Evidence map›Paper›PMID 30161238›Full record

Trial reportPloS one2018

"Please listen to me": A cross-sectional study of experiences of seniors and their caregivers making housing decisions.

Rhéda Adekpedjou, Dawn Stacey, Nathalie Brière, Adriana Freitas, Mirjam M Garvelink, Stéphane Turcotte, Matthew Menear, Henriette Bourassa, Kimberley Fraser, Pierre J Durand and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Extent and Predictors of Decision Regret among Informal Caregivers Making Decisions for a Loved One: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
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  10. Transitional care decision-making through the eyes of older people and informal caregivers: An in-depth interview-based study.Health expectations : an international journal of public participation in health care and health policy · 2023
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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

13 authors.

Rhéda AdekpedjouCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
Dawn StaceyOttawa Hospital Research Institute and Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Nathalie BrièreCentre intégré universitaire en santé et services sociaux de la Capitale-Nationale, Université Laval, Quebec City, Canada.
Adriana FreitasCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
Mirjam M GarvelinkCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
Stéphane TurcotteCentre intégré de santé et de services sociaux de Chaudière-Appalaches, Sainte-Marie, Canada.
Matthew MenearCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
Henriette BourassaCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
Kimberley FraserFaculty of Nursing, University of Alberta, Edmonton, Canada.
Pierre J DurandFaculty of Medicine, Université Laval, Quebec City, Canada.
Serge DumontFaculty of Social Sciences, Université Laval, Quebec City, Canada.
Lise RoyCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.
France LégaréCentre de recherche sur les soins et les services de première ligne de l'Université Laval, Université Laval, Quebec City, Canada.ORCID 0000-0002-2296-6696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the decision-making experiences of seniors and informal caregivers facing decisions about seniors' housing decisions when objective decision making measures are used.

objectivesTo report on seniors' and caregivers' experiences of housing decisions.

designA cross-sectional study with a quantitative approach supplemented by qualitative data.

settingSixteen health jurisdictions providing home care services, Quebec province, Canada.

participantsTwo separate samples of seniors aged ≥ 65 years and informal caregivers of cognitively impaired seniors who had made a decision about housing. MEASUREMENTS: Information on preferred choice and actual choice about housing, role assumed in the decision, decisional conflict and decision regret was obtained through closed-ended questionnaires. Research assistants paraphrased participants' narratives about their decision-making experiences and made other observations in standardized logbooks.

resultsThirty-one seniors (median age: 85.5 years) and 48 caregivers (median age: 65.1 years) were recruited. Both seniors and caregivers preferred that the senior stay at home (64.5% and 71.7% respectively). Staying home was the actual choice for only 32.2% of participating seniors and 36.2% of the seniors cared for by the participating caregivers. Overall, 93% seniors and 71% caregivers reported taking an active or collaborative role in the decision-making process. The median decisional conflict score was 23/100 for seniors and 30/100 for caregivers. The median decision regret score was the same for both (10/100). Qualitative analysis revealed that the housing decision was influenced by factors such as seniors' health and safety concerns and caregivers' burden of care. Some caregivers felt sad and guilty when the decision did not match the senior's preference.

conclusionThe actual housing decision made for seniors frequently did not match their preferred housing option. Advanced care planning regarding housing and better decision support are needed for these difficult decisions.

Indexed as

Decision MakingHousingAgedAged, 80 and overCaregiversConflict, PsychologicalCost of IllnessCross-Sectional StudiesEmotionsFemaleHumansMaleMiddle AgedQualitative ResearchSafety

Identifiers

PMID30161238
PMCPMC6117007

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.