Evidence map›Paper›PMID 41612245›Full record

ArticleBMC geriatrics2026

Eye movement and reading behavior in older adults with dementia.

Ayano Inuyama, Motoshi Ouchi, Shigeki Hirano, Sayuri Suwa

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ayano InuyamaDepartment of Community Health Nursing, Graduate School of Nursing, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8672, Japan.
Motoshi OuchiDepartment of Health Promotion in Nursing and Midwifery, Graduate School of Nursing, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8672, Japan.
Shigeki HiranoDepartment of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan.
Sayuri SuwaDepartment of Community Health Nursing, Graduate School of Nursing, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8672, Japan. suwa-sayuri@faculty.chiba-u.jp.

Funding

Japan Society for the Promotion of Science 18H03106
6 · The paper itself

Abstract

backgroundWith the rising number of patients with dementia, it is essential to develop support strategies that incorporate visual information. This study aimed to clarify differences in eye movement patterns when older adults with dementia read documents of varying difficulty, in order to identify strategies for enhancing readability and supporting comprehension.

methodsEye movements were measured using an eye tracker while nine older adults with dementia read documents. Each document had an original version and a revised version, designed to improve readability. Data were compared across document types, original versus revised versions, and aloud versus silent reading. Video recordings were qualitatively analyzed.

resultsIn the comparison of document types, “skipping over” (p = 0.046) and “misreading” (p = 0.050) significantly decreased in documents of lower difficulty. No significant difference was observed between aloud and silent reading. However, among participants who read aloud, the revised version showed significant reductions in reading time (p = 0.028), fixation count (p = 0.046), and regression (p = 0.046). Qualitative analysis yielded three major categories: Response to caregiver support, Reading strategies, and Challenges in using support.

conclusionThe revised documents improved eye movement patterns, suggesting enhanced readability. In addition to text modifications, individualized caregiver support was critical for comprehension. These findings can inform the design of written information for older patients with dementia.

Indexed as

ComprehensionDementiaEye MovementsReadingAgedAged, 80 and overEye-Tracking TechnologyFemaleHumansMaleDementiaEye movementsEye trackingJapaneseOlder adultsReading

Identifiers

PMID41612245
PMCPMC12896137

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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.