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Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership

Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership
Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership
Introduction
multiple conditions in later life (multi-morbidity) is a major challenge for health and care systems worldwide, is of particular relevance for older people, but has not (until recently) received high priority as a topic for research. We have identified the top 10 research priorities from the perspective of older people, their carers, and health and social care professionals using the methods of a James Lind Alliance Priority Setting Partnership.

Methods
in total, 354 participants (162 older people and carers, 192 health professionals) completed a survey and 15 older people and carers were interviewed to produce 96 ‘unanswered questions’. These were further refined by survey and interviews to a shortlist of 21 topics, and a mix of people aged 80+ living with three or more conditions, carers and health and social care providers to prioritised the top 10.

Results
the key priorities were about the prevention of social isolation, the promotion of independence and physical and emotional well-being. In addition to these broad topics, the process also identified detailed priorities including the role of exercise therapy, the importance of falls (particularly fear of falling), the recognition and management of frailty and Comprehensive Geriatric Assessment.

Conclusion
these topics provide a unique perspective on research priorities on multiple conditions in later life and complement existing UK and International recommendations about the optimisation of health and social care systems to deliver essential holistic models of care and the prevention and treatment of multiple co-existing conditions.
0002-0729
401-406
Parker, S.G.
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Corner, L.
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Laing, K.
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Nestor, G.
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Craig, D.
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Collerton, J.
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Frith, J.
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Roberts, H.C.
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Aihie Sayer, Avan
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Allan, L.M.
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Robinson, L.
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Cowan, K.
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Parker, S.G.
2e84ded9-be65-47f4-b713-7aafc38af86e
Corner, L.
15abd6cd-6ba9-4106-8edb-cd4c612c705d
Laing, K.
5027753e-c0ef-42d4-9e9b-2b3506f1d466
Nestor, G.
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Craig, D.
8b30b9b3-d3b3-4caa-8772-a9cfd68f3027
Collerton, J.
a8495008-4061-45bc-b4e7-8bfcdea13f98
Frith, J.
62ef4379-433a-440b-a07f-130c9ec62559
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Aihie Sayer, Avan
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Allan, L.M.
4b650408-bee7-4e59-8636-0b4c600f6f89
Robinson, L.
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Cowan, K.
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Parker, S.G., Corner, L., Laing, K., Nestor, G., Craig, D., Collerton, J., Frith, J., Roberts, H.C., Aihie Sayer, Avan, Allan, L.M., Robinson, L. and Cowan, K. (2019) Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership. Age and Ageing, 48 (3), 401-406. (doi:10.1093/ageing/afz014).

Record type: Article

Abstract

Introduction
multiple conditions in later life (multi-morbidity) is a major challenge for health and care systems worldwide, is of particular relevance for older people, but has not (until recently) received high priority as a topic for research. We have identified the top 10 research priorities from the perspective of older people, their carers, and health and social care professionals using the methods of a James Lind Alliance Priority Setting Partnership.

Methods
in total, 354 participants (162 older people and carers, 192 health professionals) completed a survey and 15 older people and carers were interviewed to produce 96 ‘unanswered questions’. These were further refined by survey and interviews to a shortlist of 21 topics, and a mix of people aged 80+ living with three or more conditions, carers and health and social care providers to prioritised the top 10.

Results
the key priorities were about the prevention of social isolation, the promotion of independence and physical and emotional well-being. In addition to these broad topics, the process also identified detailed priorities including the role of exercise therapy, the importance of falls (particularly fear of falling), the recognition and management of frailty and Comprehensive Geriatric Assessment.

Conclusion
these topics provide a unique perspective on research priorities on multiple conditions in later life and complement existing UK and International recommendations about the optimisation of health and social care systems to deliver essential holistic models of care and the prevention and treatment of multiple co-existing conditions.

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More information

Accepted/In Press date: 9 October 2018
e-pub ahead of print date: 20 March 2019
Published date: May 2019

Identifiers

Local EPrints ID: 427169
URI: http://eprints.soton.ac.uk/id/eprint/427169
ISSN: 0002-0729
PURE UUID: 4411b10c-d1e3-492b-9d60-3bb37f9f1221
ORCID for H.C. Roberts: ORCID iD orcid.org/0000-0002-5291-1880

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Date deposited: 04 Jan 2019 17:30
Last modified: 16 Mar 2024 07:27

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Contributors

Author: S.G. Parker
Author: L. Corner
Author: K. Laing
Author: G. Nestor
Author: D. Craig
Author: J. Collerton
Author: J. Frith
Author: H.C. Roberts ORCID iD
Author: Avan Aihie Sayer
Author: L.M. Allan
Author: L. Robinson
Author: K. Cowan

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