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      The effectiveness of preventive home visits on resilience and health-related outcomes among community dwelling older adults: A systematic review

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          Abstract

          Background

          This research aimed to assess the effectiveness of preventive home visits (PHVs) in enhancing resilience and health-related outcomes among older adults living in the community.

          Methods

          A comprehensive literature search was conducted in nine databases (PubMed, MEDLINE, CINAHL, Embase, Emcare, Web of Science (WOS), Scopus, PsycINFO and Cochrane Library. The search was undertaken between March 15 and 31, 2022 with subsequent updates performed on October 15, 2023 and April 10, 2024. This review also included grey literature sourced via Google, Google Scholar and backward citation searches.

          Results

          Out of 5,621 records, 20 articles were found to meet the inclusion criteria with a total of 8,035 participants involved and the mean age ranged from 74.0 to 84.4 years. Using McMaster Critical Review Form for Quantitative Studies, we ascertained that the studies included in our analysis had moderate to high levels of quality. In addition to health-related outcomes, PHV interventions were also conducted to evaluate psychological effects (16 studies) and social outcomes (seven studies). Five studies conducted financial assessment to evaluate the costs of health and social care utilisation during PHV interventions. Regarding the results of the review, seven studies showed favourable outcomes, five indicated no effect and eight had equivocal findings. Only one study assessed resilience and determined that PHV had no effect on the resilience of the subjects.

          Conclusion

          This review found that the effectiveness of PHV interventions was uncertain and inconclusive. PHV interventions often prioritise health-related objectives. The incorporation of a holistic approach involving psychosocial health into PHV interventions is relatively uncommon. Due to the paucity of research on resilience as PHV outcome, we are unable to draw a conclusion on the effectiveness of PHV on resilience. Resilience should be prioritised as a psychological assessment in the future development of comprehensive PHV interventions, as it enables older adults to adapt, manage, and respond positively to adversities that may arise with age. Performing financial analysis such as costs and benefits analysis to incorporate the return on investment of PHV interventions is an added value for future research on this topic.

          Clinical trial registration

          PROSPERO registration number: CRD42022296919.

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          Most cited references89

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          Rayyan—a web and mobile app for systematic reviews

          Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz … (2017)
          Background Synthesis of multiple randomized controlled trials (RCTs) in a systematic review can summarize the effects of individual outcomes and provide numerical answers about the effectiveness of interventions. Filtering of searches is time consuming, and no single method fulfills the principal requirements of speed with accuracy. Automation of systematic reviews is driven by a necessity to expedite the availability of current best evidence for policy and clinical decision-making. We developed Rayyan (http://rayyan.qcri.org), a free web and mobile app, that helps expedite the initial screening of abstracts and titles using a process of semi-automation while incorporating a high level of usability. For the beta testing phase, we used two published Cochrane reviews in which included studies had been selected manually. Their searches, with 1030 records and 273 records, were uploaded to Rayyan. Different features of Rayyan were tested using these two reviews. We also conducted a survey of Rayyan’s users and collected feedback through a built-in feature. Results Pilot testing of Rayyan focused on usability, accuracy against manual methods, and the added value of the prediction feature. The “taster” review (273 records) allowed a quick overview of Rayyan for early comments on usability. The second review (1030 records) required several iterations to identify the previously identified 11 trials. The “suggestions” and “hints,” based on the “prediction model,” appeared as testing progressed beyond five included studies. Post rollout user experiences and a reflexive response by the developers enabled real-time modifications and improvements. The survey respondents reported 40% average time savings when using Rayyan compared to others tools, with 34% of the respondents reporting more than 50% time savings. In addition, around 75% of the respondents mentioned that screening and labeling studies as well as collaborating on reviews to be the two most important features of Rayyan. As of November 2016, Rayyan users exceed 2000 from over 60 countries conducting hundreds of reviews totaling more than 1.6M citations. Feedback from users, obtained mostly through the app web site and a recent survey, has highlighted the ease in exploration of searches, the time saved, and simplicity in sharing and comparing include-exclude decisions. The strongest features of the app, identified and reported in user feedback, were its ability to help in screening and collaboration as well as the time savings it affords to users. Conclusions Rayyan is responsive and intuitive in use with significant potential to lighten the load of reviewers.
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            PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

            Matthew J Page (2021)
            The methods and results of systematic reviews should be reported in sufficient detail to allow users to assess the trustworthiness and applicability of the review findings. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was developed to facilitate transparent and complete reporting of systematic reviews and has been updated (to PRISMA 2020) to reflect recent advances in systematic review methodology and terminology. Here, we present the explanation and elaboration paper for PRISMA 2020, where we explain why reporting of each item is recommended, present bullet points that detail the reporting recommendations, and present examples from published reviews. We hope that changes to the content and structure of PRISMA 2020 will facilitate uptake of the guideline and lead to more transparent, complete, and accurate reporting of systematic reviews.
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              The need for a new medical model: a challenge for biomedicine

              G. Engel (1977)
              The dominant model of disease today is biomedical, and it leaves no room within tis framework for the social, psychological, and behavioral dimensions of illness. A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching, and a design for action in the real world of health care.
              Article 0 comments Cited 842 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Dayang Balkis Ramli:
                ORCID: https://orcid.org/0000-0003-1834-9799
                Role: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: VisualizationRole: Writing – original draft
                Suzana Shahar:
                ORCID: https://orcid.org/0000-0002-7191-9212
                Role: MethodologyRole: SupervisionRole: Writing – review & editing
                Sumaiyah Mat: Role: Data curationRole: MethodologyRole: Writing – review & editing
                Norhayati Ibrahim: Role: Writing – review & editing
                Noorlaili Mohd Tohit: Role: Writing – review & editing
                Taher Babaee: Role: Editor
                Journal
                Journal ID (nlm-ta): PLoS One
                Journal ID (iso-abbrev): PLoS One
                Journal ID (publisher-id): plos
                Title: PLOS ONE
                Publisher: Public Library of Science (San Francisco, CA USA )
                ISSN (Electronic): 1932-6203
                Publication date (Electronic): 1 July 2024
                Publication date Collection: 2024
                Volume: 19
                Issue: 7
                Electronic Location Identifier: e0306188
                Affiliations
                [1 ] Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
                [2 ] Public Service Department, Prime Minister’s Office, Putrajaya, Malaysia
                [3 ] Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan, Bangi, Malaysia
                Iran University of Medical Sciences, ISLAMIC REPUBLIC OF IRAN
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0003-1834-9799
                https://orcid.org/0000-0002-7191-9212
                Article
                Publisher ID: PONE-D-23-16733
                DOI: 10.1371/journal.pone.0306188
                PMC ID: 11216600
                PubMed ID: 38950029
                SO-VID: d132d008-78b0-4d56-b946-08976391e8da
                Copyright © © 2024 Ramli et al
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date received : 31 May 2023
                Date accepted : 11 June 2024
                Page count
                Figures: 1, Tables: 5, Pages: 36
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100007140, Jabatan Perkhidmatan Awam Malaysia;
                Award Recipient :
                ORCID: https://orcid.org/0000-0003-1834-9799
                Funded by: funder-id http://dx.doi.org/10.13039/501100004515, Universiti Kebangsaan Malaysia;
                Award ID: GUP-2021-058
                Award Recipient :
                DBR: Federal Scholarship Award by Public Service Department, Malaysia SM: Research University Grant, Universiti Kebangsaan Malaysia (GUP-2021-058) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Subject: Research Article
                Subject: People and Places
                Subject: Population Groupings
                Subject: Age Groups
                Subject: Adults
                Subject: Elderly
                Subject: Medicine and Health Sciences
                Subject: Public and Occupational Health
                Subject: Behavioral and Social Aspects of Health
                Subject: Medicine and Health Sciences
                Subject: Mental Health and Psychiatry
                Subject: Medicine and Health Sciences
                Subject: Epidemiology
                Subject: Medical Risk Factors
                Subject: People and Places
                Subject: Population Groupings
                Subject: Professions
                Subject: Medical Personnel
                Subject: Nurses
                Subject: Medicine and Health Sciences
                Subject: Health Care
                Subject: Health Care Providers
                Subject: Nurses
                Subject: Medicine and Health Sciences
                Subject: Health Care
                Subject: Health Care Facilities
                Subject: Nursing Homes
                Subject: Research and Analysis Methods
                Subject: Database and Informatics Methods
                Subject: Database Searching
                Subject: Biology and Life Sciences
                Subject: Psychology
                Subject: Social Psychology
                Subject: Social Sciences
                Subject: Psychology
                Subject: Social Psychology
                Custom metadata
                Data Availability All relevant data are within the manuscript and its Supporting information files.

                ScienceOpen disciplines: Uncategorized
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