{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:48:32Z","timestamp":1791942512434,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AG069080"],"award-info":[{"award-number":["K24AG069080"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["U1QHP53056\u201002\u201000"],"award-info":[{"award-number":["U1QHP53056\u201002\u201000"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Resource needs increase strain among dementia caregivers. We tested the impact of CommunityRx\u2010Dementia, a low\u2010intensity resource referral intervention that provides education about common resource needs, a personalized list of nearby resources, and navigation support via a navigator and online resource finder.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a single\u2010blind RCT comparing usual care (control) versus usual care plus CommunityRx\u2010Dementia (intervention). We enrolled (12\/2020\u20132\/2024) English\u2010speaking dementia caregivers agreeing to receive text messages who lived in a 62 ZIP code geography around an urban academic medical center. We assessed caregiver self\u2010efficacy (primary, 12\u2009months), loneliness, need for help and self\u2010reported hospitalizations and emergency department (ED) visits (other pre\u2010specified outcomes). Pre\u2010planned, main analyses included participants with \u2265\u20091 baseline health\u2010related social risk (HRSRs); post hoc analyses included caregivers without baseline HRSRs.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Caregivers with HRSRs (\n n<\/jats:italic>\n \u2009=\u2009133) were predominantly female (84%) and Black (79%); 52% had household income <\u2009$50\u2009K\/year; 94% texted a navigator and 31% requested additional resource information. Caregiver self\u2010efficacy (range 1\u20135, intervention\u2009=\u20093.5; control\u2009=\u20093.5, odds ratio [OR]: 0.80, 95% CI: 0.30, 2.09) and rates of loneliness (intervention\u2009=\u200941%; control\u2009=\u200950%; OR: 0.62, 95% CI: 0.24, 1.59), needing help (23%\u2009=\u2009intervention, 34%\u2009=\u2009control; OR: 0.80, 95% CI: 0.30, 2.11) and hospitalization (intervention\u2009=\u20090.1, control\u2009=\u20090.2; IRR: 0.42, 95% CI: 0.14, 1.30) were similar at 12\u2009months, but ED utilization was lower in the intervention group (0.3 vs. 0.7, IRR: 0.41, 95% CI: 0.19, 0.90). Caregivers without HRSRs (\n n<\/jats:italic>\n \u2009=\u2009210) were mainly female (75%) and Black (82%); 25% had household income <\u2009$50\u2009K\/year; 95% texted a navigator and 39% requested additional resource information. Self\u2010efficacy, loneliness, hospitalizations, and ED utilization were similar between arms at 12\u2009months, but odds of needing help were 0.31 (95% CI: 0.12, 0.83) for the intervention group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A low\u2010intensity social care intervention aimed at dementia caregivers did not improve self\u2010efficacy at 12\u2009months but reduced emergency care utilization among those with HRSRs.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n ClinicalTrials.gov<\/jats:ext-link>\n , Registered 10\/29\/19, Identifier:\n NCT04146545<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.70684","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:41:30Z","timestamp":1791942090000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low\u2010Intensity Social Care for Dementia Caregivers: A Randomized Trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6484-1675","authenticated-orcid":false,"given":"Jennifer A.","family":"Makelarski","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Chicago Chicago Illinois USA"},{"name":"Department of Social, Behavioral and Population Sciences Tulane University New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen E.","family":"Wroblewski","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences The University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7913-683X","authenticated-orcid":false,"given":"Victoria A.","family":"Winslow","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Abramsohn","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2185-768X","authenticated-orcid":false,"given":"Soo","family":"Borson","sequence":"additional","affiliation":[{"name":"Department of Neurology Keck School of Medicine at University of Southern California Los Angeles California USA"},{"name":"Department of Family Medicine Keck School of Medicine at University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delaney A.","family":"Romanchick","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dena","family":"Schulman\u2010Green","sequence":"additional","affiliation":[{"name":"New York University Rory Meyers College of Nursing New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section of Geriatrics University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4628-2061","authenticated-orcid":false,"given":"Elbert S.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences The University of Chicago Chicago Illinois USA"},{"name":"Department of Medicine, Section of Geriatrics University of Chicago Chicago Illinois USA"},{"name":"Department of Medicine, Section of General Internal Medicine University of Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy Tessler","family":"Lindau","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Chicago Chicago Illinois USA"},{"name":"Department of Medicine, Section of Geriatrics University of Chicago Chicago Illinois 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