Evidence map›Paper›PMID 30285641›Full record

ArticleBMC geriatrics2018

Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review.

Katherine S McGilton, Shirin Vellani, Lily Yeung, Jawad Chishtie, Elana Commisso, Jenny Ploeg, Melissa K Andrew, Ana Patricia Ayala, Mikaela Gray, Debra Morgan and 10 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 9 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

125 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Barriers and Facilitators of Ambient Assisted Living Systems: A Systematic Literature Review.International journal of environmental research and public health · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

65 more citing papers are in PubMed but not listed here.

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

20 authors.

Katherine S McGiltonLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. kathy.mcgilton@uhn.ca.ORCID 0000-0003-2470-9738
Shirin VellaniLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Lily YeungLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Jawad ChishtieToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M6K 2R7 416 597 3422 (2500), Canada.
Elana CommissoInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Jenny PloegSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Melissa K AndrewDivision of Geriatric Medicine, Dalhousie University, Halifax, NS, Canada.
Ana Patricia AyalaGerstein Information Science Centre, University of Toronto, Toronto, ON, Canada.
Mikaela GrayGerstein Information Science Centre, University of Toronto, Toronto, ON, Canada.
Debra MorganCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
Amanda Froehlich ChowCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
Edna ParrottThe Change Foundation, Toronto, ON, Canada.
Doug StephensThe Change Foundation, Toronto, ON, Canada.
Lori HaleThe Change Foundation, Toronto, ON, Canada.
Margaret KeatingsThe Change Foundation, Toronto, ON, Canada.
Jennifer WalkerLaurentian University, Sudbury, ON, Canada.
Walter P WodchisInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Veronique DubéFaculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
Janet McElhaneyHealth Sciences North Research Institute and Northern Ontario School of Medicine, Sudbury, ON, Canada.
Martine PutsLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

Funding

CIHR NKS-150581
6 · The paper itself

Abstract

backgroundAs the population is aging, the number of persons living with multiple chronic conditions (MCC) is expected to increase. This review seeks to answer two research questions from the perspectives of older adults with MCC, their caregivers and their health care providers (HCPs): 1) What are the health and social care needs of community-dwelling older adults with MCC and their caregivers? and 2) How do social and structural determinants of health impact these health and social care needs?

methodsWe conducted a scoping review guided by a refinement of the Arksey & O'Malley framework. Articles were included if participants were 55 years or older and have at least two chronic conditions. We searched 7 electronic databases. The data were summarized using thematic analysis.

resultsThirty-six studies were included in this review: 28 studies included participants with MCC; 12 studies included HCPs; 5 studies included caregivers. The quality of the studies ranged from moderate to good. Five main areas of needs were identified: need for information; coordination of services and supports; preventive, maintenance and restorative strategies; training for older adults, caregivers and HCPs to help manage the older adults' complex conditions; and the need for person-centred approaches. Structural and social determinants of health such as socioeconomic status, education and access influenced the needs of older adults with MCC.

conclusionThe review highlights that most of the needs of older adults with MCC focus on lack of access to information and coordination of care. The main structural and social determinants that influenced older adults' needs were their level of education/health literacy and their socioeconomic status.

Indexed as

Health Services Needs and DemandSocial SupportAgedAged, 80 and overCaregiversChronic DiseaseCross-Sectional StudiesDisease ManagementFemaleHealth PersonnelHumansIndependent LivingMaleMultiple Chronic ConditionsCaregiversHealth care providersMultimorbidityNeedsOlder adultsScoping review

Identifiers

PMID30285641
PMCPMC6167839

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.