Evidence map›Paper›PMID 33404634›Full record

ArticleThe Gerontologist2021

The Effects of the COVID-19 Pandemic on the Lived Experience of Diverse Older Adults Living Alone With Cognitive Impairment.

Elena Portacolone, Anna Chodos, Jodi Halpern, Kenneth E Covinsky, Sahru Keiser, Jennifer Fung, Elizabeth Rivera, Thi Tran, Camilla Bykhovsky, Julene K Johnson

Registry-linked trialAbstract read
In one paragraph

Article in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06221202 (Stories in the Moment), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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.

NCT06221202 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Stories in the Moment: Dance Program for People Living With Dementia

TypeinterventionalSponsorDanceStream ProjectsRan2023 to 2024Enrolled72ConditionsDementia, Mild Cognitive Impairment, Alzheimer Disease, Lewy Body DiseaseArmsStories in the Moment Dance Program - Online
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Social Connectedness of Older Adults During the COVID-19 Pandemic: Evidence by Survey Mode and Respondent Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  18. Everyday Experiences of People Living with Mild Cognitive Impairment or Dementia: A Scoping Review.International journal of environmental research and public health · 2022
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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

10 authors.

Elena PortacoloneInstitute for Health & Aging, University of California San Francisco, USA.
Anna ChodosDivision of Geriatric Medicine, University of California San Francisco, USA.
Jodi HalpernSchool of Public Health, University of California Berkeley, USA.
Kenneth E CovinskyDivision of Geriatric Medicine, University of California San Francisco, USA.
Sahru KeiserInstitute for Health & Aging, University of California San Francisco, USA.
Jennifer FungInstitute for Health & Aging, University of California San Francisco, USA.
Elizabeth RiveraInstitute for Health & Aging, University of California San Francisco, USA.
Thi TranInstitute for Health & Aging, University of California San Francisco, USA.
Camilla BykhovskyInstitute for Health & Aging, University of California San Francisco, USA.
Julene K JohnsonInstitute for Health & Aging, University of California San Francisco, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nynikka Palmer · 1997 to 2026
$19.5M
Unnecessary and Harmful Medication Use in Older Adults with DementiaP01AG066605 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI R. Sean Morrison · 2020 to 2026
$17.7M
Understanding how living arrangement affects access to and use of personal care services in community-living older adults with disabilitiesR01AG069147 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2020 to 2024
$4.1M
Living Alone in Older Age with Cognitive ImpairmentK01AG049102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2015 to 2019
$724k
Access and use of long-term services and supports for older adults living alone with Alzheimer's disease and related dementias from four racial/ethnic groupsR56AG062165 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2018 to 2018
$617k
NIA NIH HHS K01 AG049102NIA NIH HHS P01 AG066605NIA NIH HHS P30 AG015272NIA NIH HHS P30 AG044281NIA NIH HHS R01 AG069147NIA NIH HHS R56 AG062165
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEven before the COVID-19 pandemic, older adults with cognitive impairment living alone (an estimated 4.3 million individuals in the United States) were at high risk for negative health outcomes. There is an urgent need to learn how this population is managing during the pandemic. RESEARCH DESIGN AND

methodsThis is a qualitative study of 24 adults aged 55 and older living alone with cognitive impairment from diverse racial/ethnic backgrounds. Participants' lived experiences during the pandemic were elicited via 59 ethnographic interviews conducted over the phone either in English, Spanish, or Cantonese. Using a qualitative content analysis approach, interview transcripts were analyzed to identify codes and themes.

resultsQualitative analysis of transcripts revealed 5 themes: (a) fear generated by the pandemic, (b) distress stemming from feeling extremely isolated, (c) belief in misinformation, (d) strategies for coping during the pandemic, and (e) the importance of access to essential services. DISCUSSION AND IMPLICATIONS: This pandemic put a spotlight on the precarity and unmet needs of older adults living alone with cognitive impairment. Findings underscore the need to expand access to home care aides and mental health services for this population.

Indexed as

Cognitive DysfunctionCOVID-19Adaptation, PsychologicalAgedHumansPandemicsSARS-CoV-2United StatesHealth equityLiving arrangementsPrecaritySocial isolationUnited States

Identifiers

PMID33404634
PMCPMC7901518

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.