Evidence map›Paper›PMID 42742529›Full record

ArticleJournal of Alzheimer's disease : JAD2026

Empowered by participation: Patients' and caregivers' experiences in the law clinic. Multidisciplinary dementia research at the intersection of law and medicine.

Henna Nikumaa, Kaisa Näkki, Jenni Niinimäki, Mervi Issakainen, Elena Ppali, Juho Kalapudas, Noora Suhonen, Kaijus Ervasti, Anna Mäki-Petäjä-Leinonen, Eino Solje

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Henna NikumaaLaw School, University of Eastern Finland, Joensuu, Finland.ORCID 0009-0009-8901-8541
Kaisa NäkkiLaw School, University of Eastern Finland, Joensuu, Finland.
Jenni NiinimäkiInstitute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland.
Mervi IssakainenLaw School, University of Eastern Finland, Joensuu, Finland.
Elena PpaliA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Juho KalapudasInstitute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland.
Noora SuhonenNeurocenter, Neurology, Oulu University Hospital, Oulu, Finland.
Kaijus ErvastiLaw School, University of Eastern Finland, Joensuu, Finland.
Anna Mäki-Petäjä-LeinonenLaw School, University of Eastern Finland, Joensuu, Finland.
Eino SoljeInstitute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0001-9940-9524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundA pilot study, the Law Clinic, implemented extensive cognitive, neuropsychiatric, and legal assessments within an interdisciplinary framework. A study design of this kind has not been previously applied. The study was necessary to generate knowledge on the relationship between symptoms of dementia and patients' legal status.ObjectiveThe pilot aimed to determine, through participants' experiences, whether expanding such multi-component research is ethically sustainable, and whether clinical studies that combine medical and legal perspectives of this nature can feasibly be conducted.Methods20 people with Alzheimer's disease and related disorders and 20 caregivers (spouses) participated in the study, which included several assessments and interviews for both parties. In the final interview, participants reflected on their experiences participating in the study. The transcribed material was analyzed using inductive content analysis to identify key themes related to participation and perceived burden.ResultsParticipants reported positive experiences, with 90% indicating no burden. Most described the study as meaningful, empowering, and even enjoyable. Separate interviews for patients and caregivers were considered essential for open communication and comprehensive perspectives. The findings support scaling up the Law Clinic Study.ConclusionsThe novel Law Clinic Study protocol proved sustainable and feasible. Thoughtful design, and multidisciplinary expertise can ensure respectful and meaningful engagement in research for people with Alzheimer's disease and related disorders and their caregivers. Our findings suggest that research addressing complex and sensitive issues through broad interdisciplinary methods can be ethically sound, generate unique knowledge that would otherwise remain inaccessible, and may even prove empowering for participants.

Indexed as

Alzheimer's diseasedementiaempowermentfeasibility studylaw clinicmixed-methods

Identifiers

PMID42742529
PMCPMC13675530

What OpenQuestion holds

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Registered trials

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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.