Evidence map›Paper›PMID 30419819›Full record

ArticleBMC geriatrics2018

"You've got to look after yourself, to be able to look after them" a qualitative study of the unmet needs of caregivers of community based primary health care patients.

Kerry Kuluski, Allie Peckham, Ashlinder Gill, Jasleen Arneja, Frances Morton-Chang, John Parsons, Cecilia Wong-Cornall, Ann McKillop, Ross E G Upshur, Nicolette Sheridan

Abstract read
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 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.

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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

10 authors.

Kerry KuluskiBridgepoint Collaboratory, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada. Kerry.Kuluski@sinaihealthsystem.ca.
Allie PeckhamInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Ashlinder GillInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Jasleen ArnejaEpidemiology Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Frances Morton-ChangInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
John ParsonsSchool of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Cecilia Wong-CornallSchool of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Ann McKillopSchool of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Ross E G UpshurBridgepoint Collaboratory, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Nicolette SheridanCentre for Nursing and Health Research, School of Nursing, College of Health Te Kura Hauora Tangata, Massey University, Albany, New Zealand.

Funding

CIHR 128263
6 · The paper itself

Abstract

backgroundThere is growing reliance on unpaid caregivers to provide support to people with care needs. Integrated care approaches that aim to coordinate primary care with community care known as community based primary health care (CBPHC) has been a key policy initiative across health systems; however most attention has been paid to the needs of patients and not caregivers. The objective of this paper was to explore the unmet needs of caregivers of older adults with complex care needs receiving CBPHC.

methodsThis qualitative descriptive study entailed one-to-one interviews with 80 caregivers from Canada and New Zealand where roles, experiences and needs were explored. Interview text related to unmet need was reviewed inductively and core themes identified.

resultsThree themes were identified across CBPHC sites: unrecognized role; lack of personal resources; and no breaks even when services are in place.

conclusionsTo support caregivers, models of care such as CBPHC need to look beyond the patient to meaningfully engage caregivers, address their needs and recognize the insight they hold. This knowledge needs to be valued as a key source of evidence to inform developments in health and social care.

Indexed as

CaregiversOccupational HealthAdultAgedCommunity Health ServicesFemaleHumansMaleMiddle AgedNeeds AssessmentPrimary Health CareQualitative ResearchSelf CareSocial SupportCanadaCaregiversNew ZealandPrimary careQualitative

Identifiers

PMID30419819
PMCPMC6233534

What OpenQuestion holds

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LicenceCC BY
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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.