Julia Menichetti1, Guendalina Graffigna2, Aslak Steinsbekk3. 1. Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy. Electronic address: Juliapaola.menichettidelor@unicatt.it. 2. Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy. Electronic address: Guendalina.graffigna@unicatt.it. 3. Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway. Electronic address: aslak.steinsbekk@ntnu.no.
Abstract
OBJECTIVE: To describe the contents of interventions reported in RCTs focusing on patient engagement of older adults. METHODS: A systematic literature review based on a search for "patient engagement/activation/empowerment/involvement/participation". Interventions were classified according to: (i) specific components (micro level), (ii) single/multiple dimensions (educational, behavioral, affective) (meso level), and (iii) the studies' main educational, behavioral or affective dimension (macro level). RESULTS: After screening 2749 articles, 35 were included. 20 unique components were identified, mostly behavioral or educational (45.5% each) (e.g., goal setting or written informational materials). Most interventions with a single-focus were classified as educational (31%), one was solely affective (3%). Half of the interventions covered more than one dimension, with four (11%) combining all three dimensions. Studies mainly focusing on the affective dimension included older participants (72 vs. 67 years), had a higher proportion of females (71% vs. 44%), and included other dimensions more frequently (67% vs. 31%) than did studies with a main focus on the educational dimension. CONCLUSION: The contents of the interventions that focused on patient engagement of older adults tend to focus more on behavioral and educational dimensions than the affective dimension. PRACTICE IMPLICATIONS: The possibility of adding the affective dimension into behavioral and/or educational interventions should be explored.
OBJECTIVE: To describe the contents of interventions reported in RCTs focusing on patient engagement of older adults. METHODS: A systematic literature review based on a search for "patient engagement/activation/empowerment/involvement/participation". Interventions were classified according to: (i) specific components (micro level), (ii) single/multiple dimensions (educational, behavioral, affective) (meso level), and (iii) the studies' main educational, behavioral or affective dimension (macro level). RESULTS: After screening 2749 articles, 35 were included. 20 unique components were identified, mostly behavioral or educational (45.5% each) (e.g., goal setting or written informational materials). Most interventions with a single-focus were classified as educational (31%), one was solely affective (3%). Half of the interventions covered more than one dimension, with four (11%) combining all three dimensions. Studies mainly focusing on the affective dimension included older participants (72 vs. 67 years), had a higher proportion of females (71% vs. 44%), and included other dimensions more frequently (67% vs. 31%) than did studies with a main focus on the educational dimension. CONCLUSION: The contents of the interventions that focused on patient engagement of older adults tend to focus more on behavioral and educational dimensions than the affective dimension. PRACTICE IMPLICATIONS: The possibility of adding the affective dimension into behavioral and/or educational interventions should be explored.
Authors: Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi Journal: Int J Environ Res Public Health Date: 2020-06-11 Impact factor: 3.390
Authors: Leonie N C Visser; Marleen Kunneman; Laxsini Murugesu; Ingrid van Maurik; Marissa Zwan; Femke H Bouwman; Jacqueline Schuur; Hilje A Wind; Marjolijn S J Blaauw; J Jolijn Kragt; Gerwin Roks; Leo Boelaarts; Annemieke C Schipper; Niki Schooneboom; Philip Scheltens; Wiesje M van der Flier; Ellen M A Smets Journal: Alzheimers Dement (Amst) Date: 2019-07-29