Evidence map›Paper›PMID 29047339›Full record

ReviewBMC geriatrics2017

Exploring the evidence base for how people with dementia and their informal carers manage their medication in the community: a mixed studies review.

Lydia Aston, Andrea Hilton, Tiago Moutela, Rachel Shaw, Ian Maidment

Open access · goldAbstract readReview
In one paragraph

Review in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% of its field
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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  3. 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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  10. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 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 at 2 institutions in 1 country.

Lydia AstonSchool of Life & Health Sciences, Aston University, Birmingham, UK.
Andrea HiltonFaculty of Health Sciences, University of Hull, Hull, UK.
Tiago MoutelaSchool of Life & Health Sciences, Aston University, Birmingham, UK.
Rachel ShawSchool of Life & Health Sciences, Aston University, Birmingham, UK.
Ian MaidmentSchool of Life and Health Sciences, Aston Research Centre for Healthy Ageing (ARCHA) and Pharmacy Department, Aston University, Birmingham, UK. i.maidment@aston.ac.uk.ORCID 0000-0003-4152-9704
Aston University · GBUniversity of Hull · GB

Funding

Department of Health HS&DR/15/137/01
6 · The paper itself

Abstract

backgroundLittle is known about the general medicines management issues for people with dementia living in the community. This review has three aims: firstly to explore and evaluate the international literature on how people with dementia manage medication; assess understanding of medicines management from an informal carers perspective; and lastly to understand the role that healthcare professionals play in assisting this population with medicines management.

methodsA mixed studies review was conducted. Web of Knowledge, PubMed and Cochrane Library were searched post-1999 for studies that explored medicines management in people with dementia dwelling in the community, and the role healthcare professionals play in supporting medicines management in people with dementia. Following screening, nine articles were included. Data from included studies were synthesised using a convergent synthesis approach and analysed thematically to combine findings from studies using a range of methods (qualitative, quantitative and mixed methods).

resultsFour themes were generated from the synthesis: The nature of the disease and the effects this had on medicines management; the additional responsibilities informal carers have; informal caregivers' knowledge of the importance of managing medication and healthcare professionals' understanding of medicines management in people with dementia. Consequently, these were found to affect management of medication, in particular adherence to medication.

conclusionsThis review has identified that managing medication for people with dementia dwelling in the community is a complex task with a frequently associated burden on their informal caregivers. Healthcare professionals can be unaware of this burden. The findings warrant the need for healthcare professionals to undergo further training in supporting medicines management for people with dementia in their own homes.

Indexed as

Patient Medication KnowledgeCaregiversDementiaHealth PersonnelHumansProfessional RoleResidence CharacteristicsCommunityDementiaHealthcare professionalsInformal carersMedicines management

Identifiers

PMID29047339
PMCPMC5648510
OpenAlexW2765407035

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.