دورية أكاديمية
Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis
| العنوان: | Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis |
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| المؤلفون: | Crocker, Thomas F, Ensor, Joie, Lam, Natalie, Jordão, Magda, Bajpai, Ram, Bond, Matthew, Forster, Anne, Riley, Richard D, Andre, Deirdre, Brundle, Caroline, Ellwood, Alison, Green, John, Hale, Matthew, Mirza, Lubena, Morgan, Jessica, Patel, Ismail, Patetsini, Eleftheria, Prescott, Matthew, Ramiz, Ridha, Todd, Oliver, Walford, Rebecca, Gladman, John, Clegg, Andrew |
| بيانات النشر: | BMJ Publishing Group Ltd |
| سنة النشر: | 2024 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | RESEARCH |
| الوصف: | Objective To synthesise evidence of the effectiveness of community based complex interventions, grouped according to their intervention components, to sustain independence for older people. Design Systematic review and network meta-analysis. Data sources Medline, Embase, CINAHL, PsycINFO, CENTRAL, clinicaltrials.gov, and International Clinical Trials Registry Platform from inception to 9 August 2021 and reference lists of included studies. Eligibility criteria Randomised controlled trials or cluster randomised controlled trials with ≥24 weeks’ follow-up studying community based complex interventions for sustaining independence in older people (mean age ≥65 years) living at home, with usual care, placebo, or another complex intervention as comparators. Main outcomes Living at home, activities of daily living (personal/instrumental), care home placement, and service/economic outcomes at 12 months. Data synthesis Interventions were grouped according to a specifically developed typology. Random effects network meta-analysis estimated comparative effects; Cochrane’s revised tool (RoB 2) structured risk of bias assessment. Grading of recommendations assessment, development and evaluation (GRADE) network meta-analysis structured certainty assessment. Results The review included 129 studies (74 946 participants). Nineteen intervention components, including “multifactorial action from individualised care planning” (a process of multidomain assessment and management leading to tailored actions), were identified in 63 combinations. For living at home, compared with no intervention/placebo, evidence favoured multifactorial action from individualised care planning including medication review and regular follow-ups (routine review) (odds ratio 1.22, 95% confidence interval 0.93 to 1.59; moderate certainty); multifactorial action from individualised care planning including medication review without regular follow-ups (2.55, 0.61 to 10.60; low certainty); combined cognitive training, medication review, nutritional support, and ... |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| العلاقة: | http://www.bmj.com/cgi/content/short/384/mar21_15/e077764Test; http://dx.doi.org/10.1136/bmj-2023-077764Test |
| DOI: | 10.1136/bmj-2023-077764 |
| الإتاحة: | https://doi.org/10.1136/bmj-2023-077764Test http://www.bmj.com/cgi/content/short/384/mar21_15/e077764Test |
| حقوق: | Copyright (C) 2024, BMJ Publishing Group Ltd |
| رقم الانضمام: | edsbas.E0E951A8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmj-2023-077764 |
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