Evidence map›Paper›PMID 28105781›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist.

Ian D Maidment, Lydia Aston, Tiago Moutela, Chris G Fox, Andrea Hilton

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 5 pooled it
–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

43 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Tools to evaluate medication management for caregivers of people living with dementia: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2021
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  15. Carers' experiences and perspectives of the use of anticholinergic medications in people living with dementia: Analysis of an online discussion forum.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

5 authors.

Ian D MaidmentPharmacy, School of Life and Health Sciences, Aston University, Birmingham, UK.ORCID 0000-0003-4152-9704
Lydia AstonSchool of Life and Health Sciences, Aston University, Birmingham, UK.
Tiago MoutelaSchool of Life and Health Sciences, Aston University, Birmingham, UK.
Chris G FoxUniversity of East Anglia, Norwich, UK.
Andrea HiltonUniversity of Hull, Hull, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of dementia is increasing rapidly. People with dementia may be prescribed complex medication regimens, which may be challenging for them and any carers involved to safely manage.

objectiveTo describe and understand the key challenges, in relation to medication issues, experienced by people with dementia and their informal carers dwelling in the community and the potential role of community pharmacists.

designQualitative semi-structured interviews.

participantsPeople with dementia, informal carers and health and social care professionals (HSCPs).

resultsThirty-one participants (eleven informal carers, four people with dementia and sixteen HSCPs) were interviewed. Three key themes were identified: the key challenges, improving medication management and the role of pharmacists. The caring role commonly included responsibility for medication management which created both practical problems and an emotional burden. This burden was worsened by any difficulty in obtaining support and if the person with dementia was on a complex regimen. Participants believed that the process could be improved by coordinated and on-going support from HSCPs, which should focus on the informal carer. Medication reviews, particularly when conducted in the home environment, could be helpful.

conclusionMedication management for people with dementia living in the community is a complex process, and informal carers have a key role, which they frequently find challenging. Community pharmacists could have an enhanced role in this area, but would need to work within a more multidisciplinary environment outside the pharmacy.

Indexed as

PharmacistsCaregiversCommunicationCommunity Pharmacy ServicesDementiaHealth PersonnelHouse CallsHumansInterviews as TopicMedication Therapy ManagementProfessional-Patient RelationsProfessional RoleQualitative ResearchSocial Workerscommunity pharmacistsdementiainformal carersmedication management

Identifiers

PMID28105781
PMCPMC5600213

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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.