Evidence map›Paper›PMID 41845422›Full record

SynthesisBMC health services research2026

Equity and inclusion in UK adult social care: a systematic review of trials.

Flora Kaminski, Lucy Smith, Hajira Dambha-Miller

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

3 authors.

Flora KaminskiUniversity of Southampton, Southampton, UK.ORCID http://orcid.org/0009-0005-6617-645X
Lucy SmithUniversity of Southampton, Southampton, UK. lucy.smith@soton.ac.uk.ORCID http://orcid.org/0009-0001-7658-5522
Hajira Dambha-MillerUniversity of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-0175-443X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEquity is a key priority in UK health and social care policy, yet its integration into adult social care trials remains unclear. Without adequate inclusion or analysis of underserved populations, interventions risk reinforcing health inequalities.

aimTo examine how equity-relevant characteristics - defined by CORE20PLUS5 and PROGRESS-Plus -are reported, categorised, and analysed in UK trials of adult social care interventions.

methodsA systematic review of five databases (PubMed, MEDLINE, Embase, CINAHL, Web of Science) was conducted for studies published between January 2015 and June 2025. Eligible studies involved UK-based adult populations (≥ 18 years) and used trial or quasi-experimental designs. Data were narratively synthesised due to heterogeneity. Study quality was assessed using Joanna Briggs Institute tools.

resultsFourteen studies met inclusion criteria. All reported at least one equity characteristic, but reporting was inconsistent. Ethnicity was often grouped into broad categories, limiting subgroup analysis. Few studies targeted underserved populations or designed interventions to address inequity. Reporting gaps included gender identity, sexual orientation, immigration status, and literacy.

conclusionsEquity considerations are limited in UK adult social care trials. Future research should embed equity frameworks, improve reporting detail, and conduct subgroup analyses to ensure interventions are inclusive and effective across all population groups.

Indexed as

Health EquitySocial WorkAdultDiversity, Equity, InclusionHumansUnited KingdomCore20Plus5EquityInterventionsProgress plusSocial care

Identifiers

PMID41845422
PMCPMC13112718

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.