Evidence map›Paper›PMID 39011837›Full record

ArticleJournal of advanced nursing2025

The Caring Life Course Theory: Opening new frontiers in care-A cardiac rehabilitation example.

Maria Alejandra Pinero de Plaza, Claire Hutchinson, Alline Beleigoli, Matthew Tieu, Michael Lawless, Tiffany Conroy, Rebecca Feo, Robyn A Clark, Hila Dafny, Penelope McMillan and 2 more

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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

12 authors.

Maria Alejandra Pinero de PlazaCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-5421-9604
Claire HutchinsonCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-4289-8886
Alline BeleigoliCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-7848-3183
Matthew TieuCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-3578-6579
Michael LawlessCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-2536-6442
Tiffany ConroyCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-0653-7960
Rebecca FeoCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-9414-2242
Robyn A ClarkCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-5063-2618
Hila DafnyCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-8660-8505
Penelope McMillanHealth Consumer Advocate with Lived Experience in Multimorbidity Disease Management, Adelaide, South Australia, Australia.
Regina Allande-CussóNursing Department, Nursing, Physiotherapy and Podiatry School, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0001-8325-0838
Alison A KitsonCaring Futures Institute, College Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-3053-8381

Funding

Flinders Foundation CRA4ALLNational Health and Medical Research Council GNT1169893
6 · The paper itself

Abstract

AIM(S): To operationalize the Caring Life Course Theory (CLCT) as a framework for improving cardiac rehabilitation (CR) engagement and informing ways to address disparities in rural, low socio-economic areas.

methodsA secondary analysis of data collected from 15 CR programmes to identify CR patterns through the CLCT lens using a mixed-methods approach. All analytical processes were conducted in NVivo, coding qualitative data through thematic analysis based on CLCT constructs. Relationships among these constructs were quantitatively assessed using Jaccard coefficients and hierarchical clustering via dendrogram analysis to identify related clusters.

resultsA strong interconnectedness among constructs: 'care from others', 'capability', 'care network' and 'care provision' (coefficient = 1) highlights their entangled crucial role in CR. However, significant conceptual disparities between 'care biography' and 'fundamental care' (coefficient = 0.4) and between 'self-care' and 'care biography' (coefficient = 0.384615) indicate a need for more aligned and personalized care approaches within CR.

conclusionThe CLCT provides a comprehensive theoretical and practical framework to address disparities in CR, facilitating a personalized approach to enhance engagement in rural and underserved regions. IMPLICATIONS: Integrating CLCT into CR programme designs could effectively address participation challenges, demonstrating the theory's utility in developing targeted, accessible care interventions/solutions. IMPACT: Explored the challenge of low CR engagement in rural, low socio-economic settings. Uncovered care provision, transitions and individual care biographies' relevance for CR engagement. Demonstrated the potential of CLCT to inform/transform CR services for underserved populations, impacting practices and outcomes. REPORTING

methodEQUATOR-MMR-RHS. PATIENT CONTRIBUTION: A consumer co-researcher contributed to all study phases.

Indexed as

Cardiac RehabilitationEmpathyAgedFemaleHumansMaleMiddle AgedRural Populationcardiac rehabilitationcaring life course theoryfundamental caremixed‐methodsrural health

Identifiers

PMID39011837
PMCPMC12271659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.