Evidence map›Paper›PMID 36400725›Full record

ArticleBMJ open2022

Understanding primary care diagnosis and management of sleep disturbance for people with dementia or mild cognitive impairment: a realist review protocol.

Leanne Greene, Aidin Aryankhesal, Molly Megson, Jessica Blake, Geoff Wong, Simon Briscoe, Andrea Hilton, Anne Killett, Joanne Reeve, Louise Allan and 13 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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

23 authors at 8 institutions in 5 countries.

Leanne GreeneClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK l.m.g.greene@exeter.ac.uk.ORCID 0000-0002-5383-4362
Aidin AryankhesalFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, UK.
Molly MegsonAcademy of Primary Care, Hull York Medical School, University of Hull, Hull, UK.
Jessica BlakeFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, UK.
Geoff WongNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
Simon BriscoeClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
Andrea HiltonFaculty of Health Sciences, School of Paramedical PeriOperative and Advanced Practice, University of Hull, Hull, UK.
Anne KillettFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0003-4080-8365
Joanne ReeveAcademy of Primary Care, Hull York Medical School, University of Hull, Hull, UK.
Louise AllanClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
Clive BallardClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
Niall BroomfieldFaculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK.
Jayden van HorikClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
Mizanur KhondokerFaculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK.
Alpar LazarFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, UK.
Rachael LitherlandInnovations in Dementia, Exeter, UK.
Gill LivingstonFaculty of Brain Sciences, Division of Psychiatry, University College London, London, UK.
Ian MaidmentCollege of Health and Life Sciences, Aston Pharmacy School, Aston University, Birmingham, UK.ORCID 0000-0003-4152-9704
Antonieta Medina-LaraClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
George RookLiving with Dementia, N/A, UK.
Sion ScottCollege of Life Sciences, School of Allied Health Professions, University of Leicester, Leicester, UK.
Lee ShepstoneFaculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK.
Chris FoxClinical Trails Unit, University of Exeter Medical School, University of Exeter, Exeter, UK.
University of East Anglia · GBUniversity of Exeter · GBUniversity of Hull · GBDementia UK · GBAston University · GBFaculty (United Kingdom) · GBUniversity of Leicester · GBUniversity of Oxford · GB

Funding

Department of Health
6 · The paper itself

Abstract

introductionThe increasingly ageing population is associated with greater numbers of people living with dementia (PLwD) and mild cognitive impairment (MCI). There are an estimated 55 million PLwD and approximately 6% of people over 60 years of age are living with MCI, with the figure rising to 25% for those aged between 80 and 84 years. Sleep disturbances are common for this population, but there is currently no standardised approach within UK primary care to manage this. Coined as a 'wicked design problem', sleep disturbances in this population are complex, with interventions supporting best management in context. METHODS AND ANALYSIS: The aim of this realist review is to deepen our understanding of what is considered 'sleep disturbance' in PLwD or MCI within primary care. Specifically, we endeavour to better understand how sleep disturbance is assessed, diagnosed and managed. To co-produce this protocol and review, we have recruited a stakeholder group comprising individuals with lived experience of dementia or MCI, primary healthcare staff and sleep experts. This review will be conducted in line with Pawson's five stages including the development of our initial programme theory, literature searches and the refinement of theory. The Realist and Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) quality and reporting standards will also be followed. The realist review will be an iterative process and our initial realist programme theory will be tested and refined in response to our data searches and stakeholder discussions. ETHICS AND DISSEMINATION: Ethical approval is not required for this review. We will follow the RAMESES standards to ensure we produce a complete and transparent report. Our final programme theory will help us to devise a tailored sleep management tool for primary healthcare professionals, PLwD and their carers. Our dissemination strategy will include lay summaries via email and our research website, peer-reviewed publications and social media posts. PROSPERO REGISTRATION NUMBER: CRD42022304679.

Indexed as

Cognitive DysfunctionDementiaAgedAged, 80 and overAgingHumansMiddle AgedPrimary Health CareReview Literature as TopicSleepdementiageriatric medicineprimary caresleep medicine

Identifiers

PMID36400725
PMCPMC9676996
OpenAlexW4309561801

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.