Evidence map›Paper›PMID 33853798›Full record

ArticleBMJ open2021

Towards a middle-range theory of 'Stability of home-based care arrangements for people living with dementia' (SoCA-Dem): findings from a meta-study on mixed research.

Kerstin Köhler, Jan Dreyer, Iris Hochgraeber, Milena von Kutzleben, Christiane Pinkert, Martina Roes, Bernhard Holle

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Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

12 citing papers in PubMed.

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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.

Kerstin KöhlerGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany kerstin.koehler@dzne.de.ORCID 0000-0002-8681-566X
Jan DreyerGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany.ORCID 0000-0002-9400-4787
Iris HochgraeberGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany.ORCID 0000-0003-1425-5955
Milena von KutzlebenDepartment of Health Services Research, School of Medicine and Health Sciences, University of Oldenburg, Oldenburg, Germany.ORCID 0000-0002-8443-2593
Christiane PinkertGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany.ORCID 0000-0002-2692-1671
Martina RoesGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany.ORCID 0000-0003-4531-8584
Bernhard HolleGerman Centre for Neurodegenerative Diseases (DZNE), Witten, Germany.ORCID 0000-0003-2549-7765

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost people with dementia and their informal carers live at home and strive to create a stable care situation for as long as possible. This preference of dyads is consistent with the global policy of ageing in place. Therefore, we aimed to develop a middle-range theory of stability guided by two research questions: How is stability of home-based care arrangements for people living with dementia constituted? What are the essential factors influencing stability?

methodsWithin the 'Stability of home-based care arrangements for people living with dementia' project (SoCA project) at the German Center for Neurodegenerative Diseases (DZNE), we conducted a meta-study on mixed research. The analytical steps of meta-data analysis, meta-method and meta-theory are merged in an integrative synthesis. Eligible publications were identified through systematic database searches (MEDLINE, CINAHL and PsycINFO; last searched on 3 January 2017), backward/forward citation tracking and snowballing. All publications were screened against predefined inclusion criteria and evaluated through a quality appraisal. The analytical approach was thematic synthesis.

results99 publications were included. The middle-range theory conceptualises stability as a complex phenomenon comprising three components including eight concepts that are dynamically inter-related. The conceptual model visualises: (1) the trajectory of the dementia care arrangement, which involves a cyclic process of DISCUSSION: This middle-range theory provides a thorough understanding of the stability of home-based care arrangements for people living with dementia and can be used to guide future research and practice. OTHER: This meta-study was funded by the DZNE and registered in PROSPERO (registration number CRD42016041727).

Indexed as

DementiaHome Care ServicesAgedCaregiversDelivery of Health CareHumansIndependent Livingdementiamental healthpublic healthqualitative research

Identifiers

PMID33853798
PMCPMC8054086

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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.