Evidence map›Paper›PMID 35831052›Full record

SynthesisBMJ open2022

A systematic review of impact of person-centred interventions for serious physical illness in terms of outcomes and costs.

Kennedy Bashan Nkhoma, Amelia Cook, Alessandra Giusti, Lindsay Farrant, Ruwayda Petrus, I Petersen, Liz Gwyther, Sridhar Venkatapuram, Richard Harding

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
8.1field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  2. A systematic review of interventions for persons living with dementia: The Geriatric ED Guidelines 2.0.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 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

9 authors at 3 institutions in 2 countries.

Kennedy Bashan NkhomaFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, King's College London, London, UK kennedy.nkhoma@kcl.ac.uk.ORCID 0000-0002-2991-8160
Amelia CookCicely Saunders Institute for Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Alessandra GiustiCicely Saunders Institute for Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0003-2667-1665
Lindsay FarrantSchool of Public Health and Family Medicine, University of Cape Town Faculty of Health Sciences, Cape Town, South Africa.
Ruwayda PetrusSchool of Applied Human Sciences, University of KwaZulu-Natal College of Humanities, Durban, South Africa.
I PetersenCentre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
Liz GwytherSchool of Public Health and Family Medicine, University of Cape Town Faculty of Health Sciences, Cape Town, South Africa.
Sridhar VenkatapuramGlobal Health Institute, King's College London, London, UK.ORCID 0000-0003-3076-0783
Richard HardingDepartment of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0001-9653-8689
King's College London · GBUniversity of Cape Town · ZAUniversity of KwaZulu-Natal · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerson-centred care (PCC) is being internationally recognised as a critical attribute of high-quality healthcare. The International Alliance of Patients Organisations defines PCC as care that is focused and organised around people, rather than disease. Focusing on delivery, we aimed to review and evaluate the evidence from interventions that aimed to deliver PCC for people with serious physical illness and identify models of PCC interventions.

methodsSystematic review of literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched AMED, CINAHL, Cochrane Library, Embase, Medline, PsycINFO, using the following key concepts: patient/person-centred care, family centred care, family based care, individualised care, holistic care, serious illness, chronic illness, long-term conditions from inception to April 2022. Due to heterogeneity of interventions and populations studied, narrative synthesis was conducted. Study quality was appraised using the Joanna Briggs checklist.

resultsWe screened n=6156 papers. Seventy-two papers (reporting n=55 different studies) were retained in the review. Most of these studies (n=47) were randomised controlled trials. Our search yielded two main types of interventions: (1) studies with self-management components and (2) technology-based interventions. We synthesised findings across these two models: DISCUSSION: PCC interventions using self-management have some effects in reducing costs of care and improving quality of life. Technology-based interventions improves self-efficacy but has no effect on quality of life. However, very few studies used self-management and technology approaches. Further work is needed to identify how self-management and technology approaches can be used to manage serious illness. PROSPERO REGISTRATION NUMBER: CRD42018108302.

Indexed as

Cell PhoneMobile ApplicationsHospitalizationHumansQuality of LifeSelf Careclinical trialshealth economicshealth policyquality in health care

Identifiers

PMID35831052
PMCPMC9280891
OpenAlexW4285097090

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.