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Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

Gustafsson, Susanne; Edberg, Anna-Karin LU ; Johansson, Boo and Dahlin-Ivanoff, Synneve (2009) In European Journal of Ageing 6(4). p.315-329
Abstract
The objective was to investigate definitions of frailty used in studies of multi-component health promotion and disease-preventive (HPDP) intervention programmes for community-dwelling frail elderly persons and to review the content, organisation and effects of HPDP interventions. A systematic review of 19 articles was made, and the International Classification of Functioning, Disability and Health (ICF) was used as a structural framework for the analysis. The result shows that a consensus was reached on including various aspects of impairments in body functions and structures as an integral part of the frailty concept, with the exception of one subgroup: mental/cognitive functions. Additionally, opinions varied quite consistently... (More)
The objective was to investigate definitions of frailty used in studies of multi-component health promotion and disease-preventive (HPDP) intervention programmes for community-dwelling frail elderly persons and to review the content, organisation and effects of HPDP interventions. A systematic review of 19 articles was made, and the International Classification of Functioning, Disability and Health (ICF) was used as a structural framework for the analysis. The result shows that a consensus was reached on including various aspects of impairments in body functions and structures as an integral part of the frailty concept, with the exception of one subgroup: mental/cognitive functions. Additionally, opinions varied quite consistently regarding aspects of activity limitations and participation restrictions, personal and environmental factors. Ten of the 14 HPDP programmes covered various intervention elements referring to all four ICF components. Eleven programmes involved registered personnel only, while a more divergent pattern was seen in the remaining organisational aspects of the interventions: length of interventions and location plus age segments, participatory approach and contextual information, as well as the theoretical foundation of the interventions. Measures of body functions and structures were significantly improved in 5 out of 17 (29%) targeted aspects. For activity and participation, 12 out of 32 (38%) targeted aspects were positively changed, while the score for environmental factors was 7 out of 22 (32%), and for personal factors 8 out of 22 (36%). Our review suggests that further research is needed to explore and disentangle the complex interrelationships between various interventions and outcomes. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ICF, Intervention, Vulnerability, Functional decline, team, Interdisciplinary
in
European Journal of Ageing
volume
6
issue
4
pages
315 - 329
publisher
Springer
external identifiers
  • wos:000271749200007
  • scopus:71249138025
ISSN
1613-9380
DOI
10.1007/s10433-009-0132-x
language
English
LU publication?
yes
id
e6844e8c-0a8f-494c-b11b-b0eeff77d4bb (old id 1519490)
date added to LUP
2009-12-28 12:07:00
date last changed
2017-09-03 03:50:12
@article{e6844e8c-0a8f-494c-b11b-b0eeff77d4bb,
  abstract     = {The objective was to investigate definitions of frailty used in studies of multi-component health promotion and disease-preventive (HPDP) intervention programmes for community-dwelling frail elderly persons and to review the content, organisation and effects of HPDP interventions. A systematic review of 19 articles was made, and the International Classification of Functioning, Disability and Health (ICF) was used as a structural framework for the analysis. The result shows that a consensus was reached on including various aspects of impairments in body functions and structures as an integral part of the frailty concept, with the exception of one subgroup: mental/cognitive functions. Additionally, opinions varied quite consistently regarding aspects of activity limitations and participation restrictions, personal and environmental factors. Ten of the 14 HPDP programmes covered various intervention elements referring to all four ICF components. Eleven programmes involved registered personnel only, while a more divergent pattern was seen in the remaining organisational aspects of the interventions: length of interventions and location plus age segments, participatory approach and contextual information, as well as the theoretical foundation of the interventions. Measures of body functions and structures were significantly improved in 5 out of 17 (29%) targeted aspects. For activity and participation, 12 out of 32 (38%) targeted aspects were positively changed, while the score for environmental factors was 7 out of 22 (32%), and for personal factors 8 out of 22 (36%). Our review suggests that further research is needed to explore and disentangle the complex interrelationships between various interventions and outcomes.},
  author       = {Gustafsson, Susanne and Edberg, Anna-Karin and Johansson, Boo and Dahlin-Ivanoff, Synneve},
  issn         = {1613-9380},
  keyword      = {ICF,Intervention,Vulnerability,Functional decline,team,Interdisciplinary},
  language     = {eng},
  number       = {4},
  pages        = {315--329},
  publisher    = {Springer},
  series       = {European Journal of Ageing},
  title        = {Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review},
  url          = {http://dx.doi.org/10.1007/s10433-009-0132-x},
  volume       = {6},
  year         = {2009},
}