Evidence map›Paper›PMID 36289458›Full record

ArticleBMC geriatrics2022

A family carer decision support intervention for people with advanced dementia residing in a nursing home: a study protocol for an international advance care planning intervention (mySupport study).

Andrew J E Harding, Julie Doherty, Laura Bavelaar, Catherine Walshe, Nancy Preston, Sharon Kaasalainen, Tamara Sussman, Jenny T van der Steen, Nicola Cornally, Irene Hartigan and 6 more

Open 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. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Namaste Care Family for people with dementia and family-A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. A Situation-Specific Theory of End-of-Life Communication in Nursing Homes.International journal of environmental research and public health · 2023
    Article
  12. Article
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

16 authors at 9 institutions in 6 countries.

Andrew J E HardingDivision of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Julie DohertySchool of Nursing and Midwifery, Queens University Belfast, Belfast, UK.
Laura BavelaarLeiden University Medical Centre, Leiden University, Leiden, The Netherlands.
Catherine WalsheDivision of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Nancy PrestonDivision of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Sharon KaasalainenSchool of Nursing, McMaster University, Hamilton, Canada.
Tamara SussmanSchool of Social Work, McGill University, Hamilton, Canada.
Jenny T van der SteenLeiden University Medical Centre, Leiden University, Leiden, The Netherlands.
Nicola CornallySchool of Nursing and Midwifery, University College Cork, Cork, Republic of Ireland.
Irene HartiganSchool of Nursing and Midwifery, University College Cork, Cork, Republic of Ireland.
Martin LouckaCentre for Palliative Care, Prague, Czech Republic.
Karolina VlckovaCentre for Palliative Care, Prague, Czech Republic.
Paola Di GiulioDepartment of Clinical and Biological Sciences, University of Torino, Turin, Italy.
Silvia GonellaDepartment of Clinical and Biological Sciences, University of Torino, Turin, Italy.
Kevin BrazilSchool of Nursing and Midwifery, Queens University Belfast, Belfast, UK. k.brazil@qub.ac.uk.ORCID 0000-0001-7669-4991
mySupport Study Group
Queen's University Belfast · GBLancaster University · GBUniversity College Cork · IEDementia UK · GBDe Montfort University · GBLeiden University · NLUniversity of Turin · ITMcGill University · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhere it has been determined that a resident in a nursing home living with dementia loses decisional capacity, nursing home staff must deliver care that is in the person's best interests. Ideally, decisions should be made involving those close to the person, typically a family carer and health and social care providers. The aim of the Family Carer Decisional Support intervention is to inform family carers on end-of-life care options for a person living with advanced dementia and enable them to contribute to advance care planning. This implementation study proposes to; 1) adopt and apply the intervention internationally; and, 2) train nursing home staff to deliver the family carer decision support intervention.

methodsThis study will employ a multiple case study design to allow an understanding of the implementation process and to identify the factors which determine how well the intervention will work as intended. We will enrol nursing homes from each country (Canada n = 2 Republic of Ireland = 2, three regions in the UK n = 2 each, The Netherlands n = 2, Italy n = 2 and the Czech Republic n = 2) to reflect the range of characteristics in each national and local context. The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework will guide the evaluation of implementation of the training and information resources. Our mixed methods study design has three phases to (1) establish knowledge about the context of implementation, (2) participant baseline information and measures and (3) follow up evaluation. DISCUSSION: The use of a multiple case study design will enable evaluation of the intervention in different national, regional, cultural, clinical, social and organisational contexts, and we anticipate collecting rich and in-depth data. While it is hoped that the intervention resources will impact on policy and practice in the nursing homes that are recruited to the study, the development of implementation guidelines will ensure impact on wider national policy and practice. It is our aim that the resources will be sustainable beyond the duration of the study and this will enable the resources to have a longstanding relevance for future advance care planning practice for staff, family carers and residents with advanced dementia.

Indexed as

Advance Care PlanningDementiaTerminal CareCaregiversHumansNursing HomesAdvance care planningDementiaImplementationNursing homesPalliative careTraining

Identifiers

PMID36289458
PMCPMC9607827
OpenAlexW4307348177

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.