Evidence map›Paper›PMID 38842172›Full record

ArticlePalliative medicine2024

What are we planning, exactly? The perspectives of people with intellectual disabilities, their carers and professionals on end-of-life care planning: A focus group study.

Andrea Bruun, Amanda Cresswell, Leon Jordan, Richard Keagan-Bull, Jo Giles, Sarah L Gibson, Rebecca Anderson-Kittow, Irene Tuffrey-Wijne

Abstract read
In one paragraph

Article in Palliative medicine, 2024. 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
–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

6 citing papers in PubMed.

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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

8 authors.

Andrea BruunFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.ORCID 0000-0001-9620-0290
Amanda CresswellFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Leon JordanFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Richard Keagan-BullFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Jo GilesFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Sarah L GibsonFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Rebecca Anderson-KittowFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.
Irene Tuffrey-WijneFaculty of Health, Science, Social Care and Education, School of Nursing, Allied and Public Health, Kingston University London, London, UK.

Funding

The National Institute for Health Research (NIHR) Research for Social Care (RfSC NIHR202963
6 · The paper itself

Abstract

backgroundDeaths of people with intellectual disabilities are often unplanned for and poorly managed. Little is known about how to involve people with intellectual disabilities in end-of-life care planning.

aimTo explore the perspectives of people with intellectual disabilities, families, health and social care professionals and policy makers on end-of-life care planning within intellectual disability services.

designA total of 11 focus groups and 1 semi-structured interview were analysed using qualitative framework and matrix analysis. The analysis was conducted inclusively with co-researchers with intellectual disabilities. SETTING/

participantsA total of 60 participants (14 people with intellectual disabilities, 9 family carers, 21 intellectual disability professionals, 8 healthcare professionals and 8 policy makers) from the UK.

resultsThere were differences in how end-of-life care planning was understood by stakeholder groups, covering four areas: funeral planning, illness planning, planning for living and talking about dying. This impacted when end-of-life care planning should happen and with whom. Participants agreed that end-of-life care planning was important, and most wanted to be involved, but in practice discussions were postponed. Barriers included issues with understanding, how or when to initiate the topic and a reluctance to talk about dying.

conclusionsTo develop effective interventions and resources aiding end-of-life care planning with people with intellectual disabilities, clarity is needed around what is being planned for, with whom and when. Research and development are needed into supporting intellectual disability staff in end-of-life care planning conversations. Collaboration between intellectual disability staff and palliative care services may facilitate timely end-of-life care planning and thus optimal palliative end-of-life care.

Indexed as

Advance Care PlanningCaregiversFocus GroupsIntellectual DisabilityQualitative ResearchTerminal CareAdultAgedAttitude of Health PersonnelFemaleHealth PersonnelHumansMaleMiddle AgedUnited Kingdomadvance care planningdeathfocus groupsIntellectual Disabilitysocial supportterminal care

Identifiers

PMID38842172
PMCPMC11157974

What OpenQuestion holds

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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.