Effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity: a scoping review.

Community-dwelling Home visits Multimorbidity Nurses Older adults

Journal

BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683

Informations de publication

Date de publication:
12 Aug 2023
Historique:
received: 27 03 2023
accepted: 26 07 2023
medline: 12 8 2023
pubmed: 12 8 2023
entrez: 11 8 2023
Statut: epublish

Résumé

Chronic ultimorbidity is the most frequent and serious health problem in older adults. Home visiting programmes could be a strategy with potential benefits. However, there are no scoping reviews to date that examine the effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity. To examine the effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity. A scoping review was carried out following PRISMA-ScR reporting guidelines. The search was conducted in six databases (PubMed/Medline, Cochrane, CINAHL, Web of Science, Scopus and EMBASE) between October 2021 and April 2022. Four RCTs with 560 patients were included. The visits were carried out by nurses, nursing students, volunteers, and other healthcare professionals. The interventions varied in the number of visits, frequency, duration of follow-up, and whether or not they were combined with other strategies such as telephone calls. Discrepancies were found in the effects of the interventions on quality of life, self-efficacy, self-rated health, and use and cost of health and social services. This review shows that home visiting programmes could have potential benefits for older adults with chronic multimorbidity. However, its results have been inconclusive. There is a need for high quality studies involving a larger number of patients, in which home visits are the main intervention.

Sections du résumé

BACKGROUND BACKGROUND
Chronic ultimorbidity is the most frequent and serious health problem in older adults. Home visiting programmes could be a strategy with potential benefits. However, there are no scoping reviews to date that examine the effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity.
OBJECTIVE OBJECTIVE
To examine the effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity.
METHODS METHODS
A scoping review was carried out following PRISMA-ScR reporting guidelines. The search was conducted in six databases (PubMed/Medline, Cochrane, CINAHL, Web of Science, Scopus and EMBASE) between October 2021 and April 2022.
RESULTS RESULTS
Four RCTs with 560 patients were included. The visits were carried out by nurses, nursing students, volunteers, and other healthcare professionals. The interventions varied in the number of visits, frequency, duration of follow-up, and whether or not they were combined with other strategies such as telephone calls. Discrepancies were found in the effects of the interventions on quality of life, self-efficacy, self-rated health, and use and cost of health and social services.
CONCLUSION CONCLUSIONS
This review shows that home visiting programmes could have potential benefits for older adults with chronic multimorbidity. However, its results have been inconclusive. There is a need for high quality studies involving a larger number of patients, in which home visits are the main intervention.

Identifiants

pubmed: 37568137
doi: 10.1186/s12912-023-01421-7
pii: 10.1186/s12912-023-01421-7
pmc: PMC10422812
doi:

Types de publication

Journal Article

Langues

eng

Pagination

266

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Anabel Chica-Pérez (A)

Almeria Health District, Almeria, 04009, Spain.

Iria Dobarrio-Sanz (I)

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120, Almeria, Spain. ids135@ual.es.

María Dolores Ruiz-Fernández (MD)

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120, Almeria, Spain.

Matías Correa-Casado (M)

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120, Almeria, Spain.

Isabel María Fernández-Medina (IM)

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120, Almeria, Spain.

José Manuel Hernández-Padilla (JM)

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120, Almeria, Spain.

Classifications MeSH