3a9427f17bd8543361ad566498f3c9ad 334582.pdf ba00c5e37dbfd996db4c6bf60f86b6889e2e56b6 334582.pdf 3bec1e04e67831aa60ccd32e11f6a80b74f07830092c3acae3ddb127031f1c39 334582.pdf Creator: Adobe InDesign 15.1 (Windows) Producer: Adobe PDF Library 15.0 CreationDate: Wed Dec 31 02:58:54 2025 CET ModDate: Wed Dec 31 02:58:56 2025 CET Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 10 Encrypted: no Page size: 595.276 x 793.701 pts Page rot: 0 File size: 693767 bytes Optimized: yes PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JCZAKF+ArialMT CID TrueType Identity-H yes yes yes 407 0 RMGCXP+HelveticaNeueLTStd-BdCn Type 1C Custom yes yes yes 391 0 GUSXUL+HelveticaNeueLTStd-Bd Type 1C WinAnsi yes yes yes 392 0 XPZLYD+HelveticaNeueLTStd-Roman Type 1C Custom yes yes yes 393 0 VMAZWH+HelveticaLTStd-BoldCond Type 1C WinAnsi yes yes yes 406 0 TPFOZL+HelveticaNeueLTStd-Cn Type 1C Custom yes yes yes 411 0 SQVILN+HelveticaNeueLTStd-CnO Type 1C Custom yes yes yes 408 0 CPNKQT+Symbol Type 1C Custom yes yes yes 421 0 BQYECV+NewBaskerville-Roman Type 1C WinAnsi yes yes yes 422 0 WIRFKF+BookAntiqua-Bold TrueType WinAnsi yes yes yes 399 0 TPFOZL+HelveticaNeueLTStd-Cn Type 1C Custom yes yes yes 468 0 SQVILN+HelveticaNeueLTStd-CnO Type 1C Custom yes yes yes 470 0 RMGCXP+HelveticaNeueLTStd-BdCn Type 1C WinAnsi yes yes yes 472 0 TPFOZL+HelveticaNeueLTStd-Cn Type 1C Custom yes yes yes 295 0 SQVILN+HelveticaNeueLTStd-CnO Type 1C Custom yes yes yes 294 0 RMGCXP+HelveticaNeueLTStd-BdCn Type 1C WinAnsi yes yes yes 291 0 MZJNAZ+NewBaskerville-Italic Type 1C WinAnsi yes yes yes 296 0 TPFOZL+HelveticaNeueLTStd-Cn Type 1C Custom yes yes yes 38 0 SQVILN+HelveticaNeueLTStd-CnO Type 1C Custom yes yes yes 40 0 RMGCXP+HelveticaNeueLTStd-BdCn Type 1C WinAnsi yes yes yes 42 0 FMXXGN+SymbolMT CID TrueType Identity-H yes yes yes 305 0 TPFOZL+HelveticaNeueLTStd-Cn Type 1C Custom yes yes yes 309 0 SQVILN+HelveticaNeueLTStd-CnO Type 1C Custom yes yes yes 312 0 RMGCXP+HelveticaNeueLTStd-BdCn Type 1C WinAnsi yes yes yes 307 0 ZDVNAZ+HelveticaNeueLTStd-It Type 1C Custom yes yes yes 316 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-07-30 04:17:29 CEST RepresentationInformation: 334582.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-07-29 13:10:06 CEST Size: 693767 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Linearized PDF PDFMetadata: Objects: 487 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Language: en-US Outlines: Item: Title: Determinants of treatment decisions in advanced dementia: a protocol for a cross-­cultural mixed-­methods study Children: Item: Title: Abstract Item: Title: Introduction Children: Item: Title: Background Item: Title: Research Objectives Children: Item: Title: Methods and Analysis Children: Item: Title: Quantitative research question Item: Title: Quantitative strand Children: Item: Title: Study design, setting and participants Item: Title: Questionnaire and variables Item: Title: Statistical analysis Item: Title: Sample size Item: Title: Quantitative data informing qualitative data collection Item: Title: Qualitative strand Children: Item: Title: Study design Item: Title: Sampling and recruitment Item: Title: Data collection Item: Title: Data analysis Item: Title: Patient and public involvement Item: Title: Integration of quantitative and qualitative findings Item: Title: Methodological rigor Item: Title: Ethics and dissemination Item: Title: Discussion Item: Title: References Info: Creator: Adobe InDesign 15.1 (Windows) Producer: Adobe PDF Library 15.0 CreationDate: Wed Dec 31 03:28:54 CET 2025 ModDate: Wed Dec 31 03:28:56 CET 2025 ID: 0x579335c99eb30f44b1c428ee12cff074, 0x312776eb6aeed64a9d0d23de49651f8e Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 2586 ImageHeight: 1402 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1775 ImageHeight: 677 ColorSpace: black is zero BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Fonts: Type0: Font: BaseFont: FMXXGN+SymbolMT Encoding: Identity-H ToUnicode: true Font: BaseFont: JCZAKF+ArialMT Encoding: Identity-H ToUnicode: true Type1: Font: BaseFont: CPNKQT+Symbol FontSubset: true FirstChar: 28 LastChar: 31 FontDescriptor: FontName: CPNKQT+Symbol Flags: Symbolic FontBBox: -180, -293, 1090, 1010 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: BQYECV+NewBaskerville-Roman FontSubset: true FirstChar: 32 LastChar: 151 FontDescriptor: FontName: BQYECV+NewBaskerville-Roman Flags: Serif, Nonsymbolic FontBBox: -205, -272, 1207, 906 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: VMAZWH+HelveticaLTStd-BoldCond FontSubset: true FirstChar: 32 LastChar: 116 FontDescriptor: FontName: VMAZWH+HelveticaLTStd-BoldCond Flags: Nonsymbolic FontBBox: -169, -250, 1091, 991 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: RMGCXP+HelveticaNeueLTStd-BdCn FontSubset: true FirstChar: 31 LastChar: 121 FontDescriptor: FontName: RMGCXP+HelveticaNeueLTStd-BdCn Flags: Nonsymbolic FontBBox: -164, -224, 1066, 961 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: SQVILN+HelveticaNeueLTStd-CnO FontSubset: true FirstChar: 31 LastChar: 116 FontDescriptor: FontName: SQVILN+HelveticaNeueLTStd-CnO Flags: Nonsymbolic, Italic FontBBox: -171, -272, 1068, 932 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: GUSXUL+HelveticaNeueLTStd-Bd FontSubset: true FirstChar: 32 LastChar: 121 FontDescriptor: FontName: GUSXUL+HelveticaNeueLTStd-Bd Flags: Nonsymbolic FontBBox: -166, -218, 1078, 975 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MZJNAZ+NewBaskerville-Italic FontSubset: true FirstChar: 110 LastChar: 116 FontDescriptor: FontName: MZJNAZ+NewBaskerville-Italic Flags: Serif, Nonsymbolic, Italic FontBBox: -138, -274, 1347, 906 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: XPZLYD+HelveticaNeueLTStd-Roman FontSubset: true FirstChar: 30 LastChar: 252 FontDescriptor: FontName: XPZLYD+HelveticaNeueLTStd-Roman Flags: Nonsymbolic FontBBox: -166, -214, 1076, 952 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: TPFOZL+HelveticaNeueLTStd-Cn FontSubset: true FirstChar: 29 LastChar: 233 FontDescriptor: FontName: TPFOZL+HelveticaNeueLTStd-Cn Flags: Nonsymbolic FontBBox: -164, -212, 1000, 932 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: ZDVNAZ+HelveticaNeueLTStd-It FontSubset: true FirstChar: 30 LastChar: 121 FontDescriptor: FontName: ZDVNAZ+HelveticaNeueLTStd-It Flags: Nonsymbolic, Italic FontBBox: -166, -214, 1106, 957 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true TrueType: Font: BaseFont: WIRFKF+BookAntiqua-Bold FontSubset: true FirstChar: 32 LastChar: 121 FontDescriptor: FontName: WIRFKF+BookAntiqua-Bold Flags: Serif, Nonsymbolic FontBBox: -134, -337, 1193, 1021 FontFile2: true Encoding: WinAnsiEncoding ToUnicode: true CIDFontType2: Font: BaseFont: JCZAKF+ArialMT CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: JCZAKF+ArialMT Flags: Symbolic FontBBox: -665, -325, 2000, 1006 FontFile2: true Font: BaseFont: FMXXGN+SymbolMT CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: FMXXGN+SymbolMT Flags: Symbolic FontBBox: 0, -220, 1113, 1005 FontFile2: true XMP: doi:bmjopen-2025-105188 application/pdf 2025-12-31T07:28:54+05:30 2025-12-31T07:28:56+05:30 2025-12-31T07:28:56+05:30 Adobe InDesign 15.1 (Windows) uuid:fe0c5105-4fbf-4514-8187-fa38851c0841 xmp.did:B2C59A163194E611BD009A7CB80B8EC7 xmp.id:f30deb03-2194-f649-81d0-d779233ec74d proof:pdf xmp.iid:186e0427-8d0d-af49-9d95-a2e73ca3de4b xmp.did:666bd237-0147-0048-88cb-0b852e92abc0 xmp.did:B2C59A163194E611BD009A7CB80B8EC7 default converted from application/x-indesign to application/pdf Adobe InDesign 15.1 (Windows) / 2025-12-31T07:28:54+05:30 15a7d981-e990-4072-94ca-3960ad34f4aa Adobe PDF Library 15.0 False Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 38, 34, 91, 19 Annotation: Subtype: Link Rect: 235, 648, 244, 635 Annotation: Subtype: Link Rect: 375, 648, 384, 635 Annotation: Subtype: Link Rect: 194, 622, 203, 609 Annotation: Subtype: Link Rect: 418, 622, 427, 609 Annotation: Subtype: Link Rect: 62, 399, 133, 390 Annotation: Subtype: Link Rect: 40, 389, 110, 380 Annotation: Subtype: Link Rect: 38, 197, 134, 174 Annotation: Subtype: Link Rect: 200, 100, 204, 88 ActionDest: 150 Annotation: Subtype: Link Rect: 551, 267, 554, 255 ActionDest: 150 Annotation: Subtype: Link Rect: 487, 243, 491, 231 ActionDest: 150 Annotation: Subtype: Link Rect: 422, 135, 436, 123 ActionDest: 150 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 86, 747, 103, 735 ActionDest: 150 Annotation: Subtype: Link Rect: 61, 711, 68, 699 ActionDest: 150 Annotation: Subtype: Link Rect: 187, 651, 203, 639 ActionDest: 150 Annotation: Subtype: Link Rect: 203, 567, 210, 555 ActionDest: 150 Annotation: Subtype: Link Rect: 153, 543, 169, 531 ActionDest: 150 Annotation: Subtype: Link Rect: 430, 675, 436, 663 ActionDest: 150 Annotation: Subtype: Link Rect: 404, 651, 411, 639 ActionDest: 150 Annotation: Subtype: Link Rect: 487, 628, 494, 615 ActionDest: 150 Annotation: Subtype: Link Rect: 424, 603, 431, 591 ActionDest: 150 Annotation: Subtype: Link Rect: 539, 423, 554, 411 ActionDest: 150 Annotation: Subtype: Link Rect: 419, 387, 426, 375 ActionDest: 150 Annotation: Subtype: Link Rect: 532, 63, 538, 51 ActionDest: 150 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 237, 384, 271, 372 ActionDest: 28 Annotation: Subtype: Link Rect: 278, 384, 284, 372 ActionDest: 150 Annotation: Subtype: Link Rect: 311, 63, 455, 51 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 223, 711, 288, 699 Annotation: Subtype: Link Rect: 40, 699, 122, 687 Annotation: Subtype: Link Rect: 179, 651, 186, 639 ActionDest: 150 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 281, 459, 288, 447 ActionDest: 150 Annotation: Subtype: Link Rect: 168, 375, 175, 363 ActionDest: 150 Annotation: Subtype: Link Rect: 172, 294, 179, 282 ActionDest: 150 Annotation: Subtype: Link Rect: 306, 579, 451, 567 Annotation: Subtype: Link Rect: 380, 555, 387, 543 ActionDest: 239 Annotation: Subtype: Link Rect: 472, 484, 479, 473 ActionDest: 150 Annotation: Subtype: Link Rect: 335, 472, 342, 461 ActionDest: 239 Annotation: Subtype: Link Rect: 338, 448, 374, 437 ActionDest: 58 Annotation: Subtype: Link Rect: 311, 388, 453, 377 Annotation: Subtype: Link Rect: 454, 282, 461, 270 ActionDest: 239 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 281, 723, 288, 711 ActionDest: 239 Annotation: Subtype: Link Rect: 44, 603, 81, 591 ActionDest: 58 Annotation: Subtype: Link Rect: 82, 459, 89, 447 ActionDest: 239 Annotation: Subtype: Link Rect: 227, 423, 234, 411 ActionDest: 239 Annotation: Subtype: Link Rect: 65, 351, 72, 339 ActionDest: 239 Annotation: Subtype: Link Rect: 96, 255, 242, 243 Annotation: Subtype: Link Rect: 205, 135, 277, 123 Annotation: Subtype: Link Rect: 342, 723, 358, 711 ActionDest: 150 Annotation: Subtype: Link Rect: 328, 699, 334, 687 ActionDest: 239 Annotation: Subtype: Link Rect: 547, 687, 554, 675 ActionDest: 239 Annotation: Subtype: Link Rect: 401, 567, 408, 555 ActionDest: 239 Annotation: Subtype: Link Rect: 363, 531, 370, 519 ActionDest: 239 Annotation: Subtype: Link Rect: 527, 519, 534, 507 ActionDest: 239 Annotation: Subtype: Link Rect: 342, 351, 357, 339 ActionDest: 239 Annotation: Subtype: Link Rect: 480, 339, 487, 327 ActionDest: 239 Annotation: Subtype: Link Rect: 425, 219, 440, 207 ActionDest: 150 Annotation: Subtype: Link Rect: 525, 111, 541, 99 ActionDest: 150 Annotation: Subtype: Link Rect: 547, 63, 554, 51 ActionDest: 239 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 49, 228, 65, 216 ActionDest: 239 Annotation: Subtype: Link Rect: 281, 99, 288, 87 ActionDest: 239 Annotation: Subtype: Link Rect: 86, 63, 93, 51 ActionDest: 239 Annotation: Subtype: Link Rect: 480, 276, 510, 264 ActionDest: 122 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 260, 316, 267, 304 ActionDest: 239 Annotation: Subtype: Link Rect: 100, 207, 116, 196 ActionDest: 150 Annotation: Subtype: Link Rect: 167, 159, 173, 147 ActionDest: 239 Annotation: Subtype: Link Rect: 348, 480, 355, 468 ActionDest: 239 Annotation: Subtype: Link Rect: 346, 286, 353, 274 ActionDest: 239 Annotation: Subtype: Link Rect: 343, 237, 350, 226 ActionDest: 150 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 114, 284, 258, 275 Annotation: Subtype: Link Rect: 91, 257, 211, 248 Annotation: Subtype: Link Rect: 106, 247, 225, 238 Annotation: Subtype: Link Rect: 67, 238, 187, 228 Annotation: Subtype: Link Rect: 101, 228, 220, 219 Annotation: Subtype: Link Rect: 122, 172, 159, 163 Annotation: Subtype: Link Rect: 230, 163, 288, 154 Annotation: Subtype: Link Rect: 249, 129, 274, 120 Annotation: Subtype: Link Rect: 56, 121, 100, 112 Annotation: Subtype: Link Rect: 210, 95, 274, 86 Annotation: Subtype: Link Rect: 149, 61, 190, 52 Annotation: Subtype: Link Rect: 358, 729, 408, 720 Annotation: Subtype: Link Rect: 539, 712, 553, 703 Annotation: Subtype: Link Rect: 322, 703, 358, 694 Annotation: Subtype: Link Rect: 532, 677, 552, 668 Annotation: Subtype: Link Rect: 322, 668, 360, 660 Annotation: Subtype: Link Rect: 403, 642, 460, 634 Annotation: Subtype: Link Rect: 496, 616, 544, 608 Annotation: Subtype: Link Rect: 322, 608, 343, 599 Annotation: Subtype: Link Rect: 463, 582, 552, 573 Annotation: Subtype: Link Rect: 438, 556, 516, 547 Annotation: Subtype: Link Rect: 541, 521, 551, 512 Annotation: Subtype: Link Rect: 322, 512, 387, 504 Annotation: Subtype: Link Rect: 518, 486, 552, 478 Annotation: Subtype: Link Rect: 322, 478, 352, 469 Annotation: Subtype: Link Rect: 528, 452, 548, 443 Annotation: Subtype: Link Rect: 411, 426, 493, 417 Annotation: Subtype: Link Rect: 322, 400, 346, 391 Annotation: Subtype: Link Rect: 434, 374, 533, 365 Annotation: Subtype: Link Rect: 420, 339, 469, 330 Annotation: Subtype: Link Rect: 442, 322, 523, 313 Annotation: Subtype: Link Rect: 477, 287, 493, 278 Annotation: Subtype: Link Rect: 492, 252, 550, 244 Annotation: Subtype: Link Rect: 322, 244, 337, 235 Annotation: Subtype: Link Rect: 515, 218, 547, 209 Annotation: Subtype: Link Rect: 322, 209, 349, 200 Annotation: Subtype: Link Rect: 358, 192, 437, 183 Annotation: Subtype: Link Rect: 508, 183, 532, 174 Annotation: Subtype: Link Rect: 322, 174, 538, 166 Annotation: Subtype: Link Rect: 511, 148, 544, 140 Annotation: Subtype: Link Rect: 322, 140, 345, 131 Annotation: Subtype: Link Rect: 322, 114, 522, 105 Annotation: Subtype: Link Rect: 353, 62, 407, 53 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 90, 729, 157, 720 Annotation: Subtype: Link Rect: 146, 650, 200, 641 Annotation: Subtype: Link Rect: 97, 624, 151, 615 Annotation: Subtype: Link Rect: 181, 571, 196, 563 Annotation: Subtype: Link Rect: 178, 536, 278, 528 Annotation: Subtype: Link Rect: 56, 528, 115, 519 Annotation: Subtype: Link Rect: 154, 510, 212, 501 Annotation: Subtype: Link Rect: 161, 475, 198, 466 Annotation: Subtype: Link Rect: 114, 466, 173, 457 Annotation: Subtype: Link Rect: 467, 738, 521, 729 Annotation: Subtype: Link Rect: 500, 704, 543, 695 Annotation: Subtype: Link Rect: 322, 696, 352, 687 Annotation: Subtype: Link Rect: 411, 653, 475, 644 Annotation: Subtype: Link Rect: 378, 636, 437, 627 Annotation: Subtype: Link Rect: 448, 619, 543, 610 Annotation: Subtype: Link Rect: 322, 611, 357, 602 Annotation: Subtype: Link Rect: 322, 585, 383, 576 Annotation: Subtype: Link Rect: 322, 560, 386, 551 Annotation: Subtype: Link Rect: 521, 534, 540, 525 Annotation: Subtype: Link Rect: 322, 526, 360, 517 Annotation: Subtype: Link Rect: 499, 500, 542, 491 Annotation: Subtype: Link Rect: 322, 492, 337, 483 Annotation: Subtype: Link Rect: 453, 475, 534, 466 Checksum: 06cc3023 Type: CRC32 Checksum: 3a9427f17bd8543361ad566498f3c9ad Type: MD5 Checksum: ba00c5e37dbfd996db4c6bf60f86b6889e2e56b6 Type: SHA-1 Checksum: 3bec1e04e67831aa60ccd32e11f6a80b74f07830092c3acae3ddb127031f1c39 Type: SHA-256