Evidence map›Paper›PMID 39929779›Full record

ArticleJournal of applied research in intellectual disabilities : JARID2025

Co-Designing a Toolkit of Approaches and Resources for End-of-Life Care Planning With People With Intellectual Disabilities Within Adult Social Care Settings: A Multi-Phase Study.

Irene Tuffrey-Wijne, Andrea Bruun, Elizabeth Tilley, Jo Giles, Sarah Gibson, Amanda Cresswell, Richard Keagan-Bull, Leon Jordan, Gemma Allen, Sarah Swindells and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of applied research in intellectual disabilities : JARID, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

13 authors.

Irene Tuffrey-WijneKingston University, London, UK.
Andrea BruunKingston University, London, UK.ORCID https://orcid.org/0000-0001-9620-0290
Elizabeth TilleyThe Open University, Milton Keynes, UK.ORCID https://orcid.org/0000-0003-4665-394X
Jo GilesKingston University, London, UK.
Sarah GibsonKingston University, London, UK.ORCID https://orcid.org/0000-0002-7595-0874
Amanda CresswellKingston University, London, UK.
Richard Keagan-BullKingston University, London, UK.
Leon JordanKingston University, London, UK.
Gemma AllenThe Mary Stevens Hospice, Stourbridge, UK.
Sarah SwindellsDimensions UK Ltd, Reading, UK.
Nicola PayneMacIntyre, Milton Keynes, UK.
Rhidian HughesVoluntary Organisations Disability Group, London, UK.
Rebecca Anderson-KittowKingston University, London, UK.ORCID https://orcid.org/0000-0002-7095-8914

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

backgroundPeople with intellectual disabilities are rarely involved in end-of-life decisions. This study investigated and further developed approaches and resources to enable inclusive end-of-life care planning.

methodsA multi-centre, multi-method four-phase study, involving 195 researchers, participants, advisors and co-design members, including 36 people with intellectual disabilities: (i) evidence review; (ii) stakeholder focus groups; (iii) Experience-Based Co-Design and (iv) testing of co-designed resources.

resultsThere was little empirical evidence regarding the efficacy of existing resources. Focus group participants signalled overwhelming support for inclusive end-of-life care planning but notable variance around where/what/when/who/how. The co-design group developed a toolkit of existing and new resources. Feedback from toolkit testers was positive but barriers to staff engagement through the testing period were noted.

conclusionsFlexible, creative and interactive approaches that open up conversations are the building blocks for inclusive end-of-life care planning. Barriers include lack of staff confidence, time and resources and a death avoidance culture.

Indexed as

Advance Care PlanningIntellectual DisabilityTerminal CareAdultFemaleFocus GroupsHumansMaleMiddle Agedadvance care planningend‐of‐life decisionsintellectual disabilitypalliative careshared decision making

Identifiers

PMID39929779
PMCPMC11810854

What OpenQuestion holds

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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.