Evidence map›Paper›PMID 41497818›Full record

ArticleJournal of aging research2025

Dementia Care Specialists' Perspectives of Diagnosis and Early Psychosocial Care: A Qualitative Analysis of Focus Groups in Two Large Academic Medical Centers.

Amelia J Hicks, Julie Brewer, Nina Ahmad, Talea Cornelius, Robert A Parker, Kristen Dams-O'Connor, Bradford Dickerson, Christine Ritchie, Ana-Maria Vranceanu, Sarah M Bannon

Abstract read
In one paragraph

Article in Journal of aging research, 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. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Amelia J HicksDepartment of Rehabilitation and Human Performance, Brain Injury Research Center, Icahn School of Medicine at Mount Sinai Hospital, New York City, New York, USA, mountsinai.org.ORCID https://orcid.org/0000-0002-1152-0576
Julie BrewerDepartment of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0001-5581-2434
Nina AhmadDepartment of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0001-7940-3408
Talea CorneliusCenter for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York City, New York, USA, columbia.edu.ORCID https://orcid.org/0000-0001-7181-0981
Robert A ParkerBiostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0002-9666-5941
Kristen Dams-O'ConnorDepartment of Rehabilitation and Human Performance, Brain Injury Research Center, Icahn School of Medicine at Mount Sinai Hospital, New York City, New York, USA, mountsinai.org.ORCID https://orcid.org/0000-0002-2506-0216
Bradford DickersonDepartments of Neurology and Psychiatry, Frontotemporal Disorders Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0002-5958-3445
Christine RitchieDepartment of Medicine, Mongan Institute Center for Aging and Serious Illness and the Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0002-4881-9416
Ana-Maria VranceanuDepartment of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA, harvard.edu.ORCID https://orcid.org/0000-0003-3994-6488
Sarah M BannonDepartment of Rehabilitation and Human Performance, Brain Injury Research Center, Icahn School of Medicine at Mount Sinai Hospital, New York City, New York, USA, mountsinai.org.ORCID https://orcid.org/0000-0001-5299-9432

Funding

Resilient Together for Dementia: A live video resiliency dyadic intervention for persons with dementia and their care-partners early afterdiagnosisK23AG075188 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Sarah Bannon · 2022 to 2026
$981k
Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
ACL HHS 90ARHF0008NCCIH NIH HHS K24 AT011760NIA NIH HHS K23 AG075188NIA NIH HHS L30 AG079380
6 · The paper itself

Abstract

Background and Objective: Alzheimer's disease and related dementias (ADRDs) are progressive conditions that substantially impact individuals and families. Timely diagnosis and early support are critical for long-term adjustment. However, current dementia care models do not meet needs of patients and families. Dementia care specialists treating individuals with dementia offer unique insight into care needs of diverse groups of patients, families, and healthcare systems that can be used to identify opportunities to improve care. To understand dementia care specialists' impressions of factors impacting ADRD diagnosis and postdiagnosis support, we aimed to identify factors that impact (1) timely and accurate diagnosis, (2) diagnostic disclosure and provision of postdiagnosis support, and (3) patient and care-partner adjustment after diagnosis. Research Design and Methods: We recruited dementia care specialists treating persons living with dementia ( Results: We identified subthemes within three overarching a priori determined themes. Participants highlighted the presence of delays in referrals, time constraints, specialist discomfort, and lack of training as factors impacting the timeliness and accuracy of diagnosis. They also highlighted information needed in disclosure visits, ways of coordinating care, and identifying early support needs. Finally, participants highlighted factors impacting adjustment including families' insight and acceptance, distress, and available resources. Discussion and Implications: Our study highlights the challenges dementia care specialist specialists face in delivering early support for individuals and families impacted by ADRDs and suggests avenues for revising existing care models.

Indexed as

dementia care specialist specialistsdementia diagnosisfocus grouppostdiagnosis support

Identifiers

PMID41497818
PMCPMC12767075

What OpenQuestion holds

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LicenceCC BY
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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.