What is the value of attendance at palliative day care? A systematic review

W George Kernohan, Kevin Brazil, Joanne Jordan, Sonja McIlfatrick, Felicity Hasson, Jo Coast, Louise Jones, Kathy Armour, Anne Finucane, Lisa Graham

Research output: Contribution to journalArticle

Abstract

Background: Previous systematic reviews of evidence of the (cost) effectiveness of palliative care day services (PCDS) have been limited due to a lack of primary research and self-imposed limitations on included studies. Furthermore, the last reviews were published in 2011. As the sustained growth in PCDS was likely to have an associated research output, another review was timely to update the evidence base.Aims & Methods To evaluate the effectiveness of clinical, psychological, social and spiritual interventions offered to adults attending PCDS, we adopted a fully systematic approach, involving independent review within a research team. We included primary and review level evidence; published and grey literature; papers in languages other than English, and studies that focus on adults with both malignant and non-malignant disease. We searched a comprehensive range of electronic databases, as well as hand-search other sources and contacted relevant authors and content experts. Included studies were quality-appraised and the certainty of evidence assessed. We used expert advice to synthesise quantitative data; the framework approach to synthesise qualitative data; a narrative synthesis for cost-effectiveness data, and; an overarching narrative synthesis to bring together the quantitative and qualitative evidence in the form of a logic model.Results: Our logic model identifies relevant components of the intervention and context in which it is implemented, and links these to specific impacts or outcomes through the identification of moderators and/or short-term outcomes. This process enables the development of theoretical propositions concerning which factors, and mechanisms of interaction, are likely to lead to which outcomes.Conclusions The review represents an innovative integration of quantitative and qualitative data that provides a rigorous, systematically derived evidence base concerning the effectiveness of interventions currently offered within PCDS, including evidence concerning the circumstances in which effectiveness is (not) achieved.
LanguageEnglish
JournalPalliative Medicine
Volume1
DOIs
Publication statusPublished - Mar 2016

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Palliative Care
Cost-Benefit Analysis
Research
Literature
Language
Databases
Psychology
Growth

Keywords

  • Palliative Day Care

Cite this

Kernohan, W George ; Brazil, Kevin ; Jordan, Joanne ; McIlfatrick, Sonja ; Hasson, Felicity ; Coast, Jo ; Jones, Louise ; Armour, Kathy ; Finucane, Anne ; Graham, Lisa. / What is the value of attendance at palliative day care? A systematic review. In: Palliative Medicine. 2016 ; Vol. 1.
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What is the value of attendance at palliative day care? A systematic review. / Kernohan, W George; Brazil, Kevin; Jordan, Joanne; McIlfatrick, Sonja; Hasson, Felicity; Coast, Jo; Jones, Louise; Armour, Kathy; Finucane, Anne; Graham, Lisa.

In: Palliative Medicine, Vol. 1, 03.2016.

Research output: Contribution to journalArticle

TY - JOUR

T1 - What is the value of attendance at palliative day care? A systematic review

AU - Kernohan, W George

AU - Brazil, Kevin

AU - Jordan, Joanne

AU - McIlfatrick, Sonja

AU - Hasson, Felicity

AU - Coast, Jo

AU - Jones, Louise

AU - Armour, Kathy

AU - Finucane, Anne

AU - Graham, Lisa

N1 - Details of paper presented at Palliative Care Congress, Glasgow, March 2016

PY - 2016/3

Y1 - 2016/3

N2 - Background: Previous systematic reviews of evidence of the (cost) effectiveness of palliative care day services (PCDS) have been limited due to a lack of primary research and self-imposed limitations on included studies. Furthermore, the last reviews were published in 2011. As the sustained growth in PCDS was likely to have an associated research output, another review was timely to update the evidence base.Aims & Methods To evaluate the effectiveness of clinical, psychological, social and spiritual interventions offered to adults attending PCDS, we adopted a fully systematic approach, involving independent review within a research team. We included primary and review level evidence; published and grey literature; papers in languages other than English, and studies that focus on adults with both malignant and non-malignant disease. We searched a comprehensive range of electronic databases, as well as hand-search other sources and contacted relevant authors and content experts. Included studies were quality-appraised and the certainty of evidence assessed. We used expert advice to synthesise quantitative data; the framework approach to synthesise qualitative data; a narrative synthesis for cost-effectiveness data, and; an overarching narrative synthesis to bring together the quantitative and qualitative evidence in the form of a logic model.Results: Our logic model identifies relevant components of the intervention and context in which it is implemented, and links these to specific impacts or outcomes through the identification of moderators and/or short-term outcomes. This process enables the development of theoretical propositions concerning which factors, and mechanisms of interaction, are likely to lead to which outcomes.Conclusions The review represents an innovative integration of quantitative and qualitative data that provides a rigorous, systematically derived evidence base concerning the effectiveness of interventions currently offered within PCDS, including evidence concerning the circumstances in which effectiveness is (not) achieved.

AB - Background: Previous systematic reviews of evidence of the (cost) effectiveness of palliative care day services (PCDS) have been limited due to a lack of primary research and self-imposed limitations on included studies. Furthermore, the last reviews were published in 2011. As the sustained growth in PCDS was likely to have an associated research output, another review was timely to update the evidence base.Aims & Methods To evaluate the effectiveness of clinical, psychological, social and spiritual interventions offered to adults attending PCDS, we adopted a fully systematic approach, involving independent review within a research team. We included primary and review level evidence; published and grey literature; papers in languages other than English, and studies that focus on adults with both malignant and non-malignant disease. We searched a comprehensive range of electronic databases, as well as hand-search other sources and contacted relevant authors and content experts. Included studies were quality-appraised and the certainty of evidence assessed. We used expert advice to synthesise quantitative data; the framework approach to synthesise qualitative data; a narrative synthesis for cost-effectiveness data, and; an overarching narrative synthesis to bring together the quantitative and qualitative evidence in the form of a logic model.Results: Our logic model identifies relevant components of the intervention and context in which it is implemented, and links these to specific impacts or outcomes through the identification of moderators and/or short-term outcomes. This process enables the development of theoretical propositions concerning which factors, and mechanisms of interaction, are likely to lead to which outcomes.Conclusions The review represents an innovative integration of quantitative and qualitative data that provides a rigorous, systematically derived evidence base concerning the effectiveness of interventions currently offered within PCDS, including evidence concerning the circumstances in which effectiveness is (not) achieved.

KW - Palliative Day Care

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U2 - 10.1177/0269216316631462

DO - 10.1177/0269216316631462

M3 - Article

VL - 1

JO - Palliative Medicine

T2 - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

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