Evidence map›Paper›PMID 30270451›Full record

SynthesisInternational journal of geriatric psychiatry2018

Medicines management issues in dementia and coping strategies used by people living with dementia and family carers: A systematic review.

Rosemary H Lim, Taniya Sharmeen

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of geriatric psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 6 pooled it
–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

56 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Tools to evaluate medication management for caregivers of people living with dementia: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2021
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  18. Adoption of Telemedicine for Dementia Care in Nigeria: Scoping Review.Interactive journal of medical research · 2025
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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.

Rosemary H LimReading School of Pharmacy, University of Reading, Reading, Berkshire, UK.ORCID 0000-0003-1705-1480
Taniya SharmeenReading School of Pharmacy, University of Reading, Reading, Berkshire, UK.ORCID 0000-0002-4600-0001

Funding

Wellcome TrustWellcome Trust 108320/Z/15/Z
6 · The paper itself

Abstract

objectivesMedicines play a key role in the lives of people with dementia, primarily to manage symptoms. Managing medicines is complex for people with dementia and their family carers and can result in multiple problems leading to harm. We conducted a systematic review to identify and model medication issues experienced and coping strategies used by people with dementia and/or family carers.

methodsEleven general databases and four systematic review databases were searched. Studies were quality assessed using an established framework and thematically analysed.

resultsTwenty-one articles were included in this study, and four domains affecting medication use were identified: cognitive, medication, social and cultural, and knowledge/educational and communication. People with dementia reported medication issues in all four domains, but few coping strategies were developed. Family carers reported issues and coping strategies related to the medication and knowledge/educational and communication domains. Common issues with regards to knowledge and communication about medicines remain unresolved. The "voices" of people with dementia appeared largely missing from the literature so were in-depth understanding of how, whether, and in which circumstances coping strategies work in managing medicines.

conclusionsMedicines management is a complex set of activities and although current coping strategies exists, these were primarily used by family carers or the person with dementia-carer dyad. Health and social care practitioners and researchers should seek to understand in-depth the "mechanisms of action" of existing coping strategies and actively involve people with dementia as co-producers of knowledge to underpin any further work on medicines management.

Indexed as

DementiaMedication Therapy ManagementAdaptation, PsychologicalCaregiversCommunicationHealth Knowledge, Attitudes, PracticeHumanscoping strategiesdementiafamily carersmedication managementpeople with dementia

Identifiers

PMID30270451
PMCPMC6282522

What Socratic 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 Socratic graph.