Evidence map›Paper›PMID 37160337›Full record

ArticleBJGP open2023

Longitudinal realist evaluation of the Dementia PersonAlised Care Team (D-PACT) intervention: protocol.

Hannah Wheat, Lauren Weston, Tomasina M Oh, Sarah Morgan-Trimmer, Wendy Ingram, Sarah Griffiths, Rod Sheaff, Paul Clarkson, Antonieta Medina-Lara, Crispin Musicha and 21 more

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

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Engagement With Professional Stakeholders in Healthcare Research-The Case of the Dementia PersonAlised Care Team (D-PACT) Project in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
  6. 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

31 authors at 10 institutions in 6 countries.

Hannah WheatCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK hannah.wheat-1@plymouth.ac.uk.ORCID https://orcid.org/0000-0003-3211-6254
Lauren WestonCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Tomasina M OhCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Sarah Morgan-TrimmerDepartment of Health and Community Sciences, University of Exeter, Exeter, UK.
Wendy IngramPeninsula Clinical Trials Unit, University of Plymouth, Plymouth, UK.
Sarah GriffithsCentre for Ageing Population Studies, University College London, London, UK.
Rod SheaffPeninsula Medical School, Plymouth, UK.
Paul ClarksonSocial Care and Society, University of Manchester, Manchester, UK.
Antonieta Medina-LaraHealth Economics Group, University of Exeter, Exeter, UK.
Crispin MusichaMedical Statistics, University of Plymouth, Plymouth, UK.
Stuart SpicerCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Obioha UkoumunneNIHR ARC South West Peninsula, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0002-0551-9157
Victoria AllgarPeninsula Clinical Trials Unit, University of Plymouth, Plymouth, UK.
Siobhan CreanorExeter Clinical Trials Unit, University of Exeter, Exeter, UK.
Michael ClarkCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Cath QuinnCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Alex GudeCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Rose McCabeSchool of Health and Psychological Sciences, University of London, London, UK.
Saqba BatoolSocial Care and Society, University of Manchester, Manchester, UK.
Lorna SmithCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Debra RichardsCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Hannah ShafiSocial Care and Society, University of Manchester, Manchester, UK.
Bethany WarwickSocial Care and Society, University of Manchester, Manchester, UK.
Reena LasradoSocial Care and Society, University of Manchester, Manchester, UK.
Basharat HussainCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Hannah JonesCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Sonia DalkinFaculty of Health and Life Science, Northumbria University, London, UK.
Angela BateFaculty of Health and Life Science, Northumbria University, London, UK.
Ian SherriffCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Louise RobinsonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Richard ByngCommunity and Primary Care Research Group, University of Plymouth, Plymouth, UK.
Community Care · USUniversity of Manchester · GBUniversity of Exeter · GBUniversity of Plymouth · GBNorthumbria University · GBLondon School of Economics and Political Science · GBPeninsula College of Medicine and Dentistry · GBPopulation Council · INPopulation Health Research Institute · CAUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent dementia support roles exist but evidence is lacking on which aspects are best, for whom, and in what circumstances, and on their associated costs and benefits. Phase 1 of the Dementia PersonAlised Care Team programme (D-PACT) developed a post-diagnostic primary care-based intervention for people with dementia and their carers and assessed the feasibility of a trial.

aimPhase 2 of the programme aims to 1) refine the programme theory on how, when, and for whom the intervention works; and 2) evaluate its value and impact. DESIGN &

settingA realist longitudinal mixed-methods evaluation will be conducted in urban, rural, and coastal areas across South West and North West England where low-income or ethnic minority populations (for example, South Asian) are represented. Design was informed by patient, public, and professional stakeholder input and phase 1 findings.

methodHigh-volume qualitative and quantitative data will be collected longitudinally from people with dementia, carers, and practitioners. Analyses will comprise the following: 1) realist longitudinal case studies; 2) conversation analysis of recorded interactions; 3) statistical analyses of outcome and experience questionnaires; 4a) health economic analysis examining costs of delivery; and 4b) realist economic analysis of high-cost events and 'near misses'. All findings will be synthesised using a joint display table, evidence appraisal tool, triangulation, and stakeholder co-analysis.

conclusionThe realist evaluation will describe how, why, and for whom the intervention does or does not lead to change over time. It will also demonstrate how a non-randomised design can be more appropriate for complex interventions with similar questions or populations.

Indexed as

caregiversdementiapersonalised careprimary health carerealist evaluation

Identifiers

PMID37160337
PMCPMC10646200
OpenAlexW4376121794

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.