Evidence map›Paper›PMID 32764085›Full record

ArticleBMJ open2020

Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context.

Ulrika Akenine, Mariagnese Barbera, Cathrien Rl Beishuizen, Mandana Fallah Pour, Juliette Guillemont, Anna Rosenberg, Nicola Coley, Francesca Mangialasche, Lotta Salo, Stephanie Savy and 7 more

Open access · goldAbstract 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. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  12. Experiences of Participation in a Multimodal Preventive Trial MIND-ADJournal of multidisciplinary healthcare · 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

17 authors at 8 institutions in 7 countries.

Ulrika Akenine *Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden ulrika.akenine@ki.se.ORCID 0000-0002-7198-9368
Mariagnese Barbera *Institute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, Finland.
Cathrien Rl Beishuizen *Department of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands.
Mandana Fallah PourDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Juliette GuillemontINSERM, University of Toulouse, Toulouse, France.ORCID 0000-0002-8608-6751
Anna RosenbergInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, Finland.
Nicola ColeyINSERM, University of Toulouse, Toulouse, France.
Francesca MangialascheDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Lotta SaloInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, Finland.
Stephanie SavyINSERM, University of Toulouse, Toulouse, France.
A Jeannette PolsSection of Medical Ethics, Department of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands.
Sandrine AndrieuINSERM, University of Toulouse, Toulouse, France.
Edo RichardDepartment of Neurology, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands.
Hilkka SoininenInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, Finland.
Eric Moll van CharanteDepartment of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands.
Miia KivipeltoDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
HATICE study group
Inserm · FRUniversity of Eastern Finland · FIAmsterdam University Medical Centers · NLKarolinska Institutet · SEInstitute of Medical Ethics · GBKarolinska University Hospital · SERadboud University Nijmegen · NLStockholm University · SE

Funding

Medical Research Council G0601022Medical Research Council G9901400
6 · The paper itself

Abstract

objectivesPrevention of cardiovascular disease (CVD) and dementia is a key health priority among older adults. Understanding individuals' attitudes to, the prevention of these conditions, particularly when delivered through novel eHealth tools, could help in designing effective prevention programmes. The aim of the study was to explore the attitudes of older adults at increased risk of CVD and dementia regarding engagement in eHealth self-management prevention programmes, and to describe the facilitators and barriers.

designA qualitative research approach was used. Data were collected through eight focus groups in Finland, France and the Netherlands. Data were analysed following the principles of grounded theory. SETTING AND

participantsForty-four community-dwellers aged 65+ at risk of CVD were recruited from a previous trial cohort in Finland, and through general practices in France and the Netherlands.

resultsThe study identified three categories: access to reliable information, trust in the healthcare providers and burden and stigma of dementia. A core category was also identified: the interactive process of the three categories influencing engagement in self-management prevention programme. The categories were interconnected through an interactive process and influenced by the local healthcare culture and context which shaped them differently, becoming either facilitators or barriers to engage in eHealth self-management prevention programmes.

conclusionsThe study emphasises the importance of considering the interactions between the identified categories in this study, grounded in the local healthcare culture and context in further developments of eHealth self-management interventions that aim to prevent CVD and dementia. TRIAL REGISTRATION NUMBER: ISRCTN48151589.

Indexed as

Cardiovascular DiseasesDementiaTelemedicineAgedAttitudeFinlandFranceHumansNetherlandsQualitative Researchdementiapreventive medicinepublic health

Identifiers

PMID32764085
PMCPMC7412614
OpenAlexW3047427131

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.