Abstract / Description of output
Objective: This umbrella review aims to synthesize evidence on the effectiveness of holistic assessment-based interventions (HABIs) in improving health outcomes in adults (aged ≥ 18) with multiple long-term conditions (MLTCs) and/or frailty in community and hospital settings.
Introduction: Health systems need evidence-based, effective interventions to improve health outcomes for adults with MLTCs. Holistic assessment-based interventions are effective in older people admitted to the hospital (usually called Comprehensive Geriatric Assessment in that context) but the evidence that similar interventions are effective in the community is inconclusive.
Inclusion criteria: We will include systematic reviews published since 2010 in English which examine the effectiveness of community and/or hospital HABIs in improving health outcomes among community-dwelling and hospitalized adults aged ≥ 18 with MLTCs and/or frailty.
Methods: We will perform systematic searches in MEDLINE, EMBASE, PsycINFO, CINAHL Plus, Scopus, ASSIA, Cochrane Library, and TRIP Medical Database and manually search reference lists of included reviews for additional eligible reviews. Two reviewers will independently screen titles and abstracts for eligibility, and then screen potentially eligible full-texts against selection criteria. We will assess the methodological quality of included reviews using the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses tool and extract data using an adapted and piloted JBI data extraction tool. The summary of findings will be presented in tabular form, with narrative descriptions and visual indications accompanying the tabulated results. The citation matrix will be generated and the corrected covered area calculated to analyze the overlap in primary studies included in reviews.
Introduction: Health systems need evidence-based, effective interventions to improve health outcomes for adults with MLTCs. Holistic assessment-based interventions are effective in older people admitted to the hospital (usually called Comprehensive Geriatric Assessment in that context) but the evidence that similar interventions are effective in the community is inconclusive.
Inclusion criteria: We will include systematic reviews published since 2010 in English which examine the effectiveness of community and/or hospital HABIs in improving health outcomes among community-dwelling and hospitalized adults aged ≥ 18 with MLTCs and/or frailty.
Methods: We will perform systematic searches in MEDLINE, EMBASE, PsycINFO, CINAHL Plus, Scopus, ASSIA, Cochrane Library, and TRIP Medical Database and manually search reference lists of included reviews for additional eligible reviews. Two reviewers will independently screen titles and abstracts for eligibility, and then screen potentially eligible full-texts against selection criteria. We will assess the methodological quality of included reviews using the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses tool and extract data using an adapted and piloted JBI data extraction tool. The summary of findings will be presented in tabular form, with narrative descriptions and visual indications accompanying the tabulated results. The citation matrix will be generated and the corrected covered area calculated to analyze the overlap in primary studies included in reviews.
| Original language | English |
|---|---|
| Pages (from-to) | 1863-1878 |
| Number of pages | 16 |
| Journal | JBI evidence synthesis |
| Volume | 21 |
| Issue number | 9 |
| Early online date | 4 May 2023 |
| DOIs | |
| Publication status | Published - 1 Sept 2023 |
Keywords / Materials (for Non-textual outputs)
- multiple long-term conditions
- multimorbidity
- frailty
- umbrella review
- protocol
- holistic assessment