University of Hertfordshire

Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review

University of Hertfordshire Research Archive

Help | UH Research Archive

Show simple item record

contributor authorGoodman, Claire
date accessioned2017-03-15T17:01:23Z
date available2017-03-15T17:01:23Z
date issued2017-02-01
identifier citationGoodman , C 2017 , ' Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review ' BMJ Open , vol 7 , no. 2 , e014127 . DOI: 10.1136/bmjopen-2016-014127en
identifier issn2044-6055
identifier otherPURE: 11160740
identifier otherPURE UUID: ff2c0180-f8ed-451a-81af-688e62feae26
identifier urihttp://hdl.handle.net/2299/17727
descriptionThis is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http:// creativecommons.org/licenses/by/4.0/ Gardner B, Jovicic A, Belk C, et al. 'Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review', BMJ Open 2017;7: e014127. doi:10.1136/bmjopen-2016-014127en
description abstractAbstract Objectives To identify trials of home-based health behaviour change interventions for frail older people, describe intervention content and explore its potential contribution to intervention effects. Design 15 bibliographic databases, and reference lists and citations of key papers, were searched for randomised controlled trials of home-based behavioural interventions reporting behavioural or health outcomes. Setting Participants' homes. Participants Community-dwelling adults aged ≥65 years with frailty or at risk of frailty. Primary and secondary outcome measures Trials were coded for effects on thematically clustered behavioural, health and well-being outcomes. Intervention content was described using 96 behaviour change techniques, and 9 functions (eg, education, environmental restructuring). Results 19 eligible trials reported 22 interventions. Physical functioning was most commonly assessed (19 interventions). Behavioural outcomes were assessed for only 4 interventions. Effectiveness on most outcomes was limited, with at most 50% of interventions showing potential positive effects on behaviour, and 42% on physical functioning. 3 techniques (instruction on how to perform behaviour, adding objects to environment, restructuring physical environment) and 2 functions (education and enablement) were more commonly found in interventions showing potential than those showing no potential to improve physical function. Intervention content was not linked to effectiveness on other outcomes. Conclusions Interventions appeared to have greatest impact on physical function where they included behavioural instructions, environmental modification and practical social support. Yet, mechanisms of effects are unclear, because impact on behavioural outcomes has rarely been considered. Moreover, the robustness of our findings is also unclear, because interventions have been poorly reported. Greater engagement with behavioural science is needed when developing and evaluating home-based health interventions.en
format extent11en
language isoeng
relation ispartofBMJ Openen
rightsen
subjectfrailty, health behaviour change, pre-frailty, community dwellingen
titleSpecifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic reviewen
typeArticleen
contributor institutionSchool of Health and Social Worken
contributor institutionCentre for Research in Primary and Community Careen
contributor institutionOlder People's Healthen
identifier doihttp://dx.doi.org/10.1136/bmjopen-2016-014127
description versionpublishersversionen
description statusPeer revieweden


This item appears in the following Collection(s)

Show simple item record

Your requested file is now available for download. You may start your download by selecting the following link: test