Abstract Background: Personalised care planning (PCP) interventions have potential to provide better outcomes for older people and are a key focus in primary care practice. Behaviour change techniques (BCTs) can maximise effectiveness of such interventions, but it is uncertain which BCTs are most appropriate in PCP for older adults. Aim: To identify BCTs used in successful PCP interventions for older people aged 65+. Design and setting: Systematic review. Method: We searched 12 databases from date of inception to September 31st 2017. We identified randomised controlled trials (RCTs) of interventions involving participants aged 65+ and contextually related to PCP. Five areas of risk of bias were assessed. The Michie et al. BCT Taxonomy was used for coding. Results: Twenty-three RCTs involving 6489 participants (average age 74) described PCP interventions targeting the general older adult population and older people with specific long-term conditions (e.g. heart disease, diabetes, stroke). Just over half of the studies were deemed low risk of bias. Eleven ‘promising’ BCTs were identified in five trials reporting significant improvements in quality of life (QoL). Six BCTs were reported in all five of these trials: ‘goal setting’, ‘action planning’, ‘problem solving’, ‘social support’, ‘instructions on how to perform a behaviour’ and ‘information on health consequences’. Modes of delivery varied. Conclusion: Future PCP interventions to improve QoL for people aged 65+ may benefit from focusing on six specific BCTs. Better reporting of BCTs would enhance future design and implementation of such interventions.
CORE (COnnecting REpositories)
CORE (COnnecting REpositories)