Evidence map›Paper›PMID 39447167›Full record

ArticleJournal of medical Internet research2024

The Digitalization of Social Care in England and Implications for Older, Unpaid Carers: Constructionist Thematic Analysis.

Anastasia Rousaki, Efpraxia D Zamani, Laura Sbaffi, Kate Hamblin, Rachael Black

Abstract read
In one paragraph

Article in Journal of medical Internet research, 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
  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

5 authors.

Anastasia RousakiInformation School, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-9640-8240
Efpraxia D ZamaniDurham University Business School, Durham, United Kingdom.ORCID 0000-0003-3110-7495
Laura SbaffiInformation School, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0003-4920-893X
Kate HamblinCentre for Care, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0001-8207-4414
Rachael BlackCentre for Care, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0003-4054-0602

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, populations are aging, generating concerns about the sustainability of health and social care provision. In terms of the public provision of social care in particular, unpaid carers provide much of the support to people with disabilities and older people. In addition, there is an increased onus in many countries on digital transformation projects, in the hope that the digitalization of services can create efficiencies and savings in both costs and care labor. In England, the focus of this paper, the shift to digital services is also framed as a means to enhance choice and control for older unpaid carers, while being part of a broader offering that includes nondigital alternatives and support to mitigate digital exclusion.

objectiveThis study examines the impact of digitalization on older, unpaid carers-a group more likely to be both expected to engage digitally with services and at risk of digital exclusion-in England, focusing on their lived experiences in terms of caring and access to social care.

methodsWe used a constructionist approach to thematic analysis, where data from 48 older unpaid carers collected through focus groups were analyzed using thematic analysis, resulting in 4 prevailing themes.

resultsOur findings indicated that while unpaid carers largely acknowledge the benefits of digitalization, they also highlight several points of failure, whereby engagement with digital spaces is experienced as coercive and exacerbates feelings of exclusion. These are further worsened by government failures to address issues of connectivity, imposing additional financial burdens and complicating tasks such as benefit applications.

conclusionsIn this study, we have highlighted the need for greater involvement in shaping both policy and technological solutions, which in turn will be more inclusive and aligned to the aspirations and circumstances of older carers.

Indexed as

CaregiversAgedAged, 80 and overEnglandFemaleFocus GroupsHumansMaleMiddle Ageddigitalizationdigital transformationEnglandmobile phonesocial careunpaid care

Identifiers

PMID39447167
PMCPMC11544341

What OpenQuestion holds

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LicenceCC BY
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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.