Evidence map›Paper›PMID 39135395›Full record

ArticleAustralasian journal on ageing2024

Changes in indicators of well-being on moving from home to long-term care for Māori in Aotearoa New Zealand: A retrospective cohort study.

Joanna Hikaka, Rebecca Abey-Nesbit, Zhenqiang Wu, Hamish A Jamieson, Matthew Parsons, Ngaire Kerse, Rosemary Gibson

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Joanna HikakaTe Kupenga Hauora Māori, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-6792-6607
Rebecca Abey-NesbitDepartment of Medicine at the University of Otago, Christchurch, New Zealand.
Zhenqiang WuDepartment of Epidemiology and Biostatistics, University of Auckland, Auckland, New Zealand.
Hamish A JamiesonDepartment of Medicine at the University of Otago, Christchurch, New Zealand.
Matthew ParsonsThe University of Waikato, Hamilton, New Zealand.
Ngaire KerseDepartment of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-5992-3681
Rosemary GibsonSchool of Psychology, Massey University, Palmerston North, New Zealand.ORCID https://orcid.org/0000-0002-3747-095X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate changes in well-being measures for older Māori after moving from community to long-term care (LTC).

methodsWe undertook a retrospective cohort study of older Māori in New Zealand (NZ) who had received assessments for their health needs whilst living at home (interRAI-HC assessment) as well as a subsequent assessment after moving into a care facility (interRAI-LTCF). All interRAI-HC assessments from 01 July 2013 to 21 December 2018 were identified and matched to LTCF assessments that were undertaken at least 6 months later. Odds ratios (OR) and 95% confidence interval (CI) were calculated to determine the difference in proportion of variables of interest (indicative of movement, socialising, sleep and nutrition, alongside general physical and mental health status) between participants' HC and subsequent LTCF assessments.

resultsChanges in well-being measures were investigated among 1531 Māori (mean age 76.2 years, 61% female). Odds of having a fall (OR: 0.40 [95% CI 0.34, 0.48]), being lonely (OR: 0.13 [95% CI 0.09, 0.18]), sleeping difficulty (OR: 0.74 [95% CI 0.60, 0.91]) and fatigue (OR: 0.18 [95% CI 0.14, 0.23]) reduced on moving to LTC. However, the presence of depression (OR 3.96 [95% CI 2.58, 6.09]) and dependence with locomotion (OR 1.56 [95% CI 1.23, 1.97]) significantly increased when moving from home to LTC.

conclusionDespite some indicators of functional and health-related decline, significant improvements are also apparent across multiple domains of well-being. Further investigation of resident and family perceptions of well-being in association with a move to LTC is warranted.

Indexed as

Long-Term CareMaori PeopleAccidental FallsAgedAged, 80 and overFemaleGeriatric AssessmentHealth StatusHumansLonelinessMaleMental HealthNew ZealandRetrospective StudiesSleepTime Factorshealth serviceshome care servicesindigenouslong‐term care

Identifiers

PMID39135395
PMCPMC11671709

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