Evidence map›Paper›PMID 32498684›Full record

ReviewBMC health services research2020

Patient and service-related barriers and facitators to the acceptance and use of interventions to promote communication in health and social care: a realist review.

Gerard Leavey, Emma Curran, Deirdre Fullerton, Steven Todd, Sonja McIlfatrick, Vivien Coates, Max Watson, Aine Abbott, Dagmar Corry

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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.

Gerard LeaveyBamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine Campus, Cromore Road, BT52 1, Coleraine, SA, Northern Ireland. g.leavey@ulster.ac.uk.ORCID http://orcid.org/0000-0001-8411-8919
Emma CurranBamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine Campus, Cromore Road, BT52 1, Coleraine, SA, Northern Ireland.
Deirdre FullertonBamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine Campus, Cromore Road, BT52 1, Coleraine, SA, Northern Ireland.
Steven ToddGeriatrics, Altnagelvin Area Hospital (WHSCT) Glenshane Road, Londonderry, BT47 6SB, Northern Ireland.
Sonja McIlfatrickSchool of Nursing, Ulster University, Jordanstown Campus, Newtownabbey, BT37 0QB, Northern Ireland.
Vivien CoatesSchool of Nursing, Ulster University, Coleraine Campus, Cromore Road, BT52 1SA, Coleraine, Northern Ireland.
Max WatsonAdult Services, Northern Ireland Hospice, Whiteabbey Hospital, Doagh Road, Newtownabbey, BT37 9RH, Northern Ireland.
Aine AbbottGeriatrics, Altnagelvin Area Hospital (WHSCT) Glenshane Road, Londonderry, BT47 6SB, Northern Ireland.
Dagmar CorryBamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine Campus, Cromore Road, BT52 1, Coleraine, SA, Northern Ireland.

Funding

Atlantic Philanthropies COM/5017/14
6 · The paper itself

Abstract

backgroundMore people living into old age with dementia. The complexity of treatment and care, particularly those with multiple health problems, can be experienced as disjointed. As part of an evaluation of a 'healthcare passport' for people living with dementia we undertook a realist review of communication tools within health and social care for people living with dementia.

aimsTo explore how a 'healthcare passport' might work in the 'real world' of people living with dementia through a better understanding of the theoretical issues related to, and the contextual issues that facilitate, successful communication.

methodsA realist review was considered the most appropriate methodology to inform the further development and evaluation of the healthcare passport. We undertook a purposive literature search related to communication tools to identify (a) underlying programme theories; (b) published reports and papers on their use in various healthcare settings; (c) evidence on barriers and facliitators of their use.

resultsCommunication tools were noted as a way of improving communication and outcomes through: (1) improvement of service user autonomy; (2) strengthening the therapeutic alliance; and (3) building integrated care. However, while intuitively perceived to of benefit, evidence on their use is limited and key barriers to their acceptance and use include: (1) difficulties in clearly defining purpose, content, ownership and usage; (2) understanding the role of family caregivers; and (3) preparation among healthcare professionsals.

conclusionPatient-held communication tools may be helpful to some people living with dementia but will require considerable preparation and engagement with key stakeholders.

Indexed as

CommunicationHealth Services AccessibilityProfessional-Patient RelationsDelivery of Health CareDementiaHumansPatient Acceptance of Health CareSocial SupportDementiaDesign and evaluation [4–10]Healthcare passportInterventionRealist review

Identifiers

PMID32498684
PMCPMC7271433

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.