Evidence map›Paper›PMID 28424546›Full record

SynthesisClinical interventions in aging2017

Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: a systematic review and thematic synthesis.

Veronica Mignani, Francesca Ingravallo, Elena Mariani, Rabih Chattat

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Promoting Family/Friend Involvement in Care Planning in Care Homes: A Qualitative Exploration of the Usefulness and Relevance of an Information Resource.Health expectations : an international journal of public participation in health care and health policy · 2026
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  18. Reimagining Family Involvement in Residential Long-Term Care.Journal of the American Medical Directors Association · 2022
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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

4 authors.

Veronica MignaniDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio, Bologna, Italy.
Francesca IngravalloDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio, Bologna, Italy.
Elena MarianiDepartment of Psychology, University of Bologna, Viale Berti Pichat, Bologna, Italy.
Rabih ChattatDepartment of Psychology, University of Bologna, Viale Berti Pichat, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to search and synthesize qualitative studies exploring the perspectives of older people living in long-term care facilities and of their family members about advance care planning (ACP) discussions.

methodsThe enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) framework was used to guide the review and report its results. PubMed, CINAHL, and PsycINFO were searched for studies published between January 2000 and November 2015. All included studies were assessed for comprehensiveness of reporting, and a thematic synthesis of their results was performed.

resultsThe nine included studies differed in terms of qualitative method used, comprehensiveness of reporting, and geographical origin. The thematic synthesis led to the identification of four main themes: 1) plans already made; 2) end-of-life care and decision-making; 3) opinions and attitudes toward ACP; and 4) how, when, about what, and with whom to do ACP.

conclusionDespite their willingness to be involved in a shared decision-making process, older residents and their families still have little experience with ACP. PRACTICAL IMPLICATIONS: In view of implementing ACP for elders living in long-term care facilities, it would be important to rethink ACP and also to incorporate their nonmedical preferences, according to their own priorities.

Indexed as

Advance Care PlanningDecision MakingAgedCaregiversFamilyHumansLong-Term CareNursing HomesQualitative ResearchTerminal Careadvance care planningcaregiversfrail elderlyqualitative researchresidential facilities

Identifiers

PMID28424546
PMCPMC5344428

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.