Evidence map›Paper›PMID 35470742›Full record

ArticlePalliative medicine2022

A qualitative study with people with young-onset dementia and their family caregivers on advance care planning: A holistic, flexible, and relational approach is recommended.

Romy Van Rickstal, Aline De Vleminck, Sebastiaan Engelborghs, Jan Versijpt, Lieve Van den Block

Registry-linked trialAbstract 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. It is linked to trial NCT06264362 (Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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.

NCT06264362 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia

TypeinterventionalSponsorDrexel UniversityRan2025 to 2027Enrolled40ConditionsPain, Chronic, Dementia, Mild, Mobility Limitation, Physical DisabilityArmsTailored Physical Activity Program
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The Experience of Stigma Within the Young Onset Dementia (YOD) Population: A Systematic Review of Qualitative Research.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

5 authors.

Romy Van RickstalVrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.ORCID 0000-0003-1999-1767
Aline De VleminckVrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.ORCID 0000-0002-3321-9311
Sebastiaan EngelborghsDepartment of Neurology, Universitair Ziekenhuis Brussel, Brussels, Belgium.
Jan VersijptVrije Universiteit Brussel (VUB), Brussels, Belgium.
Lieve Van den BlockVrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBroad consensus exists on the relevance of advance care planning in dementia. Although people with young-onset dementia and their family are hypothesized to have distinct needs and preferences in this area, they are hardly ever included in studies.

aimWe aim to explore the experiences with and views on advance care planning of people with young-onset dementia and their family caregivers.

designA qualitative study was conducted, analyzing semi-structured interviews through the method of constant comparative analysis. SETTING/

participantsWe included 10 people with young-onset dementia and 10 of their family caregivers in Flanders.

resultsParticipants lacked awareness about the concept of advance care planning, especially as a communication process. They had not or barely engaged in planning future care yet pointed out possible benefits of doing so. Initially, people with young-onset dementia and their caregivers directly associated advance care planning with planning for the actual end of life. When discussing advance care planning as a communication process, they paid ample attention to non-medical aspects and did not distinguish between medical, mental, and social health. Rather, respondents thought in the overarching framework of what is important to them now and in the future.

conclusionsEngagement in advance care planning might be hindered if it is too medicalized and exclusively patient-centered. To accommodate advance care planning to people with young-onset dementia's and their caregivers' needs, it should be presented and implemented as a holistic, flexible, and relational communication process. Policy and practice recommendations are provided on how to do so.

Indexed as

Advance Care PlanningDementiaTerminal CareCaregiversDeathHumansQualitative ResearchAdvance care planningend-of-life careinterview studyqualitative studyyoung-onset dementia

Identifiers

PMID35470742
PMCPMC9174579

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Registered trials

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.