{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T08:20:31Z","timestamp":1774426831293,"version":"3.50.1"},"reference-count":52,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007184","name":"Yale School of Medicine","doi-asserted-by":"publisher","award":["P30AG021342"],"award-info":[{"award-number":["P30AG021342"]}],"id":[{"id":"10.13039\/100007184","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000957","name":"Alzheimer's Association","doi-asserted-by":"publisher","award":["ARCOM\u201022\u2010878456"],"award-info":[{"award-number":["ARCOM\u201022\u2010878456"]}],"id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Alzheimer's &amp;amp; Dementia: Behavior &amp;amp; Socioeconomics of Aging"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Emergency department (ED) care transitions are particularly challenging for persons living with cognitive impairment (PLWCI) and their care partners. Existing measures overlook care partners' unique experiences. We developed and validated the Caregiver\u2010reported Outcome Measure for Emergency care Transitions (COMET) tool to assess these transitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We enrolled 170 care partners from four EDs in a multiphase process including qualitative interviews, item development, member checking, cognitive debriefing, expert review, and psychometric testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      The final 15\u2010item COMET tool captures understanding of discharge instructions, caregiver burden, and positive aspects of caregiving. It showed feasibility (mean completion time\u00a0=\u00a05.87\u00a0min), excellent internal consistency (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.89,\n                      <jats:italic>\u03c9<\/jats:italic>\n                      \u00a0=\u00a00.99), and good test\u2010retest reliability (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.85). Factor analysis supported a clear structure, and correlations with the Care Transitions Measure\u20103 supported validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>COMET is a feasible, reliable, and valid tool for evaluating ED care transitions for PLWCI and their care partners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bsa3.70067","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:33:17Z","timestamp":1770813197000},"source":"Crossref","is-referenced-by-count":0,"title":["Development and validation of the Caregiver\u2010reported Outcome Measure for Emergency care Transitions (COMET) tool"],"prefix":"10.1002","volume":"2","author":[{"given":"Cameron J.","family":"Gettel","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Center for Outcomes Research and Evaluation Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Galske","sequence":"additional","affiliation":[{"name":"University of Connecticut School of Medicine  Farmington Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonya","family":"Chera","sequence":"additional","affiliation":[{"name":"Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivie","family":"Uzamere","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun K.","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Center for Outcomes Research and Evaluation Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marney A.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences Yale School of Public Health  New Haven Connecticut USA"},{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ula","family":"Hwang","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine New York University Grossman School of Medicine  New York City New York USA"},{"name":"Geriatric Research, Education and Clinical Center James J. Peters VAMC  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"LoredanaS SchappertSM WardBW.Emergency Department Visits by Adults Age 65 and Older With Alzheimer Disease: United States 2020\u20102022 [Internet].2024; Available from:https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db510.htm#:~:text=NOTES%3A%20Rates%20are%20based%20on adults%20age%2065%20and%20older).","DOI":"10.15620\/cdc\/164015"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2023.2244"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19062"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19522"},{"issue":"1","key":"e_1_2_9_6_1","article-title":"Emergency department care transition barriers: a qualitative study of care partners of older adults with cognitive impairment","volume":"8","author":"Gettel CJ","year":"2022","journal-title":"Alzheimers Dement"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14898"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18897"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0000000000000118"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108666"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18791"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.15013"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2020-210168"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.02.024"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14850"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14732"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2019.12.023"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13623"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.70029"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-060974"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.05.024"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.03.019"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.70074"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.01.076"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.112.967885"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0344-y"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004326"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13938"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.03.053"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13165"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.2310\/8000.2014.141355"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.70189"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.12.007"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317517749465"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12289"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2016.1201714"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.560"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2011.01040.x"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.64.5.725"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx149"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1159\/000542895"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316654870"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00149"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v11.i4.116"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S145676"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01593882"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/096228029200100105"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.12.1.58"},{"key":"e_1_2_9_49_1","volume-title":"Factor Analysis","author":"Gorsuch RL","year":"1983"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327906MBR3604_06"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860220126763"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161021800203X"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18787"}],"container-title":["Alzheimer's &amp; Dementia: Behavior &amp; Socioeconomics of Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bsa3.70067","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bsa3.70067","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bsa3.70067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:22:21Z","timestamp":1774419741000},"score":1,"resource":{"primary":{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bsa3.70067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,11]]},"references-count":52,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/bsa3.70067"],"URL":"https:\/\/doi.org\/10.1002\/bsa3.70067","archive":["Portico"],"relation":{},"ISSN":["2997-3805","2997-3805"],"issn-type":[{"value":"2997-3805","type":"print"},{"value":"2997-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,11]]},"article-number":"e70067"}}