Evidence map›Paper›PMID 36376806›Full record

ArticleBMC geriatrics2022

Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study.

Olivia Yip, Suzanne Dhaini, Jan Esser, Flaka Siqeca, Maria Jose Mendieta, Evelyn Huber, Andreas Zeller, Sabina De Geest, Mieke Deschodt, Franziska Zúñiga and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

13 authors at 6 institutions in 4 countries.

Olivia YipInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Suzanne DhainiInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Jan EsserInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Flaka SiqecaInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Maria Jose MendietaInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Evelyn HuberInstitute of Nursing, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
Andreas ZellerCentre for Primary Health Care, University of Basel, Basel, Switzerland.
Sabina De GeestInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland. sabina.degeest@unibas.ch.
Mieke DeschodtGerontology and Geriatrics, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Franziska ZúñigaInstitute of Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Leah L Zullig *Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Heather A King *Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
INSPIRE consortium
University of Basel · CHKU Leuven · BEDuke University · USDurham VA Health Care System · USUniversity Medical Center Freiburg · DEZHAW Zurich University of Applied Sciences · CH

Funding

HSRD VA CIN 13-410
6 · The paper itself

Abstract

backgroundHome-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as informal care and social support used by home-dwelling frail older adults; whether they perceive their support as sufficient; and their experience with and preferences for care and support.

methodsUsing an explanatory sequential mixed methods design, we first conducted a secondary analysis of a subset of cross-sectional data from the ImplemeNtation of a community-baSed care Program for home dwelling senIoR citizEns (INSPIRE) population survey using descriptive analysis. Subsequently, we analyzed existing data from interviews in the parent study to help explain the survey results using applied thematic analysis. Results were organized according to adapted domains and concepts of the SELFIE framework and integrated via a joint display table.

resultsOf the parent population survey respondents, 2314 older adults indicating frailty were included in the quantitative arm of this study. Interview data was included from 7 older adults who indicated frailty. Support from health and social, formal and informal caregivers is diverse and anticipated to increase (e.g., for 'care and assistance at home' and 'meal services'). Informal caregivers fulfilled various roles and while some older adults strongly relied on them for support, others feared burdening them. Most participants (93.5%) perceived their overall support to meet their needs; however, findings suggest areas (e.g., assessment of overall needs) which merit attention to optimize future care.

conclusionsGiven the anticipated demand for future care and support, we recommend efforts to prevent fragmentation between health and social as well as formal and informal care.

Indexed as

Frail ElderlyFrailtyAgedCaregiversCross-Sectional StudiesHumansSocial SupportSwitzerlandCommunity-careDelivery of healthcare, integratedFormal and informal careFrail elderlySocial support

Identifiers

PMID36376806
PMCPMC9663289
OpenAlexW4308985915

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.