{
  "schemaVersion": 1,
  "capturedAt": "2026-10-29T10:31:13.626Z",
  "sha256": "ac8aa6c695e0b238e597b4b4ba58e0e059a946abaa9233055e0fbcfa5e67e593",
  "work": {
    "id": "TAP-RDN-0027",
    "type": "RDN",
    "kind": "note",
    "key": "gijzel-2019",
    "locale": "en",
    "path": "/research/gijzel-2019/",
    "title": "TAP reading note: Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
    "description": "The paper describes three approaches to recovery potential: trajectories after a stressor, standardized stimulus-response tests and recovery from everyday small perturbations. An updated search included 27 studies, 26 concerning recovery after functional decline; most still relied on static reserve measures and binary recovery outcomes.",
    "rights": "© The Allostasis Project. All rights reserved. Reproduction or adaptation requires separate permission, subject to applicable legal exceptions.",
    "version": "0.3",
    "updatedAt": "2026-10-29",
    "editorial": {
      "contentType": "evidence-review",
      "reviewState": "draft",
      "reviewedAt": null,
      "reviewedVersion": null,
      "updatedAt": "2026-10-29",
      "version": "0.3",
      "author": null,
      "reviewer": null,
      "workflow": {
        "ai": {
          "usage": "used",
          "system": "OpenAI Codex",
          "scope": "Assisted source comparison, evidence extraction and bilingual research-note preparation. The materials consulted and unresolved scientific issues are specified in each note.",
          "version": "0.3",
          "tasks": [
            "Source comparison and evidence extraction",
            "Bilingual research-note drafting and editorial comparison"
          ]
        }
      },
      "revisions": [
        {
          "date": "2026-10-27",
          "version": "0.2",
          "description": "Reframed scope in terms of study design, population, outcomes and observation window."
        },
        {
          "date": "2026-10-29",
          "version": "0.3",
          "description": "Added the three dynamic approaches, 27-study composition and validation limits for routine clinical use."
        }
      ]
    },
    "original": {
      "id": "gijzel-2019",
      "title": "Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
      "authors": "Sanne M. W. Gijzel · Heather E. Whitson · Ingrid A. van de Leemput · Marten Scheffer · Dieneke van Asselt · Jerrald L. Rector · Marcel G. M. Olde Rikkert · René J. F. Melis",
      "journal": "Journal of the American Geriatrics Society",
      "year": "2019",
      "url": "https://doi.org/10.1111/jgs.16149",
      "doi": "10.1111/jgs.16149",
      "pmid": "31498881"
    },
    "references": [
      {
        "id": "gijzel-2019",
        "title": "Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
        "authors": "Sanne M. W. Gijzel · Heather E. Whitson · Ingrid A. van de Leemput · Marten Scheffer · Dieneke van Asselt · Jerrald L. Rector · Marcel G. M. Olde Rikkert · René J. F. Melis",
        "journal": "Journal of the American Geriatrics Society",
        "year": "2019",
        "url": "https://doi.org/10.1111/jgs.16149",
        "doi": "10.1111/jgs.16149",
        "pmid": "31498881"
      }
    ],
    "sections": [
      {
        "id": "finding",
        "title": "What the study found",
        "paragraphs": [
          "The paper describes three approaches to recovery potential: trajectories after a stressor, standardized stimulus-response tests and recovery from everyday small perturbations. An updated search included 27 studies, 26 concerning recovery after functional decline; most still relied on static reserve measures and binary recovery outcomes."
        ]
      },
      {
        "id": "limits",
        "title": "Scope & limitations",
        "paragraphs": [
          "Research on older adults' recovery potential, particularly with multimorbidity, extending an earlier review.",
          "Recalled pre-stressor status, sparse measurements, unclear stressor intensity and concurrent disturbances limit comparison. Links between a subsystem and whole-person function need validation. The authors consider dynamic measures insufficiently validated for routine implementation in clinical guidelines."
        ]
      },
      {
        "id": "sample",
        "title": "Population & sample",
        "paragraphs": [
          "Research on older adults' recovery potential, particularly with multimorbidity, extending an earlier review."
        ]
      },
      {
        "id": "exposure",
        "title": "Exposure or intervention",
        "paragraphs": [
          "Recovery trajectories, stimulus-response testing and natural micro-recovery, compared with static reserve assessments."
        ]
      },
      {
        "id": "outcomes",
        "title": "Outcomes",
        "paragraphs": [
          "Functional recovery and candidate dynamic measures, without a common pooled effect."
        ]
      },
      {
        "id": "duration",
        "title": "Time frame",
        "paragraphs": [
          "Approximately five years of updated literature beyond the 2015 review, adding recovery search terms; recovery windows varied."
        ]
      },
      {
        "id": "funding",
        "title": "Research funding",
        "paragraphs": [
          "Whitson's contribution was supported by P30AG028716, UH2AG056925, R33AG057806 and NIH/NCATS UL1TR002553."
        ]
      },
      {
        "id": "conflicts",
        "title": "Research conflicts of interest",
        "paragraphs": [
          "The authors declared no conflict of interest and reported no sponsor role."
        ]
      },
      {
        "id": "basis",
        "title": "Reading scope",
        "paragraphs": [
          "The full body, Tables 1–2, captions and disclosures were read through. Supplementary search methods and individual study records remain to be checked."
        ],
        "links": [
          {
            "label": "Full text in PubMed Central",
            "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6916426/"
          }
        ]
      }
    ]
  }
}