Evidence map›Paper›PMID 30898800›Full record

ArticleBMJ open2019

Experiences of community-dwelling older adults living with multiple chronic conditions: a qualitative study.

Jenny Ploeg, Marta Canesi, Kimberly D Fraser, Carrie McAiney, Sharon Kaasalainen, Maureen Markle-Reid, Sinead Dufour, Lisa Garland Baird, Tracey Chambers

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

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

  1. The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  2. Trial
  3. The Well-Being of Older Offenders on Release in the Community.International journal of offender therapy and comparative criminology · 2026
    Article
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  10. Intersectionality and Long Covid: Understanding the Lived Experiences of Ethnic Minority Groups in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  11. Multimorbidity in dementia: Current perspectives and future challenges.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  12. Article
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  20. Understanding perspectives on health-promoting behaviours among older adults with hypertension.International journal of qualitative studies on health and well-being · 2022
    Article
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

9 authors.

Jenny PloegSchool of Nursing, Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-8168-8449
Marta CanesiSchool of Nursing, Universita degli Studi di Milano-Bicocca, Milano, Lombardia, Italy.
Kimberly D FraserFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Carrie McAineyDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Sharon KaasalainenSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.
Maureen Markle-ReidSchool of Nursing, Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada.
Sinead DufourSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Lisa Garland BairdFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Tracey ChambersSchool of Nursing, Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada.

Funding

CIHR TTF 128261
6 · The paper itself

Abstract

objectivesThe aim of the study was to understand the experiences of living with multiple chronic conditions (MCC) from the perspective of community-living older adults with MCC.

designA qualitative study using an interpretive description approach.

settingParticipants were recruited from southern Ontario, Canada.

participants21 community-living, older adults (≥65 years) with an average of 7.4 chronic conditions including one of diabetes, dementia or stroke.

methodsData were collected through digitally-recorded, in-depth, semi-structured in-person interviews. Interview transcripts were analysed and coded using Thorne's interpretive description approach.

resultsFive themes were identified representing older adults' experiences of living with MCC: (a) trying to stay healthy while living with MCC, (b) depending on family caregivers for support with just about everything, (c) paying the high costs of living with MCC, (d) making healthcare decisions by proxy and (e) receiving healthcare services that do not address the complex needs of persons living with MCC.

conclusionsThe experience of living with MCC in the community was complex and multi-faceted. The need for a person-centred and family-centred approach to care in the community, which includes the coordination of health and social services that are tailored to the needs of older adults and their informal caregivers, was underscored. Such an approach would facilitate improved information-sharing and discussion of care management options between health professionals and their patients, enable older adults with MCC to actively engage in priority-setting and decision-making and may result in improved health and quality of life for older adults with MCC.

Indexed as

AgedAged, 80 and overCaregiversDecision MakingFemaleHumansIndependent LivingInterviews as TopicMaleMultiple Chronic ConditionsOntarioQualitative ResearchQuality of Health CareQuality of Lifehome care servicesinterpretive descriptionmultimorbidityolder adultsprimary carequalitative research

Identifiers

PMID30898800
PMCPMC6475239

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.