@article { , title = {Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults}, abstract = {Objectives: Rehabilitation interventions for older adults are complex as they involve a number of interacting components, have multiple outcomes of interest and are influenced by a number of contextual factors. The importance of rigorous intervention development prior to formal evaluation has been acknowledged and a number of frameworks have been developed. This review explored which frameworks have been used to guide the development of rehabilitation interventions for older adults. Design: Systematic scoping review. Setting: Studies were not limited for inclusion based on setting. Participants: Studies were included that featured older adults (>65 years of age). Interventions: Studies were included that reported the development of a rehabilitation intervention. Primary and secondary outcome measures: Data was extracted on study population, setting, type of intervention developed and frameworks used. The primary outcome of interest was the type of intervention development framework. Results: Thirty-five studies were included. There was a range of underlying medical conditions including mild cognitive impairment and dementia (n=5), cardiac (n=4), stroke (n=3), falls (n=3), hip fracture (n=2), diabetes (n=2), breast cancer (n=1), Parkinson’s disease (n=1), depression (n=1), chronic health problems (n=1), osteoarthritis (n=1), leg ulcer (n=1), neck pain (n=1) and foot problems (n=1). The intervention types being developed included multicomponent, support-based, cognitive, physical activities, nursing-led, falls prevention and occupational therapy-led. Twelve studies (34\%) did not report using a framework. Five frameworks were reported with the Medical Research Council (MRC) Framework for Developing and Evaluating Complex Interventions being the most frequently cited (77\%, n=17). Conclusion: At present the MRC Framework is the most popular for developing rehabilitation interventions for older adults. Many studies do not report using a framework. Further, specific guidance to assist this complex field of rehabilitation research is required.}, doi = {10.1136/bmjopen-2018-024185}, eissn = {2044-6055}, issue = {2}, journal = {BMJ Open}, publicationstatus = {Published}, publisher = {BMJ Publishing Group}, url = {https://nottingham-repository.worktribe.com/output/1526728}, volume = {9}, keyword = {Older adults, rehabilitation, intervention development}, year = {2019}, author = {Booth, Vicky and Hood-Moore, Victoria and Hancox, Jennie E and Logan, Phillipa and Robinson, Katie R} }