Crocker, Thomas Frederick orcid.org/0000-0001-7450-3143, Jordão, Magda, Lam, Natalie et al. (9 more authors) (2024) Development of a typology of community-based complex interventions to sustain independence in older people (CII-OP): a qualitative synthesis of interventions in randomised controlled trials. Age and Ageing, 53 (5). afae102. ISSN 0002-0729
Abstract
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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
Keywords: | taxonomy, classification, primary health care practice, rehabilitation therapy, frail, older people |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research NIHR128862 |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Apr 2024 10:08 |
Last Modified: | 04 Jun 2024 14:39 |
Published Version: | https://academic.oup.com/ageing/article/53/5/afae1... |
Status: | Published |
Publisher: | Oxford University Press |
Identification Number: | 10.1093/ageing/afae102 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:211365 |
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