Evidence map›Paper›PMID 35466787›Full record

ArticlePalliative medicine2022

Health and social care services for people with dementia at home at the end of life: A qualitative study of bereaved informal caregivers' experiences.

Caroline Mogan, Karen Harrison Dening, Christopher Dowrick, Mari Lloyd-Williams

Abstract read
In one paragraph

Article in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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  8. Article
  9. Lived experiences of end-of-life care at home in the UK: a scoping review of qualitative research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
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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

4 authors.

Caroline MoganAcademic Palliative and Supportive Care Studies Group (APSCSG), Primary Care and Mental Health, University of Liverpool, Liverpool, UK.ORCID 0000-0002-4485-3633
Karen Harrison DeningDementia UK, Research and Evaluation, London, UK.
Christopher DowrickAcademic Palliative and Supportive Care Studies Group (APSCSG), Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Mari Lloyd-WilliamsAcademic Palliative and Supportive Care Studies Group (APSCSG), Primary Care and Mental Health, University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore people are dying at home with dementia and Alzheimer's disease. While informal caregivers are the main providers of care for people with dementia dying at home, they require support from health and social care services. However, little is known about how they experience these services.

aimTo explore informal caregivers' views and experiences of health and social care services when looking after a person with dementia at home at the end-of-life.

designA qualitative interview study. Data were analysed using thematic analysis. SETTING/

participantsTwenty-nine bereaved informal caregivers who had looked after a person with dementia at home during the last 6 months of life.

resultsSpecialist palliative care for people with dementia dying at home is rare and care is mostly managed by General Practitioners and domiciliary care workers. Four overarching themes were identified: Poor continuity of care; Lack of expertise; Limited advance care planning; and Loss of autonomy.

conclusionsEnd-of-life care at home for people with dementia must be proactively planned with an emphasis on advance care planning. Policy makers should recognise the critical role of domiciliary care services in end-of-life care and ensure that they are adequately qualified and trained.

Indexed as

DementiaHome Care ServicesCaregiversDeathHumansQualitative ResearchSocial SupportDementiaend of lifeinformal carepalliative carequalitative studyrelatives

Identifiers

PMID35466787
PMCPMC9174574

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Registered trials

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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.