Evidence map›Paper›PMID 39403427›Full record

ArticleWorking with older people (Brighton, England)2019

The Shared Decision Making of Older Adults in Healthcare.

Emilia Pusey, Anthea Tinker, Federica Lucivero

Abstract read
In one paragraph

Article in Working with older people (Brighton, England), 2019. 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
  2. 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

3 authors.

Emilia PuseySt George's University of London, London, UK.
Anthea TinkerKing's College London Institute of Gerontology, London, UK.
Federica LuciveroEthox Centre, Nuffield Department of Population Health, University of Oxford, UK.

Funding

Wellcome Trust 203132
6 · The paper itself

Abstract

Purpose: The research question for this paper was: what are older adults' experiences of shared decision-making in a healthcare setting? This involved: Exploring older adults' experiences and opinions of decision-making in a healthcare setting;Understanding what shared decision-making means to older adults. Design and Method: A qualitative study using face-to-face, semi-structured interviews with adults over 65 years. Thematic analysis was used. Participants: Eight adults with a mean age of 76 years. Findings: Three broad themes were identified which ascribed roles to individuals involved in decision making. This includes the way in which older adults felt they should be involved actively: by asking questions and knowing their own body. The doctors' role was described as assistive by facilitating discussion, giving options and advice. The role of the family was also explored; older adults felt the family could impact on their decisions in both a direct and indirect way. There was some confusion about what constituted a decision. Conclusion: Older adults described what having an active role in decision making meant for them, but expected an assistive role from clinicians. They see their family as having an important role. Research limitations/implications: This was a small qualitative study in one market town in England. Practical implications: Clinicians should facilitate the involvement of older adults in shared decision making and consider how they can increase awareness of this. They should also involve the family in decision making. Originality/Value: There are limited studies which look at this issue in depth.

Identifiers

PMID39403427
PMCPMC7616695

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.