Implementation of hospital-initiated complex interventions for adult people with multiple long-term conditions: a scoping review

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 21, 2025

The increasing prevalence of multiple long-term conditions (MLTC) presents significant challenges to healthcare delivery globally. Although interventions for have predominantly been designed and evaluated in primary care settings, there is a growing recognition the need address management MLTC within secondary care. This scoping review aims comprehensively evaluate hospital-initiated complex people with MLTC. We searched MEDLINE, Embase, PsycINFO, CINAHL Plus Cochrane Library identify published studies from Jan 1, 2010, evaluating initiated adults (aged ≥ 18 years) (PROSPERO: CRD42024498448). Studies reporting patients frailty only, one condition or orthogeriatric that did not focus solely on were excluded. outcome measures characteristics these measured as: (i) intervention components, (ii) stakeholders involved; (iii) implementation strategies, reported according theoretical framework (Expert Recommendations Implementing Change). Secondary clinical cost implications interventions, feasibility sustainability, defined World Health Organisation framework. identified 70 (56,111 participants). Twelve components 52 combinations; most common medication optimisation (n = 39), chronic disease 34) providing detailed plans 23). Majority included two more 49) delivered by 38). Of eleven strategies reported, training educating stakeholders, establishing integrated wards clinics regular multidisciplinary team meetings common. combinations groups associated improved outcomes 43/70, 61.4%), yet eight costs. However, embedding education delivering outcomes, irrespective number professionals involved. single centre limited evaluation broader measures. Hospital-initiated involve may be feasible appear clinically useful To strengthen impact support wider scale-up across health systems, closing knowledge gaps around cost-implications improve through will crucial.

Language: Английский

Educational Needs and Priorities of People with Diabetes and Healthcare Providers in South Korea: A Mixed-Methods Study

Journal of Transcultural Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 29, 2024

Introduction: Effective self-care for managing diabetes requires culturally sensitive and patient-centered education. This study explored the educational needs priorities of people with (PWD) healthcare providers (HCPs). Method: A mixed-methods approach was employed participants from a university-affiliated hospital in South Korea. Descriptive content analyses were used questionnaire interview data. Results: Both PWD (n=33) HCPs (n=42) ranked diabetes-related side-effect management medication purpose as most important aspects had higher regarding diagnosed diseases lifestyle modifications than HCPs. Three themes revealed: incorporating changes taking, collaborating caregivers providing care to meet person-centered mental health needs, enhancing education on disease complications. Discussion: Culturally programs that recognize communal values, reflect individual preferences promote by leveraging technologies Korean are crucial.

Language: Английский

Comparing the Effectiveness between mHealth and Face-to-Face Self-Management Programs for Thai Civil Servants with Uncontrolled Hypertension: A Quasi-Experimental Study

Pacific Rim International Journal of Nursing Research, Journal Year: 2024, Volume and Issue: 29(1), P. 73 - 90

Published: Dec. 13, 2024

Uncontrolled hypertension increases the risk of complications and premature death, which is a significant global public health concern. Self-management concept that involves personal strategies to create self-awareness leads changes in self-management behavior. This quasi-experimental study compares behaviors for controlling hypertension: restriction sodium intake, alcohol consumption, smoking cessation, stress reduction, increased exercise between mHealth Face-to-Face programs. The participants comprised 50 civil servants affiliated with Secretariat House Representatives, whom 25 received program, program. Group assignments conducted simple random sampling matched age, gender, education level matching. Research tools included two programs, Self-Awareness Assessment Self-Management Behaviors instruments. Descriptive statistics, chi-square test, t-test, Wilcoxon signed-rank Mann-Whitney U test were used analyze data. findings indicate that, after experiment, group showed statistically significantly higher mean rank than group. confirmed program’s effectiveness over Program increasing at 12 weeks. Nurses can integrate this program promote among Thai people who have access LINE application communication prevent new cases control hypertension. However, further testing other population groups required before it be widely nationally.

Language: Английский