Evidence map›Paper›PMID 31619050›Full record

ArticleAging & mental health2020

Supporting frail older people with depression and anxiety: a qualitative study.

Rachael Frost, Pushpa Nair, Su Aw, Rebecca L Gould, Kalpa Kharicha, Marta Buszewicz, Kate Walters

Open access · hybridAbstract read
In one paragraph

Article in Aging & mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  16. Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults.International journal of environmental research and public health · 2022
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  18. Help-Seeking Behaviors Among Older Adults: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
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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 2 countries.

Rachael FrostDepartment of Primary Care and Population Health, University College London, London, UK.ORCID 0000-0003-3523-0052
Pushpa NairDepartment of Primary Care and Population Health, University College London, London, UK.
Su AwSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Rebecca L GouldDivision of Psychiatry, University College London, London, UK.
Kalpa KharichaDepartment of Primary Care and Population Health, University College London, London, UK.
Marta BuszewiczDepartment of Primary Care and Population Health, University College London, London, UK.
Kate WaltersDepartment of Primary Care and Population Health, University College London, London, UK.
University College London · GBNational University of Singapore · SG

Funding

Department of Health HTA/12/192/10Department of Health NIHR128334
6 · The paper itself

Abstract

objectivesDepression and anxiety are common in later life, particularly when people are frail. This leads to reduced quality of life, faster decline in physical health and increased health/social care use. Available treatments are commonly not tailored to people with frailty. We explored frail older peoples' experiences of depression and/or anxiety and how services could be adapted to their needs.

methodsSemi-structured interviews with 28 older people in the UK purposively sampled for practice location and severity of frailty and anxiety/depression. We asked about symptoms, interactions with physical health, help-seeking, treatments and what might help in future. We audio-recorded and transcribed interviews, using thematic analysis to inductively derive themes.

resultsFrail older people had low expectations of their wellbeing at this point in life due to multiple physical health issues and so anxiety and mild depressive symptoms were normalised. There was a particular reluctance and uncertainty regarding help-seeking for anxiety. Treatments were considered appropriate where they aligned with coping skills developed over their lifetime, and facilitated independence and problem-solving skills. Most older people felt their knowledge of mental health was limited and relied upon information about and endorsement of therapies from an expert. This was usually their GP, but access was often problematic. Online methods of accessing information and therapies were not popular.

conclusionMental health support for frail older people needs to address late-life anxieties as well as depression, account for physical health issues, align with older people's need for independence and facilitate coping skills.

Indexed as

DepressionFrail ElderlyAgedAnxietyHumansQualitative ResearchQuality of LifeDepression; anxiety; frailty; qualitative; older people

Identifiers

PMID31619050
PMCPMC8842711
OpenAlexW2980541762

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.