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Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review

INTRODUCTION: The burden of chronic disease is a global phenomenon, particularly among people aged 65 years and older. More than half of older adults have more than one chronic disease and their care is not optimal. Chronic disease management (CDM) tools have the potential to meet this challenge but...

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Autores principales: Kastner, Monika, Perrier, Laure, Hamid, Jemila, Tricco, Andrea C, Cardoso, Roberta, Ivers, Noah M, Liu, Barbara, Marr, Sharon, Holroyd-Leduc, Jayna, Wong, Geoff, Graves, Lisa, Straus, Sharon E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322198/
https://www.ncbi.nlm.nih.gov/pubmed/25649215
http://dx.doi.org/10.1136/bmjopen-2015-007640
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author Kastner, Monika
Perrier, Laure
Hamid, Jemila
Tricco, Andrea C
Cardoso, Roberta
Ivers, Noah M
Liu, Barbara
Marr, Sharon
Holroyd-Leduc, Jayna
Wong, Geoff
Graves, Lisa
Straus, Sharon E
author_facet Kastner, Monika
Perrier, Laure
Hamid, Jemila
Tricco, Andrea C
Cardoso, Roberta
Ivers, Noah M
Liu, Barbara
Marr, Sharon
Holroyd-Leduc, Jayna
Wong, Geoff
Graves, Lisa
Straus, Sharon E
author_sort Kastner, Monika
collection PubMed
description INTRODUCTION: The burden of chronic disease is a global phenomenon, particularly among people aged 65 years and older. More than half of older adults have more than one chronic disease and their care is not optimal. Chronic disease management (CDM) tools have the potential to meet this challenge but they are primarily focused on a single disease, which fails to address the growing number of seniors with multiple chronic conditions. METHODS AND ANALYSIS: We will conduct a systematic review alongside a realist review to identify effective CDM tools that integrate one or more high-burden chronic diseases affecting older adults and to better understand for whom, under what circumstances, how and why they produce their outcomes. We will search MEDLINE, EMBASE, CINAHL, AgeLine and the Cochrane Library for experimental, quasi-experimental, observational and qualitative studies in any language investigating CDM tools that facilitate optimal disease management in one or more high-burden chronic diseases affecting adults aged ≥65 years. Study selection will involve calibration of reviewers to ensure reliability of screening and duplicate assessment of articles. Data abstraction and risk of bias assessment will also be performed independently. Analysis will include descriptive summaries of study and appraisal characteristics, effectiveness of each CDM tool (meta-analysis if appropriate); and a realist programme theory will be developed and refined to explain the outcome patterns within the included studies. ETHICS AND DISSEMINATION: Ethics approval is not required for this study. We anticipate that our findings, pertaining to gaps in care across high-burden chronic diseases affecting seniors and highlighting specific areas that may require more research, will be of interest to a wide range of knowledge users and stakeholders. We will publish and present our findings widely, and also plan more active dissemination strategies such as workshops with our key stakeholders. TRIAL REGISTRATION NUMBER: Our protocol is registered with PROSPERO (registration number CRD42014014489).
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spelling pubmed-43221982015-02-13 Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review Kastner, Monika Perrier, Laure Hamid, Jemila Tricco, Andrea C Cardoso, Roberta Ivers, Noah M Liu, Barbara Marr, Sharon Holroyd-Leduc, Jayna Wong, Geoff Graves, Lisa Straus, Sharon E BMJ Open General practice / Family practice INTRODUCTION: The burden of chronic disease is a global phenomenon, particularly among people aged 65 years and older. More than half of older adults have more than one chronic disease and their care is not optimal. Chronic disease management (CDM) tools have the potential to meet this challenge but they are primarily focused on a single disease, which fails to address the growing number of seniors with multiple chronic conditions. METHODS AND ANALYSIS: We will conduct a systematic review alongside a realist review to identify effective CDM tools that integrate one or more high-burden chronic diseases affecting older adults and to better understand for whom, under what circumstances, how and why they produce their outcomes. We will search MEDLINE, EMBASE, CINAHL, AgeLine and the Cochrane Library for experimental, quasi-experimental, observational and qualitative studies in any language investigating CDM tools that facilitate optimal disease management in one or more high-burden chronic diseases affecting adults aged ≥65 years. Study selection will involve calibration of reviewers to ensure reliability of screening and duplicate assessment of articles. Data abstraction and risk of bias assessment will also be performed independently. Analysis will include descriptive summaries of study and appraisal characteristics, effectiveness of each CDM tool (meta-analysis if appropriate); and a realist programme theory will be developed and refined to explain the outcome patterns within the included studies. ETHICS AND DISSEMINATION: Ethics approval is not required for this study. We anticipate that our findings, pertaining to gaps in care across high-burden chronic diseases affecting seniors and highlighting specific areas that may require more research, will be of interest to a wide range of knowledge users and stakeholders. We will publish and present our findings widely, and also plan more active dissemination strategies such as workshops with our key stakeholders. TRIAL REGISTRATION NUMBER: Our protocol is registered with PROSPERO (registration number CRD42014014489). BMJ Publishing Group 2015-02-03 /pmc/articles/PMC4322198/ /pubmed/25649215 http://dx.doi.org/10.1136/bmjopen-2015-007640 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle General practice / Family practice
Kastner, Monika
Perrier, Laure
Hamid, Jemila
Tricco, Andrea C
Cardoso, Roberta
Ivers, Noah M
Liu, Barbara
Marr, Sharon
Holroyd-Leduc, Jayna
Wong, Geoff
Graves, Lisa
Straus, Sharon E
Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title_full Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title_fullStr Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title_full_unstemmed Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title_short Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
title_sort effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322198/
https://www.ncbi.nlm.nih.gov/pubmed/25649215
http://dx.doi.org/10.1136/bmjopen-2015-007640
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