Evidence map›Paper›PMID 29562360›Full record

ArticleThe Gerontologist2018

A Needs-led Framework for Understanding the Impact of Caring for a Family Member With Dementia.

Simon Pini, Emma Ingleson, Molly Megson, Linda Clare, Penny Wright, Jan R Oyebode

Abstract read
In one paragraph

Article in The Gerontologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Evaluating the effects of a multicomponent support service for people recently diagnosed with dementia and their carers: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  6. "Living Well" Trajectories Among Family Caregivers of People With Mild-to-Moderate Dementia in the IDEAL Cohort.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. UK General Population Utility Values for the SIDECAR-D Instrument Measuring the Impact of Caring for People With Dementia.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2020
    Article
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  14. Review
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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

6 authors.

Simon PiniPatient Centred Outcome Research Group, St James's Institute of Oncology, University of Leeds, West Yorkshire, UK.
Emma InglesonPatient Centred Outcome Research Group, St James's Institute of Oncology, University of Leeds, West Yorkshire, UK.
Molly MegsonPatient Centred Outcome Research Group, St James's Institute of Oncology, University of Leeds, West Yorkshire, UK.
Linda ClareSchool of Psychology, Exeter, Devon, UK.
Penny WrightPatient Centred Outcome Research Group, St James's Institute of Oncology, University of Leeds, West Yorkshire, UK.
Jan R OyebodeCentre for Applied Dementia Studies, University of Bradford, Bradford, West Yorkshire, UK.

Funding

Medical Research Council MR/M025179/1
6 · The paper itself

Abstract

Background and Objectives: Approximately half the care for people with dementia is provided by families. It is therefore imperative that research informs ways of maintaining such care. In this study, we propose that a needs-led approach can provide a useful, novel means of conceptualizing the impact of caring on the lives of family carers. Our aim was to develop and present a needs-led framework for understanding how providing care impacts on carers' fulfilment of needs. Design and Methods: In this qualitative study, we conducted 42 semistructured interviews with a purposively diverse sample of family carers to generate nuanced contextualized accounts of how caring impacted on carers' lives. Our inductive thematic analysis focused upon asking: "What need is being impacted here?" in order to generate a needs-led framework for understanding. Results: Nine themes were widely endorsed. Each completed the sentence: "Being a carer impacts on fulfilling my need to/for….": Freedom; feel close to my relative; feel in control of my life; be my own person; protect my relative; share/express my thoughts and feelings; take care of myself; feel connected to the people around me; get things done. Discussion and Implications: These needs echo those from other research areas, with relational needs emerging as particularly central. The needs-led approach offers a perspective that is able to capture both stresses and positive aspects of caregiving. We recommend that clinical interviewing using Socratic questioning to discover human needs that are being impacted by caring would provide a valuable starting point for care planning.

Indexed as

Family HealthQuality of LifeAdultAgedCaregiversDementiaFamilyFamily RelationsFemaleHumansMaleMiddle AgedNeeds AssessmentQualitative ResearchSocial SupportStress, Psychological

Identifiers

PMID29562360
PMCPMC5946854

What OpenQuestion holds

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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.