Evidence map›Paper›PMID 35754050›Full record

Observational studyBMC palliative care2022

Family caregivers' concerns about advance care planning for home-dwelling people with dementia: a cross-sectional observational study in Japan.

Miharu Nakanishi, Taeko Nakashima, Yuki Miyamoto, Syudo Yamasaki, Atsushi Nishida

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Review
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 at 4 institutions in 1 country.

Miharu NakanishiDepartment of Psychiatric Nursing, Tohoku University Graduate School of Medicine, Miyagi, Japan. mnakanishi-tky@umin.ac.jp.
Taeko NakashimaDepartment of Social Healthcare and Business, Nihon Fukushi University, Aichi, Japan.
Yuki MiyamotoDepartment of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Syudo YamasakiResearch Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Atsushi NishidaResearch Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Tokyo Metropolitan Institute of Medical Science · JPNihon Fukushi University · JPThe University of Tokyo · JPTohoku University · JP

Funding

Japan Agency for Medical Research and Development 22579506Japan Society for the Promotion of Science JSPS KAKENHI JP21H03281Ministry of Health, Labour and Welfare Ministry of Health, Labour Sciences research grant 19189500Pfizer Health Research Foundation in Japan 2020-11
6 · The paper itself

Abstract

backgroundThe importance of advance care planning for people with dementia has increased during the Coronavirus Disease 2019 Pandemic. However, family caregivers may have concerns about having conversations regarding advance care planning with their loved ones, which may hinder the initiation of such planning. This study investigated family caregivers' concerns regarding conducting advance care planning for home-dwelling individuals with dementia.

methodsA prospective cross-sectional study compared the level of family-caregiver concern between those who had initiated advance care planning and those who did not. In June 2021, an internet-based questionnaire survey was administered to Japan-based family caregivers of persons with dementia. Registered members of a Japan-based survey company were recruited; inclusion criteria were being aged 40 years or older and having been a primary, non-professional caregiver of a family member with dementia. Respondents rated their level of agreement with six statements regarding advance-care-planning-related concerns. Respondents also reported their psychological well-being using the WHO-5 Well-Being Index.

resultsOverall, 379 family caregivers participated in this survey. Of these, 155 (40.9%) reported that their loved ones had initiated advance care planning, of whom 88 (56.8%) stated that care professionals were involved in the advance-care-planning conversations. The level of family-caregiver concern was significantly lower when the loved one initiated the conversation concerning advance care planning. After adjusting for the characteristics of persons with dementia and their caregivers, family caregivers with lower psychological well-being showed significantly higher levels of concern.

conclusionsFamily caregivers reported concerns regarding conducting advance care planning. There is a need for educational and clinical strategies that encourage professionals to address the psychological needs of family caregivers.

Indexed as

Advance Care PlanningCOVID-19DementiaCaregiversCross-Sectional StudiesFamilyHumansJapanProspective StudiesAdvance care planningAttitudesDementiaFamily caregiverPalliative carePsychological well-being

Identifiers

PMID35754050
PMCPMC9235165
OpenAlexW4283589434

What OpenQuestion holds

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LicenceCC BY
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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.