Objective: To develop international consensus on the definition and measurement of multimorbidity in research.
Design: Delphi consensus study.
Setting: International consensus; data collected in three online rounds from participants between 30 November 2020 and 18 May 2021.
Participants: Professionals interested in multimorbidity and people with long term conditions were recruited to professional and public panels.
Results: 150 professional and 25 public participants completed the first survey round. Response rates for rounds 2/3 were 83%/92% for professionals and 88%/93% in the public panel, respectively. Across both panels, the consensus was that multimorbidity should be defined as two or more long term conditions. Complex multimorbidity was perceived to be a useful concept, but the panels were unable to agree on how to define it. Both panels agreed that conditions should be included in a multimorbidity measure if they were one or more of the following: currently active; permanent in their effects; requiring current treatment, care, or therapy; requiring surveillance; or relapsing-remitting conditions requiring ongoing care. Consensus was reached for 24 conditions to always include in multimorbidity measures, and 35 conditions to usually include unless a good reason not to existed. Simple counts were preferred for estimating prevalence and examining clustering or trajectories, and weighted measures were preferred for risk adjustment and outcome prediction.
Conclusions: Previous multimorbidity research is limited by inconsistent definitions and approaches to measuring multimorbidity. This Delphi study identifies professional and public panel consensus guidance to facilitate consistency of definition and measurement, and to improve study comparability and reproducibility.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9978673 | PMC |
http://dx.doi.org/10.1136/bmjmed-2022-000247 | DOI Listing |
GMS J Med Educ
November 2024
Orthopedic Surgery Department, Centre Hospitalier Régional Universitaire (CHRU) de Tours, Tours, France.
Objective: Management of osteoarticular infections (OAI) represents a major public health challenge. To deal with this, the French Ministry of Health created the (CRIOAC) in 2008. CRIOAC functions as a national network of reference centers for OAI, with the aim of coordinating, providing expertise, offering training, and conducting research at the regional level.
View Article and Find Full Text PDFSAGE Open Nurs
December 2024
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
Introduction: Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt management during their contact with caregivers of PWD. The study team developed an evidence-based caregiver burden-mastery hybrid assessment and intervention decision matrix (CHAT-MI) for caregivers of PWD and examined its feasibility of use.
View Article and Find Full Text PDFSAGE Open Nurs
December 2024
Addis Ababa University College of Health Sciences, School of Nursing and Midwifery, Addis Ababa, Ethiopia.
Background: Continuous Professional Development (CPD) programs are crucial for enhancing the quality of healthcare delivery. The presence of incompetent and unskilled healthcare professionals is not satisfactory. This study aimed to evaluate nurses' engagement in CPD programs and identify the barriers affecting this engagement.
View Article and Find Full Text PDFSAGE Open Nurs
December 2024
College of Nursing, QU-Health Sector, Qatar University, Doha, Qatar.
Introduction: The evolving landscape of healthcare in Jordan presents unique challenges and opportunities for nursing professionals. With a focus on critical care nurses, understanding the dynamics of professional autonomy and professionalism within this context is crucial for advancing nursing practice and improving patient care.
Objectives: This study aimed to investigate the relationships between perceived nursing professional autonomy and professionalism among critical care nurses in Jordan.
SAGE Open Nurs
December 2024
School of Nursing, University of Washington, Seattle, WA, USA.
Objective: The purpose of this study was to determine what activities and skills interprofessional health science preceptors (IHSPs) perform and value as a part of their pedagogical practice in order to support the development of a preceptor self-assessment tool and assist in preceptor training.
Methods: We administered an online survey to identify core preceptor activities across health sciences disciplines that interact with nursing. The initial survey items were developed based on the Interprofessional Education Collaborative (IPEC) core competencies as well as a search of literature on expected preceptor competencies and activities across individual health sciences professions.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!