Evidence map›Paper›PMID 37798134›Full record

SynthesisThe Gerontologist2024

A Quantitative Meta-Analysis and Qualitative Meta-Synthesis of Aged Care Residents' Experiences of Autonomy, Being Controlled, and Optimal Functioning.

Emma L Bradshaw, Joel R Anderson, Ma A J Banday, Geetanjali Basarkod, Rafaan Daliri-Ngametua, Kelly A Ferber, Dylan Henry, Richard M Ryan

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Gerontologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Emma L BradshawFaculty of Health Sciences, Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.ORCID 0000-0001-6423-5499
Joel R AndersonFaculty of Health Sciences, Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.
Ma A J BandayFaculty of Health Sciences, School of Psychology, Australian Catholic University, Strathfield, New South Wales, Australia.
Geetanjali BasarkodFaculty of Health Sciences, Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.
Rafaan Daliri-NgametuaFaculty of Education and Arts, School of Education, Australian Catholic University, Banyo, Queensland, Australia.
Kelly A FerberFaculty of Health Sciences, Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.
Dylan HenryFaculty of Health Sciences, School of Psychology, Australian Catholic University, Fitzroy, Victoria, Australia.
Richard M RyanFaculty of Health Sciences, Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe poor mental health of adults living in aged care needs addressing. Improvements to nutrition and exercise are important, but mental health requires a psychological approach. Self-determination theory finds that autonomy is essential to wellbeing while experiences of being controlled undermine it. A review of existing quantitative data could underscore the importance of autonomy in aged care, and a review of the qualitative literature could inform ways to promote autonomy and avoid control. Testing these possibilities was the objective of this research. RESEARCH DESIGN AND

methodsWe conducted a mixed-methods systematic review of studies investigating autonomy, control, and indices of optimal functioning in aged care settings. The search identified 30 eligible reports (19 quantitative, 11 qualitative), including 141 quantitative effect sizes, 84 qualitative data items, and N = 2,668. Quantitative effects were pooled using three-level meta-analytic structural equation models, and the qualitative data were meta-synthesized using a grounded theory approach.

resultsAs predicted, the meta-analysis showed a positive effect of aged care residents' autonomy and their wellness, r = 0.33 [95% CI: 0.27, 0.39], and a negative effect of control, r = -0.16 [95% CI: -0.27, -0.06]. The meta-synthesis revealed seven primary and three sub-themes describing the nuanced ways autonomy, control, and help seeking are manifest in residential aged care settings. DISCUSSION AND IMPLICATIONS: The results suggest that autonomy should be supported, and unnecessary external control should be minimized in residential aged care, and we discuss ways the sector could strive for both aims.

Indexed as

Homes for the AgedPersonal AutonomyQualitative ResearchAgedAged, 80 and overFemaleHumansMaleMental HealthNursing HomesMotivationNursing homeSelf-determination theorySystematic review

Identifiers

PMID37798134
PMCPMC11032117

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Registered trials

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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.