Evidence map›Paper›PMID 34243713›Full record

ArticleBMC geriatrics2021

Perspectives of older adults with a chronic condition on functioning, social participation and health: a qualitative study.

Leen De Coninck, Anja Declercq, Leen Bouckaert, Mieke Vermandere, Maud J L Graff, Bert Aertgeert

Abstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

6 authors.

Leen De ConinckDepartment of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 33, blok J, PB 7001, 3000, Leuven, Belgium. leen.deconinck@kuleuven.be.ORCID 0000-0002-1060-2422
Anja DeclercqLUCAS Centre for Care Research and Consultancy & CESO Centre for Sociological Research, KU Leuven, Minderbroedersstraat 8, PB 5310, Leuven, Belgium.
Leen BouckaertDepartment of Occupational Therapy, Artevelde University of Applied Sciences, Voetweg 66, 9000, Ghent, Belgium.
Mieke VermandereDepartment of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 33, blok J, PB 7001, 3000, Leuven, Belgium.
Maud J L GraffScientific Institute for Quality of Health Care and Department of Rehabilitation, Donders Center for Cognition, Brain and Behavior, Radboud University Medical Centre, Houtlaan 4, 6525 XZ, Nijmegen, the Netherlands.
Bert AertgeertDepartment of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 33, blok J, PB 7001, 3000, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProblems with mobility, functioning and social participation make living independently difficult for frail older adults. To continue living independently, therapy adherence is a prerequisite. The causes for non-adherence among older adults are multiple and complex, which is why insight into older adults' perspectives regarding their functioning is an essential factor to increase therapy adherence. This study investigates the perspectives of older adults on their functioning, social participation and health, and the factors influencing these elements.

methodsWe conducted a qualitative study on the older adult's perceived functioning, social participation and health. Fourteen home-dwelling older adults suffering from chronic health issues were purposively selected. Semi-structured interviews were conducted with open-ended questions. Data were analysed following the Basic Logical Model of Abduction and Creswell's coding method.

resultsAssistive devices, the older adult's dwelling and living environment, professional and informal support, and medication are perceived as important determinants for retaining functioning and social participation. Attitude, social influence and personal effectiveness were found to influence whether a person performs or participates in an activity. A person's attitude is related to the significance the activity has to that person, the activity's importance, personal wellbeing, the person's values, and their desire for autonomy. Peers and children have a social influence on the level of activity of the older person. Traditions, in particular religious activities, along with personal effectiveness are motivating factors determining whether a person performs or participates in an activity. Personal effectiveness is linked to the person's belief in their personal competencies and to the relationship between effort and result. Finally, it appears that the type of coping strategy the older adult adopts, has an influence on their behavior. The participating older adults often used remarkable problem-focused strategies, which had a positive effect on their level of autonomy.

conclusionsOlder adults have identified barriers and facilitators that influence their level of functioning and social participation. These findings help to create a framework for maintaining and increasing therapy adherence, which may be helpful in facilitating occupational therapists and other healthcare professionals to detect determinants of therapy adherence.

Indexed as

Social InteractionSocial ParticipationAdaptation, PsychologicalAgedFrail ElderlyHumansQualitative ResearchAdherenceFunctioningOccupational therapyOlder adultsPerson-centered careSocial participation

Identifiers

PMID34243713
PMCPMC8268461

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.