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Ready for Discharge, but Are They Ready to Go Home? Examining Neighborhood-Level Disadvantage as a Marker of the Social Exposome and the Swallowing Care Process in a Retrospective Cohort of Inpatients With Dementia
Raele Robison, Nicole Butz, Sara Gustafson, Steven Wang, Jason R. Falvey, Meredith Mackowicz‐Torres, Nicole M. Rogus‐Pulia, Amy Kind. American Journal of Speech-Language Pathology, 2024-03-19
Topic: Risk, prevention and care in population studies
Plain-language summary
ADI was significantly higher in this cohort ( M = 3.84, SD = 2.58) than in the surrounding county ( M = 2.79, SD = 1.88, p = .000). There was no significant difference in utilization of swallowing services across decile groups ( p = .88). Although the majority (85%) in high ADI areas was recommended diet modifications or alternative nutrition likely requiring extra resources, there was no documentation indicating that additional SDOH resource linking or counseling was provided. These findings raise important questions about the role and responsibility of speech-language pathologists in tailoring swallowing services to challenges posed by the lived environment, particularly in socioeconomically disadvantaged areas. This underscores the need for further research to understand and address gaps in postdischarge support for PLWD in high-ADI regions and advocate for more equitable provision of swallowing care.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Robison, R., Butz, N., Gustafson, S., Wang, S., Falvey, J. R., Mackowicz‐Torres, M., et al. (2024). Ready for Discharge, but Are They Ready to Go Home? Examining Neighborhood-Level Disadvantage as a Marker of the Social Exposome and the Swallowing Care Process in a Retrospective Cohort of Inpatients With Dementia. American Journal of Speech-Language Pathology. https://doi.org/10.1044/2024_ajslp-23-00332
Vancouver
Robison R, Butz N, Gustafson S, Wang S, Falvey JR, Mackowicz‐Torres M, et al. Ready for Discharge, but Are They Ready to Go Home? Examining Neighborhood-Level Disadvantage as a Marker of the Social Exposome and the Swallowing Care Process in a Retrospective Cohort of Inpatients With Dementia. American Journal of Speech-Language Pathology. 2024. doi:10.1044/2024_ajslp-23-00332. PMID: 38502719.
BibTeX
@article{robison2024-38502719,
author = {Robison, Raele and Butz, Nicole and Gustafson, Sara and Wang, Steven and Falvey, Jason R. and Mackowicz‐Torres, Meredith and Rogus‐Pulia, Nicole M. and Kind, Amy},
title = {{Ready for Discharge, but Are They Ready to Go Home? Examining Neighborhood-Level Disadvantage as a Marker of the Social Exposome and the Swallowing Care Process in a Retrospective Cohort of Inpatients With Dementia}},
journal = {American Journal of Speech-Language Pathology},
year = {2024},
doi = {10.1044/2024_ajslp-23-00332},
pmid = {38502719},
url = {https://doi.org/10.1044/2024_ajslp-23-00332}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 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.
Key findings
- ADI was significantly higher in this cohort ( M = 3.84, SD = 2.58) than in the surrounding county ( M = 2.79, SD = 1.88, p = .000).
- There was no significant difference in utilization of swallowing services across decile groups ( p = .88).
- Although the majority (85%) in high ADI areas was recommended diet modifications or alternative nutrition likely requiring extra resources, there was no documentation indicating that additional SDOH resource linking or counseling was provided.
- These findings raise important questions about the role and responsibility of speech-language pathologists in tailoring swallowing services to challenges posed by the lived environment, particularly in socioeconomically disadvantaged areas.
- This underscores the need for further research to understand and address gaps in postdischarge support for PLWD in high-ADI regions and advocate for more equitable provision of swallowing care.
Why it matters
In this cohort of inpatients with dementia, area deprivation index was higher than in the surrounding county, but there was no significant difference in utilization of swallowing services across deprivation decile groups. The study is about swallowing care and postdischarge support, not about treating, curing, or preventing Alzheimer's disease.
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Study details
- Participants204
- Evidence strengthModerate
How this study scored 47/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (American Journal of Speech-Language Pathology) |
| Journal's citation record | 1 / 4 | American Journal of Speech-Language Pathology: journal h-index 122 (OpenAlex, 2026-10-29) |
| 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 | 2024 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 204 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.2 citations a year over 4 year(s) since 2024 |
| Impact for its field and year | 2 / 6 | Cited 2.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 5 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Amy Kind: h-index 47 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of Wisconsin–Madison: institution h-index 1,518 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 38502719) |
| Free to read | 2 / 2 | Free to read |
| Total | 47 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1044/2024_ajslp-23-00332
- PubMed: 38502719
- Original source →
- Free full text: PubMed Central →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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