Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Sep;43(9):1259-1273.
doi: 10.1177/07334648241245527. Epub 2024 Apr 17.

Evidence Map of Non-Pharmacological Dementia Care Partner Interventions Implemented in the US: Gaps and Impact Opportunities

Affiliations
Review

Evidence Map of Non-Pharmacological Dementia Care Partner Interventions Implemented in the US: Gaps and Impact Opportunities

Zachary G Baker et al. J Appl Gerontol. 2024 Sep.

Abstract

There are 200+ tested interventions for care partners (family, friends, and fictive kin) of people living with dementia (PLWD). But these interventions do not systematically cover relevant settings. Nor do these interventions affect all relevant outcomes that matter to people and healthcare systems. We present an evidence map of settings and outcomes from translated interventions to identify gaps. Of 190 studies identified, 31 unique interventions were retained in the evidence map. Identified setting gaps included studies set solely in hospitals/medical centers or set in multiple settings. Identified outcome gaps included interventions that improved care partner beliefs about providing care, care partner negative coping strategies, PLWD resources (e.g., social support), and PLWD coping strategies. Armed with an understanding of present gaps, we call on researchers to fill the identified gaps to ensure systematic coverage of settings and evaluation of outcomes that matter to people and healthcare systems.

Keywords: caregiver; randomized controlled trial; real world settings; research-practice gap.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Prisma diagram of inclusion/exclusion of interventions.
Figure 2.
Figure 2.
Many interventions tested and reported outcomes in multiple domains and used measures that were inherently multidimensional.

References

    1. Airtable. (2024). Retrieved May 17, 2023, from https://airtable.com/
    1. Baker ZG, Nkimbeng M, Cuevas PEG, Quiñones AR, Kaur Kang H, Gaugler JE, Hinton L, Gitlin LN, & Shippee TP (2022). Simultaneously developing interventions for low-/middle-income and High-income settings: Considerations and opportunities. The Gerontologist, 63(3), gnac079. 10.1093/geront/gnac079 - DOI - PMC - PubMed
    1. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T, & Zettle RD (2011). Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. 10.1016/j.beth.2011.03.007 - DOI - PubMed
    1. Butler M, Gaugler JE, Talley KMC, Abdi HI, Desai PJ, Duval S, Forte ML, Nelson VA, Ng W, & Ouellette JM (2021). Care interventions for people living with dementia and their caregivers. Comaparative Effectiveness Review, 231. 10.23970/AHRQEPCCER231. - DOI
    1. Cabassa LJ, & Baumann AA (2013). A two-way street: Bridging implementation science and cultural adaptations of mental health treatments. Implementation Science, 8(1), 90. 10.1186/1748-5908-8-90 - DOI - PMC - PubMed

Publication types