Evidence map›Paper›PMID 33706774›Full record

ArticleInternational journal for equity in health2021

"A piece of paper is not the same as having someone to talk to": accessing post-diagnostic dementia care before and since COVID-19 and associated inequalities.

Clarissa Giebel, Kerry Hanna, Hilary Tetlow, Kym Ward, Justine Shenton, Jacqueline Cannon, Sarah Butchard, Aravind Komuravelli, Anna Gaughan, Ruth Eley and 7 more

Abstract read
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Co-producing a board game to learn and engage about dementia inequalities: First impacts on knowledge in the general population.Health expectations : an international journal of public participation in health care and health policy · 2024
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  12. A Community of Practice to increase education and collaboration in dementia and ageing research and care: The Liverpool Dementia & Ageing Research Forum.Health expectations : an international journal of public participation in health care and health policy · 2023
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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.

Clarissa GiebelDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK. clarissa.giebel@liverpool.ac.uk.ORCID 0000-0002-0746-0566
Kerry HannaDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
Hilary TetlowSURF Liverpool, Liverpool, UK.
Kym WardThe Brain Charity, Liverpool, UK.
Justine ShentonSefton Older People's Forum, Liverpool, UK.
Jacqueline CannonWigan Dementia Action Alliance, Wigan, UK.
Sarah ButchardMersey Care NHS Trust, Liverpool, UK.
Aravind KomuravelliNorth West Boroughs NHS Trust, Liverpool, UK.
Anna GaughanTogether in Dementia Everyday (TIDE), Liverpool, UK.
Ruth EleyLiverpool Dementia Action Alliance, Liverpool, UK.
Carol RogersHouse of Memories, Liverpool, UK.
Manoj RajagopalLancashire & South Cumbria NHS Trust, Lancaster, UK.
Stan LimbertNIHR ARC NWC, Liverpool, UK.
Steve CallaghanEQE Health, Liverpool, UK.
Rosie WhittingtonMe2U Daycare, Liverpool, UK.
Lisa ShawDepartment of Modern Languages and Cultures, University of Liverpool, Liverpool, UK.
Mark GabbayDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial support services such as day care centres are important in post-diagnostic dementia care to enable people living with dementia stay at home for longer. Little research has addressed potential inequalities in access, with no research on variations before and since COVID-19. The aim of this study was to explore inequalities in social support service usage before and since the pandemic.

methodsUnpaid carers and people living with dementia were interviewed over the phone about their experiences of accessing social support services before and since the COVID-19 pandemic. Transcripts were analysed for key themes using inductive and deductive thematic analysis.

resultsFifty participants (42 unpaid carers; eight people living with dementia) were interviewed, and five themes identified: (1) Service issues; (2) Access issues; (3) Relying on own initiative; (4) New inequalities due to COVID-19; and (5) Missing out on the benefits of support services. Participants reported transport, finances, and location as factors reducing their ability to access support service pre-COVID, with inequalities remaining and at times exacerbated since. Carers and people living with dementia also reported struggling with accessing basic necessities during COVID, including food and medicines.

conclusionsConsidering the benefits of accessing support services, resourced procedures and facilities are needed to maintain access to support services with more accessible remote support provision, enabling people from all backgrounds to access the care they need.

Indexed as

Healthcare DisparitiesSocial WorkAdultAgedCaregiversCOVID-19DementiaFemaleHealth Services AccessibilityHumansMaleMiddle AgedSARS-CoV-2

Identifiers

PMID33706774
PMCPMC7948657

What OpenQuestion holds

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LicenceCC BY
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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.