Article
Everyday lives of middle-aged persons living with multimorbidity: protocol of a mixed-methods systematic review.
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Authors
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Ana Isabel González-González
- Goethe University, Institute of General Practice, Deutschland
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Robin Brünn
- Goethe University, Institute of General Practice, Deutschland
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Julia Nothacker
- University of Freiburg, Institute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center- University of Freiburg, Faculty of Medicine, Freiburg, Deutschland
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Truc Sophia Dinh
- Goethe University, Institute of General Practice, Deutschland
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Maria-Sophie Brueckle
- Goethe University, Institute of General Practice, Deutschland
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Mirjam Dieckelmann
- Goethe University, Institute of General Practice, Deutschland
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Beate Müller
- Goethe University, Institute of General Practice, Deutschland
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Marjan van den Akker
- Goethe University, Institute of General Practice, Deutschland; KU Leuven, Academic Center for General Practice, Department of Public Health and Primary Care, Leuven, Belgien; Maastricht University, Department of Family Medicine, School CAPHRI, Maastricht, Niederlande
| Published: | September 17, 2021 |
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Outline
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Hintergrund: Multimorbidity is the simultaneous occurrence of several (chronic) diseases. Apart from complex care needs, persons with multimorbidity often experience a substantial negative impact of their diseases and care on their family lives, leisure time and professional activities. To support the health and well-being of persons with multimorbidity, it is necessary to take into account how the diseases and the delivery of care affect their lives.
Fragestellung/Diskussionspunkt: How does multimorbidity affect the everyday lives of middle-aged persons? What abilities and resources support strategies to overcome the challenges of living with multimorbidity?
Inhalt: We will systematically search for studies reporting on the everyday life experiences of middle-aged persons (30–60 years) with multimorbidity (≥2 chronic conditions) in MEDLINE, CINAHL, PsycINFO, Social Sciences Citation Index, Social Sciences Citation Index Expanded, PSYNDEX and Cochrane Library from inception. We will include all primary studies that use quantitative/qualitative/mixed methodologies, irrespective of publication date/study setting. Two independent reviewers will screen titles/abstracts/full texts, extract data from the selected studies and present evidence in terms of study/population characteristics, data collection method, and the outcome of interest. Risk of bias will be independently assessed by two reviewers using the Mixed Methods Appraisal Tool. We will use a convergent integrated approach on qualitative and quantitative studies, whereby information will be synthesized narratively and, if possible, quantitatively.
Take Home Message für die Praxis: This is the first systematic review on the everyday lives of middle-aged persons with multimorbidity and will establish a basis on which to develop evidence-informed interventions and promote resilience in this population.
This systematic review is embedded in the “MuMiA” (MUltimorbidity in MIddle-Aged persons) project, which aims to shed light on the challenges experienced by middle-aged persons with multimorbidity and polypharmacy on the one hand, and the self-management strategies employed by this group on the other Abstract hand.
