Evidence map›Paper›PMID 35124641›Full record

ArticleJournal of Alzheimer's disease : JAD2022

"Captive by the Uncertainty"-Experiences with Anticipatory Guidance for People Living with Dementia and Their Caregivers at a Specialty Dementia Clinic.

Adi Shafir, Christine S Ritchie, Sarah B Garrett, Alissa Bernstein Sideman, Georges Naasan, Jennifer Merrilees, Eric Widera, Lynn Flint, Krista L Harrison

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. A program of SUPPORT-DPalliative & supportive care · 2026
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  18. Use of the patient portal among older adults with diagnosed dementia and their care partners.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Observational
  19. Article
  20. 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 at 3 institutions in 2 countries.

Adi ShafirDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Christine S RitchieDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Sarah B GarrettDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Alissa Bernstein SidemanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA.
Georges NaasanThe Barbara and Maurice Deane Center for Wellness and Cognitive Health, Department of Neurology, Mount Sinai, Icahn School of Medicine, New York, NY, USA.
Jennifer MerrileesUCSF Memory and Aging Center, University of California, San Francisco, San Francisco, CA, USA.
Eric WideraDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lynn FlintDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Krista L HarrisonDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
University of California System · USMassachusetts General Hospital · USSan Francisco VA Medical Center · US

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
UC Berkeley-UCSF Health Services Research Training ProgramT32HS022241 · AHRQ · UNIVERSITY OF CALIFORNIA BERKELEY · PI RODRIGUEZ, HECTOR P. · 2013 to 2024
$3.2M
Palliative Care for People Living at Home with Advancing Dementia and Their CaregiversK01AG059831 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARRISON, KRISTA LYN · 2019 to 2023
$720k
Mapping the Dynamics of Caregiver Burden in Alzheimer's DiseaseK01AG059840 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIDEMAN, ALISSA BERNSTEIN · 2020 to 2024
$652k
AHRQ HHS T32 HS022241NCATS NIH HHS KL2 TR001870NIA NIH HHS K01 AG059831NIA NIH HHS K01 AG059840NIA NIH HHS L30 AG060590
6 · The paper itself

Abstract

backgroundAfter a diagnosis of Alzheimer's disease and related disorders, people living with dementia (PWD) and caregivers wonder what disease trajectory to expect and how to plan for functional and cognitive decline. This qualitative study aimed to identify patient and caregiver experiences receiving anticipatory guidance about dementia from a specialty dementia clinic.

objectiveTo examine PWD and caregiver perspectives on receiving anticipatory guidance from a specialty dementia clinic.

methodsWe conducted semi-structured interviews with PWD, and active and bereaved family caregivers, recruited from a specialty dementia clinic. Interviews were recorded, transcribed, and systematically summarized. Thematic analysis identified anticipatory guidance received from clinical or non-clinical sources and areas where respondents wanted additional guidance.

resultsOf 40 participants, 9 were PWD, 16 were active caregivers, and 15 were bereaved caregivers. PWD had a mean age of 75 and were primarily male (n = 6/9); caregivers had a mean age of 67 and were primarily female (n = 21/31). Participants felt they received incomplete or "hesitant" guidance on prognosis and expected disease course via their clinicians and filled the gap with information they found via the internet, books, and support groups. They appreciated guidance on behavioral, safety, and communication issues from clinicians, but found more timely and advance guidance from other non-clinical sources. Guidance on legal and financial planning was primarily identified through non-clinical sources.

conclusionPWD and caregivers want more information about expected disease course, prognosis, and help planning after diagnosis. Clinicians have an opportunity to improve anticipatory guidance communication and subsequent care provision.

Indexed as

Alzheimer DiseaseDementiaAgedCaregiversFemaleHumansMaleQualitative ResearchUncertaintyCaregivercommunicationdementiapatientsprognosis

Identifiers

PMID35124641
PMCPMC9717709
OpenAlexW4210832857

What OpenQuestion holds

Textmetadata
LicenceTDM
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.