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Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review

The healthcare burden of patients with multimorbidity may negatively affect their family lives, leisure time and professional activities. This mixed methods systematic review synthesizes studies to assess how multimorbidity affects the everyday lives of middle-aged persons, and identifies skills and...

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Autores principales: González-González, Ana Isabel, Brünn, Robin, Nothacker, Julia, Schwarz, Christine, Nury, Edris, Dinh, Truc Sophia, Brueckle, Maria-Sophie, Dieckelmann, Mirjam, Müller, Beate Sigrid, van den Akker, Marjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751163/
https://www.ncbi.nlm.nih.gov/pubmed/35010264
http://dx.doi.org/10.3390/ijerph19010006
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author González-González, Ana Isabel
Brünn, Robin
Nothacker, Julia
Schwarz, Christine
Nury, Edris
Dinh, Truc Sophia
Brueckle, Maria-Sophie
Dieckelmann, Mirjam
Müller, Beate Sigrid
van den Akker, Marjan
author_facet González-González, Ana Isabel
Brünn, Robin
Nothacker, Julia
Schwarz, Christine
Nury, Edris
Dinh, Truc Sophia
Brueckle, Maria-Sophie
Dieckelmann, Mirjam
Müller, Beate Sigrid
van den Akker, Marjan
author_sort González-González, Ana Isabel
collection PubMed
description The healthcare burden of patients with multimorbidity may negatively affect their family lives, leisure time and professional activities. This mixed methods systematic review synthesizes studies to assess how multimorbidity affects the everyday lives of middle-aged persons, and identifies skills and resources that may help them overcome that burden. Two independent reviewers screened title/abstracts/full texts in seven databases, extracted data and used the Mixed Methods Appraisal Tool (MMAT) to assess risk of bias (RoB). We synthesized findings from 44 studies (49,519 patients) narratively and, where possible, quantitatively. Over half the studies provided insufficient information to assess representativeness or response bias. Two studies assessed global functioning, 15 examined physical functioning, 18 psychosocial functioning and 28 work functioning. Nineteen studies explored skills and resources that help people cope with multimorbidity. Middle-aged persons with multimorbidity have greater impairment in global, physical and psychosocial functioning, as well as lower employment rates and work productivity, than those without. Certain skills and resources help them cope with their everyday lives. To provide holistic and dynamic health care plans that meet the needs of middle-aged persons, health professionals need greater understanding of the experience of coping with multimorbidity and the associated healthcare burden.
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spelling pubmed-87511632022-01-12 Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review González-González, Ana Isabel Brünn, Robin Nothacker, Julia Schwarz, Christine Nury, Edris Dinh, Truc Sophia Brueckle, Maria-Sophie Dieckelmann, Mirjam Müller, Beate Sigrid van den Akker, Marjan Int J Environ Res Public Health Review The healthcare burden of patients with multimorbidity may negatively affect their family lives, leisure time and professional activities. This mixed methods systematic review synthesizes studies to assess how multimorbidity affects the everyday lives of middle-aged persons, and identifies skills and resources that may help them overcome that burden. Two independent reviewers screened title/abstracts/full texts in seven databases, extracted data and used the Mixed Methods Appraisal Tool (MMAT) to assess risk of bias (RoB). We synthesized findings from 44 studies (49,519 patients) narratively and, where possible, quantitatively. Over half the studies provided insufficient information to assess representativeness or response bias. Two studies assessed global functioning, 15 examined physical functioning, 18 psychosocial functioning and 28 work functioning. Nineteen studies explored skills and resources that help people cope with multimorbidity. Middle-aged persons with multimorbidity have greater impairment in global, physical and psychosocial functioning, as well as lower employment rates and work productivity, than those without. Certain skills and resources help them cope with their everyday lives. To provide holistic and dynamic health care plans that meet the needs of middle-aged persons, health professionals need greater understanding of the experience of coping with multimorbidity and the associated healthcare burden. MDPI 2021-12-21 /pmc/articles/PMC8751163/ /pubmed/35010264 http://dx.doi.org/10.3390/ijerph19010006 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
González-González, Ana Isabel
Brünn, Robin
Nothacker, Julia
Schwarz, Christine
Nury, Edris
Dinh, Truc Sophia
Brueckle, Maria-Sophie
Dieckelmann, Mirjam
Müller, Beate Sigrid
van den Akker, Marjan
Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title_full Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title_fullStr Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title_full_unstemmed Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title_short Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review
title_sort everyday lives of middle-aged persons with multimorbidity: a mixed methods systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751163/
https://www.ncbi.nlm.nih.gov/pubmed/35010264
http://dx.doi.org/10.3390/ijerph19010006
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