Home Dementia Care Navigation Program (MIND at Home) into PC at two large unique health systems in the United States.

methodsA pilot pragmatic clinical trial evaluated the feasibility and potential impact of integrating MIND at Home into primary care. Process measures included identifying and addressing a comprehensive set of dementia-related needs for PLWDs and care partners, conducting home visits, and capturing clinic-based outcomes such as hospital transfers and medications. Data were collected on intervention patients, with additional data obtained for a validation group within the health systems based on eligibility criteria.

resultsA total of 105 PLWD-care partners (dyads) were enrolled for a 3-month intervention period. All dyads received a comprehensive needs assessment, a personalized care plan, and care navigation. Seventy-four percent of identified needs were addressed. Health care utilization measures were feasible to collect from both sites, based on validation data. Medication data were collected but were difficult to interpret. DISCUSSION: MIND at Home was successfully implemented into the PC setting and key outcomes were ascertained using electronic health record data. A comprehensive evidence-based approach that combines the benefits of clinic-based health care and home-based supportive services for PLWDs, their families, and their care partners has the potential to reduce unmet care needs and reduce hospitalizations. Observed trends in hospital transfers suggest a potential association that warrants further investigation, especially among PLWDs with more advanced dementia. Highlights: Persons with dementia and their care partners receive fragmented, suboptimal care and support.The MIND at Home Dementia Care Navigation Program (MIND at Home) provides a solution by adding home-based assessments and primary care (PC) integration.MIND at Home was embedded successfully into PC with fidelity into two health systems.Patient and care partner needs were identified and addressed via a care plan.Key utilization outcomes were ascertained using electronic health record data.

Indexed as

Alzheimer's diseasecare coordinationcontinuity of patient caredementiahome‐based carehome care servicespatient navigationprimary health care

Identifiers

PMID41170531
PMCPMC12567639

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.