Evidence map›Paper›PMID 41152734›Full record

ArticleBMC geriatrics2025

Exploring the quality of life of older people in long-term care facilities in the Sub-Saharan region: a scoping review.

Naomi Hlongwane, Lieketseng Ned

Abstract readScoping Review
In one paragraph

Article in BMC geriatrics, 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. 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

2 authors.

Naomi HlongwaneDivision of Disability and Rehabilitation Studies, Department of Global Health, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town, South Africa. naomihlongwaneot@gmail.com.
Lieketseng NedDivision of Disability and Rehabilitation Studies, Department of Global Health, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the past decade, there has been a shift in the family-centered model of care for older people in Sub-Saharan African countries, driven primarily by urbanization and industrialization. As the aging population grows, there is an increasing need for long-term care. However, limited evidence exists on the quality of life of older people in long-term care facilities across the region. This scoping review aims to describe the existing evidence on the quality of life of older people living in long-term care facilities in Sub-Saharan Africa.

methodsA systematic search was conducted from 26 March 2024 to 15 July 2024 on four databases: EBSCOHOST, PubMed, Scopus, Web of Science, and grey literature was included as an additional source of information. This study follows the methodological framework as presented by Arksey and O’Malley and incorporating Levac and colleagues’ recommendations. A total of 360 peer-reviewed articles were identified and screened using CADIMA software. Studies were included if they focused on the quality of life of older people in long-term care facilities in sub-Saharan Africa, were published in English, and involved participants aged 60 and above. Twenty-one articles met the inclusion criteria and were analyzed using data charting process through thematic analysis which involved identifying, synthesizing, and interpreting key themes across the studies to address the review objective.Bronfenbrenner’s ecological systems theory was applied to guide the interpretation and organization of findings, focusing on five interconnected themes: microsystem, mesosystem, exosystem, macrosystem, and chronosystem.

resultsFindings showed underrepresentation of articles from different countries with the 21 studies, spanning five sub-Saharan African countries,and the majority being from South Africa. These studies utilized qualitative approaches such as case studies and phenomenological research. Key tools included interviews and quality of life scales. Most studies were conducted in privately funded long-term care facilities, emphasizing the influence of gender, ethnicity, socio-economic status, and education on quality of life. Findings indicated that multiple factors at different ecological levels (microsystem to chronosystem) affect quality of life in long-term care.

conclusionsEvidence shows a lack of structured long-term care policy in sub-Saharan Africa. Given the increasing demand for long-term care, there is an urgent need for policies that address factors affecting quality of life and ensure better care for older people in these facilities. A protocol for the scoping review was preregistered on the Open Science Framework Registry on 9th September 2023 ( https://osf.io/xm8r5/ ).

Indexed as

Homes for the AgedLong-Term CareNursing HomesQuality of LifeAfrica South of the SaharaAgedHumansNursing Home ResidentsSub-Saharan African PeopleLong term careOlder peoplePolicyQuality of lifeSub-Saharan africa

Identifiers

PMID41152734
PMCPMC12560539

What OpenQuestion holds

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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.