Evidence map›Paper›PMID 40834401›Full record

ArticleJMIR research protocols2025

Ethical Principles Pertaining to the Care of People With Dementia: Protocol for a Qualitative Thematic Synthesis of Legal Documents.

Daniel Sperling, Frederik Schou-Juul, Sigurd Lauridsen, Muhammad Asaduzzaman, Seda Guney, Dominika Kohanová, Vaitsa Giannouli, Corinna Porteri, Rodrigo Serrat, Ana Morais

Erratum issuedAbstract read
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Daniel SperlingDepartment of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID 0000-0002-4371-7736
Frederik Schou-JuulFaculty of Health Sciences, National Institute of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-1757-8875
Sigurd LauridsenFaculty of Health Sciences, National Institute of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-9222-6645
Muhammad AsaduzzamanDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0001-9048-7980
Seda GuneySchool of Nursing, Koç University, Istanbul, Turkey.ORCID 0000-0003-3704-0498
Dominika KohanováDepartment of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia.ORCID 0000-0003-3396-3519
Vaitsa GiannouliSchool of Social Sciences, Hellenic Open University, Patras, Greece.ORCID 0000-0003-2176-8986
Corinna PorteriBioethics Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.ORCID 0000-0001-7916-0530
Rodrigo SerratCognition, Development, and Educational Psychology Department, Faculty of Psychology, University of Barcelona, Barcelona, Spain.ORCID 0000-0003-3377-681X
Ana MoraisDepartment of Sports and Health, School of Health and Human Development, University of Évora, Evora, Portugal.ORCID 0000-0002-3036-2526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global prevalence of dementia presents profound challenges for health care systems, societies, and legal structures worldwide. While the ethical dimensions of dementia care have been extensively discussed in the literature, limited research addresses how ethical principles are effectively operationalized within legal frameworks governing dementia care.

objectiveWe aim to explore how national, European, and international legal instruments integrate and translate ethical principles such as autonomy, dignity, beneficence, and justice into dementia care legal documents, including case law and legislation.

methodsThis study will be conducted by a team of 24 researchers from 15 European countries, within a European Union (EU)-funded European Cooperation in Science and Technology Action on dementia care. The project applies a combined methodological approach, using qualitative thematic synthesis and a legal document review framework. Legal documents published between 2010 and 2025 will be searched and qualitatively analyzed at 3 levels: national, EU, and international, including legislation, case law, and authoritative legal literature explicitly addressing dementia care. Researchers from each country will conduct searches in national legal databases using predefined search terms. At the EU and international levels, databases such as Westlaw, Lexis+, the European Court of Human Rights, and the European Ombudsman will be consulted. Key information from each document will be collected using a standardized data extraction tool, focusing on ethical principles and frameworks. Data analysis will combine deductive and inductive approaches, allowing the identification of ethical principles and the emergence of new concepts discussed in the documents. Thematic analysis will follow a 3-stage process: line-by-line coding, grouping codes into descriptive themes, and developing analytical themes to address the research questions.

resultsThis study will identify and categorize ethical principles embedded in legal documents, analyzing their expression, interpretation, and variability across jurisdictions. The project is scheduled to be implemented throughout 2025. In January 2025, a pilot test of the data extraction tool was conducted. Between February 2025 and April 2025, a systematic search of legal documents meeting the inclusion criteria was performed, applying a structured 3-level search strategy. Data extraction and initial coding are planned from May 2025 to July 2025, followed by data analysis between September 2025 and October 2025, through iterative coding and collaborative discussion. The final research paper will be drafted in November 2025.

conclusionsThis cross-country thematic synthesis will provide critical insights into how ethical principles guide dementia care and shape its discussion within legal systems. By systematically analyzing legal instruments through an ethical lens, this study aims to bridge the gap between ethical theory and legal practice, offering valuable guidance for future policy development. The findings will contribute to promoting ethically grounded and legally coherent frameworks for dementia care, safeguarding the rights and dignity of individuals living with dementia across diverse legal cultures. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/71490.

Indexed as

DementiaEuropeEuropean UnionHumansQualitative Researchcross-country analysisdementia careethical principleslegal frameworksthematic synthesis

Identifiers

PMID40834401
PMCPMC12409177

What OpenQuestion holds

Textmetadata
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.