Evidence map›Paper›PMID 30809895›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

What matters to people with memory problems, healthy volunteers and health and social care professionals in the context of developing treatment to prevent Alzheimer's dementia? A qualitative study.

Julie Watson, Stina Saunders, Graciela Muniz Terrera, Craig Ritchie, Alison Evans, Saturnino Luz, Charlotte Clarke

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. 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
2.5field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  7. Outcome measures for Alzheimer's disease: A global inter-societal Delphi consensus.Alzheimer's & dementia : the journal of the Alzheimer's Association · 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

7 authors at 2 institutions in 1 country.

Julie WatsonEdinburgh Centre for Research on the Experience of Dementia (ECRED), School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-1936-1258
Stina SaundersCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Graciela Muniz TerreraCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Craig RitchieCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Alison EvansAlzheimer's Research UK, Cambridge, UK.
Saturnino LuzCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Charlotte ClarkeEdinburgh Centre for Research on the Experience of Dementia (ECRED), School of Health in Social Science, University of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBAlzheimer’s Research UK · GB

Funding

Alzheimer's Research UK CommissionedUniversity of Edinburgh
6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) is recognized as one of the greatest global public health challenges. There is increasing consensus that optimal disease modification using pharmaceuticals may best be achieved earlier in the disease continuum before symptoms occur. However, more needs to be understood about what outcomes are meaningful to potential participants in clinical trials within this preventative paradigm and how people make trade-offs between risks and benefits. The Electronic Person-Specific Outcome Measure (ePSOM) programme is developing an app to capture person-specific outcomes and preferences in clinical trials.

objectiveAs one phase in the ePSOM programme, this study explored what matters when developing new treatments to prevent AD and how trade-offs are made between risks and benefits, from three perspectives.

designFocus groups were conducted with people living with memory problems (n = 21) and healthy volunteers (n = 10), and telephone interviews with health and social care professionals (n = 10). Differences and overlap between the three groups were explored.

resultsOutcomes that matter lie in five key domains in relation to what matters in everyday life: Everyday Functioning; Relationships and Social Connections; Enjoying Life; Sense of Identity; and Alleviating  Symptoms. Insights were gained into the significance of reducing the risk of developing dementia with drugs and the processes of weighing up risks versus benefits. DISCUSSION AND

conclusionsThe key domains identified are being used to inform the next stage of the ePSOM programme which is to develop a survey to be distributed nationally in the UK to explore these issues further.

Indexed as

AgedAlzheimer DiseaseDecision MakingFemaleFocus GroupsHealth PersonnelHealthy VolunteersHumansMaleMemory DisordersMiddle AgedMobile ApplicationsQualitative ResearchSocial WorkersUnited KingdomAlzheimer's disease clinical trialsdisease preventionfocus groupsPatient PreferencesPatient-Reported Outcome Measures

Identifiers

PMID30809895
PMCPMC6543163
OpenAlexW2917567713

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.