Evidence map›Paper›PMID 35982424›Full record

ArticleBMC geriatrics2022

Perception of dignity in older men and women in the early stages of dementia: a cross-sectional study.

Lucie Klůzová Kráčmarová, Jitka Tomanová, Kristýna A Černíková, Peter Tavel, Kateřina Langová, Peta Jane Greaves, Helena Kisvetrová

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04443621 (Changes in the Perception of Personal Dignity Over the Course of Dementia), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

NCT04443621 unknown statusnot on this map

Changes in the Perception of Personal Dignity Over the Course of Dementia

TypeobservationalSponsorPalacky UniversityRan2020 to 2024Enrolled500ConditionsDementia, DignityArmsquestionnaire, in-depth interview
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Lucie Klůzová KráčmarováOlomouc University Social Health Institute, Sts. Cyril and Methodius Faculty of Theology, Palacky University Olomouc, Olomouc, Czech Republic. lucie.kluzova@oushi.upol.cz.ORCID 0000-0003-3406-3176
Jitka TomanováThe Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic.ORCID 0000-0002-2534-3742
Kristýna A ČerníkováOlomouc University Social Health Institute, Sts. Cyril and Methodius Faculty of Theology, Palacky University Olomouc, Olomouc, Czech Republic.ORCID 0000-0003-3363-0431
Peter TavelOlomouc University Social Health Institute, Sts. Cyril and Methodius Faculty of Theology, Palacky University Olomouc, Olomouc, Czech Republic.ORCID 0000-0001-7072-001X
Kateřina LangováThe Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic.ORCID 0000-0003-2387-0183
Peta Jane GreavesDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-3209-9960
Helena KisvetrováThe Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic.ORCID 0000-0003-0174-5779
Palacký University Olomouc · CZNorthumbria University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia is a serious problem in old age, that impacts an individual's ability to function and may threaten personal dignity. Given the variable features of the illness and the diversity of life experiences, many factors may contribute to the perception of dignity by men and women with dementia. The purpose of the study was to explore the factors that contribute to dignity and its domains in men and women with dementia.

methodsThis cross-sectional study involved 316 community-dwelling patients with early-stage dementia (aged ≥ 60) (PwD). We assessed the participants' sociodemographic and social involvement characteristics, health-related variables (pain, depression, physical performance, visual and hearing impairments), attitude to aging, and self-sufficiency in the activities of daily living (ADL). These factors were investigated as independent variables for the perception of dignity and of its domains in men and women.

resultsMultivariate regression analysis showed that PwD experienced minor dignity problems in the early stages of dementia. In both men and women higher rates of depression, negative attitudes to aging, and pain were associated with reductions in the perception of dignity. In men, but not in women visual impairment had a negative effect on overall dignity, and on the associated domains of 'Loss of Autonomy' and 'Loss of Confidence'. In women, lowered self-sufficiency in ADL contributed to reduced self-perception of dignity and in the associated domains of 'Loss of Purpose of Life', 'Loss of Autonomy', and 'Loss of Confidence'. Sociodemographic and social involvement characteristics, hearing impairment, and physical performance did not influence the participants' self-perception of dignity.

conclusionThe results suggested that several common factors (depression, attitudes to aging, and pain) contribute to the perception of dignity in both men and women. Other factors, visual impairments in men, and self-sufficiency in ADL in women, appear to be more gender specific. These differences might relate to their specific gender roles and experiences. The self-perception of dignity in PwD can be helped by supporting the individual, to the extent that their illness allows, in maintaining activities that are important to their gender roles, and that preserve their gender identity.

trial registrationNCT04443621.

Indexed as

DementiaRespectActivities of Daily LivingAgedCross-Sectional StudiesFemaleGender IdentityHumansMalePainPerceptionActivities of daily livingAttitude to agingDementiaDepressionDignityGenderOlder adultsPainVisual impairment

Identifiers

PMID35982424
PMCPMC9386964
OpenAlexW4292681747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.