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GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration
Haggerty KL, Reuben DB, Stoeckle R, Bass D, Boustani M, Clevenger C, Kremer I, Lee DR, Johnson M, Minyo MJ, Possin KL, Samus QM, Spragens L, Jennings LA, Epstein-Lubow G. Journal of the American Geriatrics Society, 2025-11
Topic: Risk, prevention and care in population studies
Written by leaders of six established comprehensive dementia-care programs (including Care Ecosystem, MIND at Home, and BRI Care Consultation) that helped shape the CMS GUIDE model, this paper lays out a practical four-step roadmap for organizations trying to launch or sustain comprehensive dementia care programs like GUIDE.
Key findings
- Proposes a four-step implementation strategy: identify leaders/community partners, build a tailored value proposition with data, execute start-up with an integrated care team, and plan for long-term sustainability
- Draws on lessons from six evidence-based comprehensive dementia care models that predated and informed GUIDE
- Cites evidence that up to 20% of emergency department visits by people with dementia are avoidable, often linked to caregiver strain and inadequate caregiver training
Why it matters
Written by leaders of six established comprehensive dementia-care programs, this paper lays out a four-step roadmap for launching or sustaining programs like GUIDE. It is practical implementation guidance, not evidence that any specific approach improves dementia outcomes.
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Study details
- Effect sizeUp to 20% of emergency department visits by people with dementia are avoidable (a cited statistic, not this paper's own primary finding)
- Evidence strengthModerate
Limitations
This is a perspective/policy roadmap article synthesizing lessons from six existing programs, not a new empirical study with its own primary data.
How this study scored 42/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people, randomised / blinded and indexed in PubMed because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 26 of the 62 points we could judge it on, which is 42 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 0 / 2 | No PubMed ID and no DOI — scores zero (not stated in the record — scored 0) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 26 / 62 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 26 of the 62 points we could judge it on is 42 out of 100. |
| Total | 42 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Free copy unknown: no free-copy check has an answer for this record yet. That does not mean it is paywalled.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. This record has no DOI, so the citation leaves it out. Volume, issue and page numbers are not held in the record. The record names 15 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Haggerty, K. L., Reuben, D. B., Stoeckle, R., Bass, D., Boustani, M., Clevenger, C., et al. (2025). GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration. Journal of the American Geriatrics Society.
Vancouver
Haggerty KL, Reuben DB, Stoeckle R, Bass D, Boustani M, Clevenger C, et al. GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration. Journal of the American Geriatrics Society. 2025. PMID: 41170936.
BibTeX
@article{haggerty2025-0c111cd0,
author = {Haggerty, K. L. and Reuben, D. B. and Stoeckle, R. and Bass, D. and Boustani, M. and Clevenger, C. and Kremer, I. and Lee, D. R. and Johnson, M. and Minyo, M. J. and Possin, K. L. and Samus, Q. M. and Spragens, L. and Jennings, L. A. and Epstein-Lubow, G.},
title = {{GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration}},
journal = {Journal of the American Geriatrics Society},
year = {2025},
pmid = {41170936}
}
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