Evidence map›Paper›PMID 34288291›Full record

SynthesisHealth expectations : an international journal of public participation in health care and health policy2021

A decision aid to support family carers of people living with dementia towards the end-of-life: Coproduction process, outcome and reflections.

Nathan Davies, Elizabeth L Sampson, Emily West, Tanisha DeSouza, Jill Manthorpe, Kirsten Moore, Kate Walters, Karen Harrison Dening, Jane Ward, Greta Rait

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% of its field
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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Co-design development of a decision guide on eating and drinking for people with severe dementia during acute hospital admissions.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  3. A decision aid to support family carers of people living with dementia towards the end-of-life: Coproduction process, outcome and reflections.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  4. Family Carer Involvement in Dementia Care Research: A Scoping Review and Expert Consultation.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Grandad forgot my name: interactive narratives for dementia support.Primary health care research & development · 2026
    Article
  6. Article
  7. Co-Design of a Facilitated Self-Management Toolkit for People With Parkinson's Disease.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  8. Co-Designing a Palliative Dementia Care Framework to Support Holistic Assessment and Decision Making: The EMBED-Care Framework.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  9. Acceptability of Using a Decision Aid to Support Family Carers of People With Dementia Towards the End of Life: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Rapid development of a COVID-19 care planning decision-aid for family carers of people living with dementia.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  18. Article
  19. 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

10 authors at 5 institutions in 2 countries.

Nathan DaviesDepartment of Primary Care and Population Health, Royal Free Campus, University College London, London, UK.
Elizabeth L SampsonMarie Curie Palliative Care Research Department, University College London, London, UK.
Emily WestMarie Curie Palliative Care Research Department, University College London, London, UK.
Tanisha DeSouzaDepartment of Primary Care and Population Health, Royal Free Campus, University College London, London, UK.
Jill ManthorpeNIHR Policy Research Unit in Health and Social Care Workforce, Policy Institute at King's, King's College London, London, UK.
Kirsten MooreMarie Curie Palliative Care Research Department, University College London, London, UK.
Kate WaltersDepartment of Primary Care and Population Health, Royal Free Campus, University College London, London, UK.
Karen Harrison DeningDementia UK & Admiral Nursing, London, UK.
Jane WardFamily Carer, Member of Experts by Experience Panel.
Greta RaitDepartment of Primary Care and Population Health, Royal Free Campus, University College London, London, UK.
University College London · GBMarie Curie · GBThe Royal Free Hospital · GBDementia UK · GBKing's College London · GB

Funding

Marie Curie MCRGS-20171219-8004
6 · The paper itself

Abstract

backgroundFamily carers of people living with dementia often need support with making decisions about care. Many find end-of-life care decisions particularly difficult. The aim of this article is to present an evidence- and theoretical-based process for developing a decision aid to support family carers of people with dementia towards the end-of-life.

methodsFollowing a systematic process, we developed a decision aid using coproduction methods and matrices to synthesize data from a systematic review and qualitative interviews with people living with dementia and family carers. Data were presented to coproduction workshops of people living with dementia, family carers, practitioners and professionals. Development was guided by the Ottawa Decision Support Framework and a modified Interprofessional Shared Decision-Making model.

resultsThe decision aid covers four decision areas: (1) changes in care; (2) eating and drinking difficulties; (3) everyday well-being; and (4) healthcare, tests and medication. We present an interactive decision aid, using a variety of approaches including written text, Frequently Asked Questions, top tips and illustrative quotes from people living with dementia and family carers.

conclusionThis is the first decision aid that focusses on multiple decisions towards the end-of-life in dementia care. The process offers a template for others to develop decision aids or similar interventions, and how to include people living with dementia in coproduction. PATIENT OR PUBLIC CONTRIBUTION: Family carers provided feedback on data collection, data analysis and the decision aid, and one is a coauthor. People living with dementia and family carers were integral to the coproduction workshops.

Indexed as

DementiaTerminal CareCaregiversDeathDecision MakingDecision Support TechniquesHumanscarerscodesigncoproductiondecision-makingdementiaend-of-life care

Identifiers

PMID34288291
PMCPMC8483186
OpenAlexW3184862388

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.