Evidence map›Paper›PMID 42499126›Full record

ArticleInternational journal of qualitative studies on health and well-being2026

Coming to terms with the need for home care: a reflexive thematic analysis of older adults' experiences in Sweden.

Pernilla Alencar Siljehag, Åsa von Berens, Bettina Meinow, Ann Liljas, Janne Agerholm

Abstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Pernilla Alencar SiljehagStockholm Gerontology Research Center, Stockholm, Sweden.ORCID 0009-0004-7978-0069
Åsa von BerensStockholm Gerontology Research Center, Stockholm, Sweden.ORCID 0000-0001-8653-8028
Bettina MeinowStockholm Gerontology Research Center, Stockholm, Sweden.ORCID 0000-0002-2059-9474
Ann LiljasAging Research Center, Karolinska Institutet, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-2358-6046
Janne AgerholmAging Research Center, Karolinska Institutet, Stockholm University, Stockholm, Sweden.ORCID 0000-0003-3591-8842

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough publicly funded home care in Sweden is available to all based on municipal needs assessments, many individuals ≥65 years do not apply until their needs have become extensive. The aim of this study was to explore how older people experience the phase of life leading up to their decision to apply for home care for the first time.

methodsIndividual, semi-structured interviews with 14 men and women aged 67-94 years with first-time home care in 2024 in Stockholm, Sweden, were analysed with an experiential and inductive approach to reflexive thematic analysis. Transition theory in nursing was applied as a sensitising framework.

resultsWe created 35 codes and the theme 'Coming to terms with the need for home care ‒ a movement that ebbs and flows', describing the fluctuating process of accepting increasing needs for support through home care. While some navigated this process pragmatically, for others it involved identity redefinition. Significant others sometimes became a driving force in the individual's process of acceptance.

conclusionThese findings expand the understanding of why individuals may hesitate and delay entering home care despite having support needs and suggest that some may initiate home care use while remaining ambivalent about this decision.

Indexed as

Health Services Needs and DemandHome Care ServicesAgedAged, 80 and overAging in PlaceFemaleHumansInterviews as TopicMaleQualitative ResearchSwedenAgeinghealth services needs and demandhome care serviceslife change eventslong-term careolder peoplepatient acceptance of health carequalitative researchSwedentransition theory in nursing

Identifiers

PMID42499126
PMCPMC13403359

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.