How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity

Multimorbidity is a major challenge for patients and healthcare providers. The limited evidence of the effectiveness of interventions for people with multimorbidity means that there is a need for much more research and trials of potential interventions. Here we present a consensus view from a group...

Full description

Bibliographic Details
Main Authors: Susan M. Smith, Elizabeth A. Bayliss, Stewart W. Mercer, Jane Gunn, Mogens Vestergaard, Sally Wyke, Chris Salisbury, Martin Fortin
Format: Article
Language:English
Published: SAGE Publishing 2013-01-01
Series:Journal of Comorbidity
Online Access:https://doi.org/10.15256/joc.2013.3.21
_version_ 1811331468672106496
author Susan M. Smith
Elizabeth A. Bayliss
Stewart W. Mercer
Jane Gunn
Mogens Vestergaard
Sally Wyke
Chris Salisbury
Martin Fortin
author_facet Susan M. Smith
Elizabeth A. Bayliss
Stewart W. Mercer
Jane Gunn
Mogens Vestergaard
Sally Wyke
Chris Salisbury
Martin Fortin
author_sort Susan M. Smith
collection DOAJ
description Multimorbidity is a major challenge for patients and healthcare providers. The limited evidence of the effectiveness of interventions for people with multimorbidity means that there is a need for much more research and trials of potential interventions. Here we present a consensus view from a group of international researchers working to improve care for people with multimorbidity to guide future studies of interventions. We suggest that there is a need for careful consideration of whom to include, how to target interventions that address specific problems and that do not add to treatment burden, and selecting outcomes that matter both to patients and the healthcare system. Innovative design of these interventions will be necessary as many will be introduced in service settings and it will be important to ensure methodological rigour, relevance to service delivery, and generalizability across healthcare systems.
first_indexed 2024-04-13T16:20:50Z
format Article
id doaj.art-840c0dff60ee43da8ca9f65f96fe50f5
institution Directory Open Access Journal
issn 2235-042X
language English
last_indexed 2024-04-13T16:20:50Z
publishDate 2013-01-01
publisher SAGE Publishing
record_format Article
series Journal of Comorbidity
spelling doaj.art-840c0dff60ee43da8ca9f65f96fe50f52022-12-22T02:39:56ZengSAGE PublishingJournal of Comorbidity2235-042X2013-01-01310.15256/joc.2013.3.21How to Design and Evaluate Interventions to Improve Outcomes for Patients with MultimorbiditySusan M. Smith0Elizabeth A. Bayliss1Stewart W. Mercer2Jane Gunn3Mogens Vestergaard4Sally Wyke5Chris Salisbury6Martin Fortin7HRB Centre for Primary Care Research, Department of General Practice, RCSI Medical School, Dublin, IrelandKaiser Permanent Colorado and University of Colorado, Denver, Colorado, CO, USAUniversity of Glasgow, Glasgow, UKUniversity of Melbourne, Melbourne, VIC, AustraliaAarhus University, Aarhus, DenmarkUniversity of Glasgow, Glasgow, UKUniversity of Bristol, Bristol, UKDepartment of Family Medicine, University of Sherbrooke, Sherbrooke, Québec, CanadaMultimorbidity is a major challenge for patients and healthcare providers. The limited evidence of the effectiveness of interventions for people with multimorbidity means that there is a need for much more research and trials of potential interventions. Here we present a consensus view from a group of international researchers working to improve care for people with multimorbidity to guide future studies of interventions. We suggest that there is a need for careful consideration of whom to include, how to target interventions that address specific problems and that do not add to treatment burden, and selecting outcomes that matter both to patients and the healthcare system. Innovative design of these interventions will be necessary as many will be introduced in service settings and it will be important to ensure methodological rigour, relevance to service delivery, and generalizability across healthcare systems.https://doi.org/10.15256/joc.2013.3.21
spellingShingle Susan M. Smith
Elizabeth A. Bayliss
Stewart W. Mercer
Jane Gunn
Mogens Vestergaard
Sally Wyke
Chris Salisbury
Martin Fortin
How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
Journal of Comorbidity
title How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
title_full How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
title_fullStr How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
title_full_unstemmed How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
title_short How to Design and Evaluate Interventions to Improve Outcomes for Patients with Multimorbidity
title_sort how to design and evaluate interventions to improve outcomes for patients with multimorbidity
url https://doi.org/10.15256/joc.2013.3.21
work_keys_str_mv AT susanmsmith howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT elizabethabayliss howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT stewartwmercer howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT janegunn howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT mogensvestergaard howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT sallywyke howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT chrissalisbury howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity
AT martinfortin howtodesignandevaluateinterventionstoimproveoutcomesforpatientswithmultimorbidity