Evidence map›Paper›PMID 33796795›Full record

ReviewInnovation in aging2021

Use of Services by People Living Alone With Cognitive Impairment: A Systematic Review.

Amy Rosenwohl-Mack, Leslie Dubbin, Anna Chodos, Sarah Dulaney, Min-Lin Fang, Jennifer Merrilees, Elena Portacolone

Open access · goldAbstract readReview
In one paragraph

Review in Innovation in aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Examining Help-Seeking Behavior in People Living Alone With Cognitive Impairment.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Kinless Older Adults With Dementia: Qualitative Analysis of Data From the Adult Changes in Thought Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. 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 at 2 institutions in 1 country.

Amy Rosenwohl-MackDepartment of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, USA.
Leslie DubbinDepartment of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, USA.
Anna ChodosDivision of Geriatrics, University of California San Francisco, USA.
Sarah DulaneyMemory and Aging Center, University of California San Francisco, USA.
Min-Lin FangLibrary, University of California San Francisco, USA.
Jennifer MerrileesMemory and Aging Center, University of California San Francisco, USA.
Elena PortacoloneInstitute for Health & Aging, University of California San Francisco, USA.ORCID https://orcid.org/0000-0003-2311-3836
University of California, San Francisco · USSan Francisco General Hospital · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KENNETH E. COVINSKY, MICHAEL A. STEINMAN · 2013 to 2026
$19.9M
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 P30 AG044281NIA NIH HHS R01 AG069147NIA NIH HHS R56 AG062165
6 · The paper itself

Abstract

BACKGROUND AND

objectivesFormal supports and social services are essential to people living alone with cognitive impairment (PLACI) because they are at risk of negative health outcomes and lack cohabitants who may support them with cognitively demanding tasks. To further our understanding of this critical and worldwide issue, we conducted a systematic review to understand whether, and how, PLACI access and use essential formal supports and services. RESEARCH DESIGN AND

methodsWe searched 6 databases (PubMed, Embase, PsycINFO, CINAHL, Web of Science, and Sociological Abstracts) to identify quantitative and mixed-method literature on formal service use among PLACI. The initial search was conducted in 2018 and updated in 2020.

resultsWe identified 32 studies published between 1992 and 2019, representing 13 countries, that met our criteria: 16 reported on health services and 26 on social services. Most studies compared PLACI with people with cognitive impairment living with others. Health service use was lower or similar among PLACI, as opposed to counterparts living with others. Most studies reported a higher use of social services (e.g., home services) among PLACI than those living with others. Overall use of essential home service among PLACI was higher in Europe than in the United States, a country where large portions of PLACI were reported receiving no formal services. DISCUSSION AND IMPLICATIONS: We identified wide variability among countries and major gaps in service use. Results for use of health services were mixed, although our findings suggest that PLACI may have fewer physician visits than counterparts living with others. Our findings suggest that varying policies and budgets for these services among countries may have affected our findings. We encourage researchers to evaluate and compare the influence of social policies in the well-being of PLACI. We also encourage policy makers to prioritize the needs of PLACI in national dementia strategies.

Indexed as

DementiaHealth care servicesHome care servicesLiving arrangementsLong-term care

Identifiers

PMID33796795
PMCPMC7990060
OpenAlexW2989444173

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.