Evidence map›Paper›PMID 40360987›Full record

ArticleBMC primary care2025

Promoting well-being in later life - a qualitative analysis of focus groups and individual interviews with older adults in Germany.

Evelyn Kleinert, Laura Mohacsi, Lena Stange, Daniel Broschmann, Lisa Nebel, Eva Hummers

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2025. 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. Review
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

6 authors.

Evelyn KleinertDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37079, Göttingen, Germany. evelyn.kleinert@med.uni-goettingen.de.
Laura MohacsiDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37079, Göttingen, Germany.
Lena StangeFaculty VI - Medicine and Health Sciences, Department of Health Services Research, Division of Ethics in Medicine, Carl von Ossietzky University of Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Germany.
Daniel BroschmannDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Von- Siebold-Str. 5, 37075, Göttingen, Germany.
Lisa NebelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Von- Siebold-Str. 5, 37075, Göttingen, Germany.
Eva HummersDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, 37079, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical decision-making for older adults is becoming increasingly complex due to chronic conditions, multimorbidity, and expanding medical options in old age. As the aging population grows, medical decision-making in old age will become an increasingly common issue. This study explores older adults' perspectives on well-being and medical decision-making to inform patient-centered care practices in family medicine.

methodsA qualitative study was conducted in Germany between August 2022 and August 2023, involving 35 participants aged 75 and older. Six focus group discussions and eight individual interviews were carried out. Focus groups were presented with two patient case histories involving medical decision dilemmas, while individual interviews used a guideline on personal history and experiences of medical care. Audio recordings were transcribed and analyzed using qualitative content analysis with MAXQDA software.

resultsThree main categories emerged as central to well-being in late life: autonomy, physical and cognitive abilities, and social integration. Autonomy was identified as crucial, encompassing independent decision-making and adaptation to changing circumstances. Physical and cognitive abilities, particularly mobility, were considered essential for maintaining autonomy. Participants demonstrated different attitudes toward medical intervention, with some taking significant risks to maintain mobility and others taking a more adaptive approach to age-related limitations. Social integration emerged as a key to well-being, with participants emphasizing the importance of maintaining social connections and engaging in meaningful activities. Family practitioners were recognized as playing a vital role in providing holistic, patient-centered geriatric care.

conclusionsThe study highlights the importance of understanding older adults' perspectives on well-being to inform medical decision-making. Family practitioners can support the evolving needs of older adults by addressing both medical and psychosocial issues, facilitating social engagement, and building long-term relationships with patients. This approach can contribute to improved well-being and more patient-centered care practices in geriatric medicine. GERMAN CLINICAL TRIALS REGISTER: DRKS00027076, 05/11/2021.

Indexed as

AgingPsychological Well-BeingAgedAged, 80 and overDecision MakingFemaleFocus GroupsGermanyHumansInterviews as TopicMalePatient-Centered CarePersonal AutonomyQualitative ResearchAutonomyFocus group discussionsInterviewsOld ageQuality of lifeWell-being

Identifiers

PMID40360987
PMCPMC12070599

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.