Evidence map›Paper›PMID 37964675›Full record

ArticleACR open rheumatology2024

The Effects of Systemic Lupus-Related Cognitive Impairments on Activities of Daily Living and Life Role Participation: A Qualitative Framework Study.

Michelle Barraclough, Aaron Howe, Ana Soberanis, Mahta Kakvan, Vijay Chattu, Ali Bani-Fatemi, Lisa Engel, Michelle Vitti, Emily Nalder, Yael Goverover and 7 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

17 authors at 1 institution in 3 countries.

Michelle BarracloughUniversity Health Network, Toronto, Ontario, Canada, and The University of Manchester, NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, and Manchester Academic Health Science Centre, Manchester, UK.ORCID https://orcid.org/0000-0002-9698-0917
Aaron HoweUniversity of Toronto, Toronto, Ontario, Canada.
Ana SoberanisUniversity of Toronto, Toronto, Ontario, Canada.
Mahta KakvanUniversity Health Network, and University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.
Vijay ChattuUniversity of Toronto, Toronto, Ontario, Canada.
Ali Bani-FatemiUniversity of Toronto, Toronto, Ontario, Canada.
Lisa EngelUniversity of Manitoba, Winnipeg, Manitoba, and Institute for Work and Health, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-3208-9850
Michelle VittiUniversity Health Network, and University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.
Emily NalderUniversity of Toronto, Toronto, Ontario, Canada.
Yael GoveroverNew York University, Steinhardt, New York, USA.
Monique GignacUniversity Health Network, University of Toronto, and Institute for Work and Health, Toronto, Ontario, Canada.
Dennisse BonillaUniversity Health Network, and University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.
Wils NielsenUniversity of Toronto Lupus Clinic and Western Hospital, Toronto, Ontario, Canada.
Nicole AndersonUniversity Health Network, and University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.
Carmela TartagliaUniversity of Toronto, Toronto, Ontario, Canada.
Behdin Nowrouzi-KiaUniversity of Toronto and University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-5586-4282
Zahi ToumaUniversity Health Network, and University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5177-2076
University Health Network · CA

Funding

CIHR
6 · The paper itself

Abstract

objectiveCognitive impairment (CI) in systemic lupus erythematosus (SLE) negatively impacts health-related quality of life leading to activity limitations. This qualitative study aimed to (1) explore the effect of SLE-related CI on activities of daily living and life role participation and (2) describe factors influencing activity restriction and life role participation.

methodsSemistructured, in-depth interviews of lived experience of CI in SLE were conducted with 24 participants with SLE. Sociodemographic and clinical data, and objective and subjective cognitive function, were collected to characterize participants. A qualitative thematic content analysis was undertaken guided by a framework analytical approach.

resultsParticipants reported problems in multiple cognitive domains, with multiple perceived causes. CI was felt to impact work, social, domestic, and family life, health, and independence. Five overarching themes were represented in the data: (1) characterization of SLE-reported CI, (2) perceived cause of CI, (3) perceived impact of CI on activities of daily living and life role participation, (4) adaptations for managing CI, and (5) influence of CI adaptations on activities of daily living and life role participation.

conclusionThis study provides a better understanding of the patient experience of CI in SLE, how it impacts their lives, and what coping strategies they employ. It highlights the long-term challenges those with CI in SLE undergo and provides evidence for the urgent need to implement multidisciplinary treatment options. When managing CI, it may be beneficial to evaluate and understand available psychosocial support resources to help identify and reinforce relevant adaptations to improve health-related quality of life.

Identifiers

PMID37964675
PMCPMC10789303
OpenAlexW4388689338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.