Development of the Community-based complex Interventions to sustain Independence in Older People (CII-OP) typology: a qualitative synthesis of interventions in randomised controlled trials.
Introduction Community-based services to sustain independence for older people have varying configurations. A typology of these interventions would improve service provision and research by providing conceptual clarity and enabling the identification of effective configurations. We aimed to produce...
| Publicado en: | Age & Ageing Vol. 53; no. 5; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=177611521&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 177611521 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: May2024 vid: 53 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 177611521 10.1093/ageing/afae102 ppf: 1 ppct: 12 formats: tig: atl: Development of the Community-based complex Interventions to sustain Independence in Older People (CII-OP) typology: a qualitative synthesis of interventions in randomised controlled trials. aug: au: Crocker, Thomas Frederick Jordão, Magda Lam, Natalie Ramiz, Ridha Mirza, Lubena Patel, Ismail Ellwood, Alison Patetsini, Eleftheria Ensor, Joie Forster, Anne Clegg, Andrew Gladman, John team, The HTA complex interventions review affil: Academic Unit for Ageing and Stroke Research (University of Leeds), Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust , Bradford, UK Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham , Birmingham, UK Centre for Prognosis Research, Keele School of Medicine, Keele University , Keele, UK Centre for Rehabilitation and Ageing Research , Academic Unit of Injury, Inflammation and Recovery Sciences, University of Nottingham Health Care of Older People , Nottingham University Hospitals NHS Trust, Nottingham, UK su: Community health services Home care services Policy sciences Qualitative research Exercise Primary health care Age distribution Psychological adaptation Evaluation of medical care Health education Activities of daily living Old age Independent living Functional status Diet therapy sug: subj: Community health services Home care services Policy sciences Qualitative research Exercise Primary health care Age distribution Psychological adaptation Evaluation of medical care Health education Activities of daily living Old age Community health centres Other local, municipal and regional public administration Other Individual and Family Services All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Home Health Care Services Offices of All Other Miscellaneous Health Practitioners Offices of all other health practitioners Services for the Elderly and Persons with Disabilities Independent living Functional status Diet therapy keyword: activities of daily living classification community exercise frail health education nutritional support older adult older people organizations primary health care practice randomization rehabilitation therapy taxonomy activities of daily living classification community exercise frail health education nutritional support older adult older people organizations primary health care practice randomization rehabilitation therapy taxonomy ab: Introduction Community-based services to sustain independence for older people have varying configurations. A typology of these interventions would improve service provision and research by providing conceptual clarity and enabling the identification of effective configurations. We aimed to produce such a typology. Method We developed our typology by qualitatively synthesising community-based complex interventions to sustain independence in older people, evaluated in randomised controlled trials (RCTs), in four stages: (i) systematically identifying relevant RCTs; (ii) extracting descriptions of interventions (including control) using the Template for Intervention Description and Replication; (iii) generating categories of key intervention features and (iv) grouping the interventions based on these categories. PROSPERO registration: CRD42019162195. Results Our search identified 129 RCTs involving 266 intervention arms. The Community-based complex Interventions to sustain Independence in Older People (CII-OP) typology comprises 14 action components and 5 tailoring components. Action components include procedures for treating patients or otherwise intended to directly improve their outcomes; regular examples include formal homecare; physical exercise; health education; activities of daily living training; providing aids and adaptations and nutritional support. Tailoring components involve a process that may result in care planning, with multiple action components being planned, recommended or prescribed. Multifactorial action from care planning was the most common tailoring component. It involves individualised, multidomain assessment and management, as in comprehensive geriatric assessment. Sixty-three different intervention types (combinations) were identified. Conclusions Our typology provides an empirical basis for service planning and evidence synthesis. We recommend better reporting about organisational aspects of interventions and usual care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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