Evidence map›Paper›PMID 32014871›Full record

ArticleBMJ open2020

Impact of severe polyhandicap cared for at home on French informal caregivers' burden: a cross-sectional study.

Marie-Christine Rousseau, Karine Baumstarck, Maria Valkov, Agnés Felce, Catherine Brisse, Sherezad Khaldi-Cherif, Anderson Loundou, Pascal Auquier, Thierry Billette de Villemeur, French Polyhandicap Group

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02400528 (Prospective Cohort Follow-up of French Patients With Profound and Multiple Disabilities), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT02400528 naunknown statusnot on this map

Prospective Cohort Follow-up of French Patients With Profound and Multiple Disabilities: Healthcare Pathways and Quality of Life Among Patients and Their Families

TypeinterventionalSponsorAssistance Publique Hopitaux De MarseilleRan2015 to 2019Enrolled1,200ConditionsParaparesis, Tetraparesis, Hemiparesis, AtaxiaArmsquality of life questionnaires
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

10 authors.

Marie-Christine RousseauHôpital San Salvadour, Assistance Publique - Hôpitaux de Paris, Paris, Île-de-France, France marie-christine.rousseau@aphp.fr.ORCID 0000-0002-8065-8667
Karine BaumstarckEA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France.
Maria ValkovHôpital San Salvadour, Assistance Publique - Hôpitaux de Paris, Paris, Île-de-France, France.
Agnés FelceHôpital Marin d'Hendaye, Assistance Publique Hopitaux de Paris, Paris, Île-de-France, France.
Catherine BrisseComité d'Études, d'Éducation et de Soins Auprès des Personnes Polyhandicapées, Paris, France.
Sherezad Khaldi-CherifUGECAM Ile de France, Paris, Île-de-France, France.
Anderson LoundouEA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France.
Pascal AuquierEA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France.
Thierry Billette de VillemeurHôpital de La Roche Guyon, Assistance Publique - Hopitaux de Paris, Paris, Île-de-France, France.
French Polyhandicap Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPolyhandicap (PLH), defined by a combination of profound intellectual impairment and serious motor deficits, is a severe condition with complex disabilities. In France, care of the large majority of PLH individuals is managed in specialised rehabilitation centres or residential facilities, but some of PLH individuals are cared for at home. The aims of this study were to assess the self-perceived burden among informal caregivers of PLH individuals and to identify potential determinants of this burden.

designCross-sectional study (Neuropaediatric Department, Trousseau Hospital, Paris, France). SETTINGS: PLH children were recruited from a specialised paediatric/neurological department.

participantsThe selection criteria of caregivers were age above 18 years and being the PLH individual's next of kin. OUTCOMES MEASURES: From March 2015 to December 2016, data were collected from the caregivers, including sociodemographical data, health status, psycho-behavioural data (quality of life, mood disorders and coping) and self-perceived burden. In addition, the health status of the PLH individual was collected. Relationships between the burden scores and potential determinants were tested (correlations coefficients, Mann-Whitney tests, generalised estimating equations models).

resultsEighty-four children were eligible; 77 families returned their questionnaire. The informal caregivers of PLH children experienced a high level of perceived burden (scores ranged from 55±20 to 81±12). Eighty per cent of them had more than 5 hours of daily caregiving and 51% of them had to get up more than twice during the night. The main factors associated with caregiver burden were age, financial issues, health status, daily care and coping strategies. The patients' health status was not associated with caregiver burden.

conclusionsSome of the caregiver burden determinants might be modifiable. These findings should help healthcare workers and health-decision makers implement specific and appropriate interventions. TRIAL REGISTRATION NUMBER: NCT02400528.

Indexed as

Adaptation, PsychologicalCost of IllnessHealth StatusSelf ConceptAdolescentAdultCaregiversChildChild, PreschoolCross-Sectional StudiesFemaleFranceHealth PersonnelHumansMalePersons with Disabilitiesburdenhealth statusinformal caregiverspolyhandicappsychobehavioural

Identifiers

PMID32014871
PMCPMC7045096

What OpenQuestion holds

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Registered trials

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.