The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Implementing innovative models of dementia care: The Healthy Aging Brain Center
Open accessAbstract
BACKGROUND: Recent randomized controlled trials have demonstrated the effectiveness of the collaborative dementia care model targeting both the patients suffering from dementia and their informal caregivers. OBJECTIVE: To implement a sustainable collaborative dementia care program in a public health care system in Indianapolis. METHODS: We used the framework of Complex Adaptive System and the tool of the Reflective Adaptive Process to translate the results of the dementia care trial into the Healthy Aging Brain Center (HABC). RESULTS: Within its first year of operation, the HABC delivered 528 visits to serve 208 patients and 176 informal caregivers. The mean age of HABC patients was 73.8 (standard deviation, SD 9.5), 40% were African-Americans, 42% had less than high school education, 14% had normal cognitive status, 39% received a diagnosis of mild cognitive impairment, and 46% were diagnosed with dementia. Within 12 months of the initial HABC visit, 28% of patients had at least one visit to an emergency room (ER) and 14% were hospitalized with a mean length of stay of five days. The rate of a one-week ER revisit was 14% and the 30-day rehospitalization rate was 11%. Only 5% of HABC patients received an order for neuroleptics and only 16% had simultaneous orders for both definite anticholinergic and anti-dementia drugs. CONCLUSION: The tools of 'implementation science' can be utilized to translate a health care delivery model developed in the research laboratory to a practical, operational, health care delivery program.
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“Four studies tested the impact of post-discharge interventions on patient or caregiver outcomes. 20,21,23,24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The intervention components varied; one study tested only caregiver education 23 while the remaining studies tested two or more components including caregiver education, 20 discharge planning, 20,21,24 follow-up visits, 21,24 caregiver hotline, 21 consultation with the geriatric team, 20,21,24 counselling on caregiving skills, 24 and medication review. 24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Three studies evaluated postdischarge interventions which had a number of components including caregiver education, caregiver support, follow-up (face-to-face) visits, home visits, telephone call/email, caregiver hot-line, and medication review. 21,23,24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“in another study, which employed a multi-component post-discharge intervention, reduction in the proportion of patients hospitalized within 30 days of discharge was reported. 24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Only two studies tested a post-discharge intervention that had more than one component. 21,24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measured
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In the citing paper
“This was the only study to include medication review component that involved simplification of the patient ' s medical regimen and targeted medication appropriateness.”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“discharge interventions had led to significant reduction in length of stay”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The intervention resulted in lower use of high-risk medications (19% vs. 40%)”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“reduction in 30-day re-hospitalization rates (11% vs. 20%)”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“of these, only one reported reduction in 30-day rehospitalization rates 24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
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“the multidisciplinary team intervention involving collaboration with the primary care physician to discuss medications showed reduction in the proportion of patients re-hospitalized within 30 days of discharge. 24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
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“quality indicators for medication use were only reported by one study which found lower use of high-risk medications. 24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
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In the citing paper
“discharge interventions had led to significant reduction in length of stay and caregiver burden . 23,24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“most targeted administration of medications by caregivers”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Two out of the five studies tested discharge interventions that involved communication with the primary care physician. 22,24”
From Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredIn the citing paper
“In quasi-experimental studies, hospital-based transitional care for PWD, compared to usual care, was associated with fewer hospital readmissions and decreased caregiver burden.17–19”
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Citations
Cites
Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,779
Crossing the Quality Chasm: A New Health System for the 21st Century
Committee on Quality of Health Care in America (2002) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2002.tb00463.x · Cited by 8,508
Kushner (2021) · doi:10.12788/jfp · Cited by 3,799
Practice-based research--“Blue Highways” on the NIH roadmap
Westfall, J. M., Mold, J., & Fagnan, L. (2007) · JAMA · doi:10.1001/jama.297.4.403 · Cited by 1,209 · cited 1×
“(Institute of Medicine, Committee on the Future Health Care Workforce for Older Americans and Board on Health Care Services, 2008; Westfall, Mold, & Fagnan, 2007 ) The Institute of Medicine (IOM) and the National Institutes of Health (NIH) roadmap recognized the long delay in translating research innovations from disc…”
BackgroundZerhouni, E. (2003) · Science · doi:10.1126/science.1091867 · Cited by 918
Impact of Anticholinergics on the Aging Brain: A Review and Practical Application
Boustani, M., Campbell, N., Munger, S., Maidment, I., & Fox, C. (2008) · Aging Health · doi:10.2217/1745509x.4.3.311 · Cited by 862
Effectiveness of Collaborative Care for Older Adults With Alzheimer Disease in Primary Care
Callahan, C. M., Boustani, M. A., Unverzagt, F. W., Austrom, M. G., Damush, T. M., Perkins, A. J., Fultz, B. A., Hui, S. L., Counsell, S. R., & Hendrie, H. C. (2006) · JAMA · doi:10.1001/jama.295.18.2148 · Cited by 799
The cognitive impact of anticholinergics: A clinical review
Malaz Boustani, M. (2009) · Clinical Interventions in Aging · doi:10.2147/cia.s5358 · Cited by 479
Sloane, P. D., Zimmerman, S. I., Suchindran, C., Reed, P. S., Wang, L., Boustani, M. A., & Sudha, S. (2002) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.23.100901.140525 · Cited by 467
Implementing a screening and diagnosis program for dementia in primary care
Boustani, M., Callahan, C. M., Unverzagt, F. W., Austrom, M. G., Perkins, A. J., Fultz, B. A., Hui, S. L., & Hendrie, H. C. (2005) · Journal of General Internal Medicine · doi:10.1007/s11606-005-0103-7 · Cited by 374
Self-citation
Research works printed but not linked: 3
- Campbell N, 2009, Clinical Intervention in Aging, 4, 225
- Crabtree BF, 2001, Journal of Family Practice, 50, 881
- Institute of Medicine, Committee on the Future Health Care Workforce for Older Americans, and Board on Health Care Services, 2008, Retooling for an aging America: Building the health care workforce (ISBN nos 13 978-0-309-11966-5 and 10 0-309-11966-9)
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Howard, C., Fernández‐Sanlés, A., Abukar, N., Davis, D. H. J., Goodman, C. M., Gupta, S. K., Handley, M., Mukadam, N., Riddington, C., Walters, K. R., et al. (2025) · medRxiv · doi:10.1101/2025.10.13.25337873
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Howard, C., Fernández‐Sanlés, A., Abukar, N., Davis, D. H. J., Goodman, C. M., Gupta, S., Handley, M., Mukadam, N., Riddington, C., Walters, K. R., et al. (2026) · Alzheimer s & Dementia · doi:10.1002/alz.71323 · Cited by 1
Metadata
- Authors
- Boustani, M. A., Sachs, G. A., Alder, C. A., Munger, S., Schubert, C. C., Guerriero Austrom, M., Hake, A. M., Unverzagt, F. W., Farlow, M., Matthews, B. R., Perkins, A. J., Beck, R. A., & Callahan, C. M.
- Affiliations
- Regenstrief Institute (US)
- Indiana University Indianapolis (US)
- f Department of Psychiatry , Indiana University School of Medicine , Indianapolis , IN , USA
- Indiana University School of Medicine (US)
- Corresponding author
- Boustani, Malaz A.
- ORCID
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2011-01
- Volume
- 15
- Issue
- 1
- Pages
- 13-22
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- PMC
- PMC3077086
- OpenAlex
- W2017215880
- Cited by
- 142
- References
- 26
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 7 · 2022: 15 · 2021: 12 · 2020: 7 · 2019: 13 · 2018: 4 · 2017: 9 · 2016: 8 · 2015: 16 · 2014: 16 · 2013: 12 · 2012: 5
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health
- School of Medicine, Indiana University
- National Institute on Aging (AG010133, P30AG010133, K24 AG026770, K24AG024078, K23AG026770, R01AG029884, P30AG024967)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- dementia care, collaborative care, implementation science, complex adaptive systems, informal caregivers, emergency department visits, hospital readmission, anticholinergic agents, public health care system
- MeSH terms
- Aged, Aged, 80 and over, Aging, Community Mental Health Centers, Dementia, Female, Humans, Indiana, Interviews as Topic, Male, Middle Aged, Primary Health Care, Program Development, Models, Organizational, Patient-Centered Care, Organizational Case Studies, Quality Indicators, Health Care
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