Evidence map›Paper›PMID 25739034›Full record

ArticlePloS one2015

Comparing the health state preferences of older persons, informal caregivers and healthcare professionals: a vignette study.

Cynthia S Hofman, Peter Makai, Jeanet W Blom, Han Boter, Bianca M Buurman, Marcel G M Olde Rikkert, Rogier Donders, René J F Melis

Abstract readComparative Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Values of Integrated Care: A Systematic Review.International journal of integrated care · 2018
    Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cynthia S HofmanRadboud university medical center, Department of Geriatric Medicine (HP 925), Nijmegen, The Netherlands; Radboud university medical center, Department for Health Evidence (HP133), Nijmegen, The Netherlands.
Peter MakaiRadboud university medical center, Department of Geriatric Medicine (HP 925), Nijmegen, The Netherlands; Radboud university medical center, Department for Health Evidence (HP133), Nijmegen, The Netherlands.
Jeanet W BlomLeiden University Medical Centre, Department of Public Health and Primary Care, Leiden, The Netherlands.
Han BoterUniversity of Groningen, University Medical Centre Groningen, Department of Epidemiology (FA41), Groningen, The Netherlands.
Bianca M BuurmanAcademic Medical Center, Department of Internal Medicine, section of Geriatric Medicine (F4-108), Amsterdam, The Netherlands.
Marcel G M Olde RikkertRadboud university medical center, Department of Geriatric Medicine (HP 925), Nijmegen, The Netherlands.
Rogier DondersRadboud university medical center, Department for Health Evidence (HP133), Nijmegen, The Netherlands.
René J F MelisRadboud university medical center, Department of Geriatric Medicine (HP 925), Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Older Persons and Informal Caregivers Survey-Minimum Dataset (TOPICS-MDS) collects uniform information from research projects funded under the Dutch National Care for the Elderly Programme. To compare the effectiveness of these projects a preference-weighted outcome measure that combined multidimensional TOPICS-MDS outcomes into a composite endpoint (TOPICS-CEP) was developed based on the health state preferences of older persons and informal caregivers.

objectivesTo derive preference weights for TOPICS-CEP's components based on health state preferences of healthcare professionals and to investigate whether these weights differ between disciplines and differ from those of older persons and informal caregivers. MATERIALS AND

methodsVignette studies were conducted. Participants assessed the general wellbeing of older persons described in vignettes on a scale (0-10). Mixed linear analyses were used to obtain and compare the preference weights of the eight TOPICS-CEP components: morbidities, functional limitations, emotional wellbeing, pain experience, cognitive problems, social functioning, self-perceived health, and self-perceived quality of life (QOL).

resultsOverall, 330 healthcare professionals, 124 older persons and 76 informal caregivers participated. The preference weights were not significantly different between disciplines. However, the professionals' preference weights differed significantly from those of older persons and informal caregivers. Morbidities and functional limitations were given more weight by older persons and informal caregivers than by healthcare professionals [difference between preference weights: 0.12 and 0.07] while the opposite was true for pain experience, social functioning, and self-perceived QOL [difference between preference weights: 0.13, 0.15 and 0.26].

conclusionIt is important to recognize the discrepancies between the health state preferences of various stakeholders to (1) correctly interpret results when studying the effectiveness of interventions in elderly care and (2) establish appropriate healthcare policies. Furthermore, we should strive to include older persons in our decision making process through a shared decision making approach.

Indexed as

Health StatusAgedAged, 80 and overCaregiversFemaleHealth PersonnelHumansMalePatient PreferenceQuality of LifeSurveys and Questionnaires

Identifiers

PMID25739034
PMCPMC4349801

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.