TY - JOUR
T1 - What are the contents of patient engagement interventions for older adults? A systematic review of randomized controlled trials
AU - Menichetti Delor, Julia Paola
AU - Graffigna, Guendalina
AU - Steinsbekk, Aslak
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Intervention classification
KW - Medicine (all)
KW - Older adults
KW - Patient activation
KW - Patient engagement
KW - Systematic review
KW - Intervention classification
KW - Medicine (all)
KW - Older adults
KW - Patient activation
KW - Patient engagement
KW - Systematic review
UR - http://hdl.handle.net/10807/113835
UR - http://www.elsevier.com/locate/pateducou
U2 - 10.1016/j.pec.2017.12.009
DO - 10.1016/j.pec.2017.12.009
M3 - Article
SN - 0738-3991
SP - 1
EP - 15
JO - Patient Education and Counseling
JF - Patient Education and Counseling
ER -