Evidence map›Paper›PMID 42403528›Full record

ArticlePalliative care and social practice2026

Death literacy as relational capability: Pathways from social capital to emotional support.

Sora Lee, Kerrie Noonan, Andrea Grindrod, Sumina Shrestha

Abstract read
In one paragraph

Article in Palliative care and social practice, 2026. 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. Public Health Palliative Care: A commitment to dying, death, and grief in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026
    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

4 authors.

Sora LeeDepartment of Public Health, School of Pyschology and Public Health, La Trobe University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-2665-7794
Kerrie NoonanPublic Health Palliative Care Unit, Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0001-5349-5041
Andrea GrindrodPublic Health Palliative Care Unit, Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0003-4024-9874
Sumina ShresthaPublic Health Palliative Care Unit, Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-5730-9899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Death literacy not only refers to the knowledge and skills of individuals; there is emerging evidence that death literacy is relational and is deepened via social networks and within communities. Exploring these relationships can improve our understanding of pathways that influence death literacy and public health palliative care initiatives. Objectives: To examine how community-level resources (social capital) influence perceived emotional support, and to test theoretically motivated mediators-including community openness to conversations about death, participation in end-of-life activities, and death literacy (as measured by the DLI-R). Methods: Cross-sectional survey (N = 831) of adults aged 18+ in the Australian community. A mixed-link generalised structural equation model estimates pathways from social capital to perceived emotional support, via community openness (talking), participation as mediators of death literacy (measured by the DLI-R). Indirect effects and proportions mediated were obtained via BCa bootstrap (5,000 replications). Robustness checks compared alternative orderings. Results: The total association of social capital with support was β≈0.305. About 35.1% (95% CI 24.6-45.6%) was mediated; 64.9% (54.4-75.4%) was direct. Structural pathways indicated that higher social capital was associated with increased conversation climate (β=0.255***), which in turn was associated with increased participation in end-of-life activities (logit β=0.794***; OR≈2.21) and higher death literacy (β=0.524***). Death literacy was also associated with higher perceived emotional support (β=0.140***). Conclusions: Feeling supported at the end of life (EoL) is influenced not only by how socially connected communities are, but by what people are able to understand, talk about, and act on death and dying. Open, everyday conversations about death matter and contribute to this, because they provide an opportunity to build understanding and because they signal willingness to support. This highlights two practical ways to grow compassionate communities, strengthen death literacy and socialising conversations about end of life alongside social connectedness.

Indexed as

caregiverscommunity engagementdeath literacyemotional supportend-of-life caremediation analysissocial capitalstructural equation modelling

Identifiers

PMID42403528
PMCPMC13332290

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LicenceCC BY-NC
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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.