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Use of participatory visual narrative methods to explore older adults’ experiences of managing multiple chronic conditions during care transitions

Overview of attention for article published in BMC Health Services Research, June 2018
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Title
Use of participatory visual narrative methods to explore older adults’ experiences of managing multiple chronic conditions during care transitions
Published in
BMC Health Services Research, June 2018
DOI 10.1186/s12913-018-3292-6
Pubmed ID
Authors

Chantal Backman, Dawn Stacey, Michelle Crick, Danielle Cho-Young, Patricia B. Marck

Abstract

Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, decreased quality of care, and increased adverse events. Emerging research recommends the strong need to engage patients and families to improve the quality of their care. However, there are gaps in evidence on the most effective approaches for fully engaging patients/clients and families in their transitional care. The purpose of this study was to engage older adults with multiple chronic conditions and their family members in the detailed exploration of their experiences during transitions across health care settings and identify potential areas for future interventions. This was a qualitative study using participatory visual narrative methods informed by a socio-ecological perspective. Narrated photo walkabouts were conducted with older adults and family members (n = 4 older adults alone, n = 3 family members alone, and n = 2 older adult/family member together) between February and September 2016. The data analysis of the transcripts consisted of an iterative process until consensus on the coding and analysis was reached. A common emerging theme was that older adults and their family members identified the importance of active involvement in managing their own care transitions. Other themes included positive experiences during care transitions; accessing community services and resources; as well as challenges with follow-up care. Participants also felt a lack of meaningful engagement during discharge planning, and they also identified the presence of systemic barriers in care transitions. The results contribute to our understanding that person- and family-centered care transitions should focus on the need for active involvement of older adults and their families in managing care transitions. Based on the results, three areas for improvement specific to older adults managing chronic conditions during care transitions emerged: strengthening support for person- and family-centered care, engaging older adults and families in their care transitions, and providing better support and resources.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 125 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 125 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 14%
Student > Bachelor 12 10%
Student > Ph. D. Student 11 9%
Other 8 6%
Student > Doctoral Student 7 6%
Other 24 19%
Unknown 45 36%
Readers by discipline Count As %
Nursing and Health Professions 33 26%
Social Sciences 9 7%
Medicine and Dentistry 8 6%
Computer Science 4 3%
Psychology 4 3%
Other 16 13%
Unknown 51 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 July 2018.
All research outputs
#18,641,800
of 23,094,276 outputs
Outputs from BMC Health Services Research
#6,572
of 7,739 outputs
Outputs of similar age
#253,013
of 328,092 outputs
Outputs of similar age from BMC Health Services Research
#196
of 212 outputs
Altmetric has tracked 23,094,276 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,739 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,092 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 212 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.