Evidence map›Paper›PMID 42420090›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2026

Strategies to Promote Resilience and Community Reintegration for Patients With New Disabilities After Critical Illness: A Qualitative Study Integrating Patient and Family Perspectives.

Leslie P Scheunemann, Erica Motter, S Peter Kim, Peter Eisenhauer, Nimit Gandhi, Janelle Christensen, Timothy D Girard, Charles F Reynolds, Natalie E Leland

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Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2026. 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

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

1 citing paper in PubMed.

  1. 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.

Leslie P ScheunemannDivision of Geriatric Medicine and Gerontology (LPS, EM, JC), University of Pittsburgh, Pittsburgh, PA; Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine (LPS), University of Pittsburgh, Pittsburgh, PA. Electronic address: scheunemannlp@upmc.edu.
Erica MotterDivision of Geriatric Medicine and Gerontology (LPS, EM, JC), University of Pittsburgh, Pittsburgh, PA.
S Peter KimDivision of General Medicine, Department of Medicine (SPK, PE), University of Pittsburgh, Pittsburgh, PA.
Peter EisenhauerDivision of General Medicine, Department of Medicine (SPK, PE), University of Pittsburgh, Pittsburgh, PA.
Nimit GandhiSchool of Medicine (NM), University of Pittsburgh, Pittsburgh, PA.
Janelle ChristensenDivision of Geriatric Medicine and Gerontology (LPS, EM, JC), University of Pittsburgh, Pittsburgh, PA.
Timothy D GirardDepartment of Critical Care Medicine (TDG), Center for Research, Investigation, and Systems Modeling of Acute illness (CRISMA), University of Pittsburgh, Pittsburgh, PA.
Charles F ReynoldsDepartment of Psychiatry (CFR), University of Pittsburgh, Pittsburgh, PA.
Natalie E LelandDepartment of Occupational Therapy (NEL), School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

Funding

AHRQ HHS K08 HS027210AHRQ HHS R01 HS029870
6 · The paper itself

Abstract

objectiveMillions of people who survive critical illness each year experience new disabilities that prevent them from returning to personally meaningful participation in family and community life ("community reintegration"), which is closely intertwined with resilience. We sought to describe strategies for promoting community reintegration after critical illness as a first step toward health system and care-delivery redesign.

designWe used modified grounded theory to analyze semistructured interviews with patients and families.

settingInterviews took place by phone or videoconference in a large health system in Western Pennsylvania.

participantsPatients who had survived critical illness (n = 11) and their family members (n = 11).

resultsFour interrelated strategies promoted an upward spiral of community reintegration: 1) develop patient and family skills to manage symptoms of underlying impairments at home; 2) re-establish competence to perform healthy habits and routines; 3) identify and support key roles and relationships so that people stay connected even amidst change; 4) problem-solve the physical and social environments so that people can participate in meaningful activities. Progress upward described a trajectory of resilience, while backsliding downward described a trajectory of demoralization.

conclusionFour strategies promoted an upward spiral of resilience and community reintegration, and counteracted a downward spiral of demoralization. They yielded novel insights about the spectrum of demoralization versus resilience in the context of disability. Future research should develop and test interventions using these strategies to promote community reintegration as a key step toward population health after critical illness.

Indexed as

Community IntegrationCritical IllnessFamilyPersons with DisabilitiesResilience, PsychologicalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedQualitative Researchcommunity reintegrationdisabilityPostintensive care syndromequalitative researchresilience

Identifiers

PMID42420090
PMCPMC13678594

What OpenQuestion holds

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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.