Evidence map›Paper›PMID 38832587›Full record

ArticleThe Gerontologist2024

Care Partners' Engagement in Preventing Falls for Community-Dwelling Older People With Dementia.

Yuanjin Zhou, Clara Berridge, Nancy Hooyman, Tracy M Mroz, Tatiana Sadak, Seung W Choi, Elizabeth A Phelan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Gerontologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

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 synthesis or guideline pooled it.

  1. Pooled it
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.

Yuanjin ZhouSteve Hicks School of Social Work, University of Texas at Austin, Austin, Texas, USA.ORCID 0000-0003-2492-346X
Clara BerridgeSchool of Social Work, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-4218-9556
Nancy HooymanSchool of Social Work, University of Washington, Seattle, Washington, USA.
Tracy M MrozDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA.
Tatiana SadakYale School of Nursing, Yale University, West Haven, Connecticut, USA.
Seung W ChoiCollege of Education, University of Texas at Austin, Austin, Texas, USA.
Elizabeth A PhelanDepartment of Medicine, Division of Gerontology and Geriatric Medicine, University of Washington, Seattle, Washington, USA.

Funding

Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI HAYWARD, MARK D. · 2002 to 2016
$8.4M
Program Development and Pilot CoreP30AG066614 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI KAREN L FINGERMAN · 2020 to 2026
$5.2M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Caregiving for Alzheimer's Disease and Related Dementias: Enhancing the National Study of Caregiving (NSOC)R01AG054004 · NIA · JOHNS HOPKINS UNIVERSITY · PI FREEDMAN, VICKI A., WOLFF, JENNIFER L. · 2016 to 2020
$4.5M
Council on Social Work EducationEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentHarry Bridges Center for Labor StudiesNational Association of Social WorkersNew York Community TrustNIA NIH HHS P30 AG066614NIA NIH HHS P30AG066614NIA NIH HHS R01 AG054004NICHD NIH HHS P2C HD042849NICHD NIH HHS R24 HD042849The University of Texas at Austin by the National Institute on Aging P2CHD042849
6 · The paper itself

Abstract

BACKGROUND AND

objectivesLittle is known about how to prevent falls in community-dwelling older people with dementia. Although their care partners adopt various behaviors to prevent their falls, it is unclear if these behaviors reduce falls for those with different levels of fall risk. RESEARCH DESIGN AND

methodsLinking the 2015 and 2016 National Health and Aging Trends Study and the 2015 National Study of Caregiving (NSOC), we identified 390 community-dwelling older people with dementia with 607 care partners. We selected 26 NSOC items representing fall risk management (FRM) behaviors. We examined the prevalence and dimensionality of these behaviors and investigated associations between care partners' behaviors in 2015 (T1) and older people's falls in 2016 (T2) stratified by their fall incidence at T1, adjusting for covariates.

resultsFive domains of FRM were identified: mobility and safety assistance, medical service coordination, health management, social service coordination, and accommodation. For those who did not fall at T1, mobility and safety assistance and social service coordination were each associated with an increased risk of falling at T2 (adjusted incidence rate ratio [aIRR] = 1.39, 95% confidence interval [CI] = 1.06-1.83, p = .019, aIRR = 1.25, 95% CI = 1.01-1.55, p = .043). For those who had fallen at T1, social service coordination was associated with a decreased risk of falling at T2 (aIRR = 0.83, 95% CI = 0.73-0.94, p = .004). DISCUSSION AND IMPLICATIONS: The different impacts of dementia care partners' FRM behaviors emphasize the need to address specific behaviors when involving care partners in preventing falls for older people with dementia at varying levels of fall risk.

Indexed as

Accidental FallsCaregiversDementiaIndependent LivingAgedAged, 80 and overFemaleHumansIncidenceMaleRisk ManagementCaregivingCognitive impairmentFall preventionHealth behaviors

Identifiers

PMID38832587
PMCPMC11247405

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.