Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults

Booth, Vicky; Hood-Moore, Victoria; Hancox, Jennie E; Logan, Phillipa; Robinson, Katie R

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.

Citation

Booth, V., Hood-Moore, V., Hancox, J. E., Logan, P., & Robinson, K. R. (2019). Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults. BMJ Open, 9(2), https://doi.org/10.1136/bmjopen-2018-024185

• Journal Article Type: Article
• Acceptance Date: Dec 21, 2018
• Online Publication Date: Feb 22, 2019
• Publication Date: Feb 22, 2019
• Deposit Date: Feb 7, 2019
• Publicly Available Date: Feb 26, 2019
• Journal: BMJ Open
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 9
• Issue: 2
• Article Number: e024185
• DOI: https://doi.org/10.1136/bmjopen-2018-024185
• Keywords: Older adults; rehabilitation; intervention development
• Public URL: https://nottingham-repository.worktribe.com/output/1526728
• Publisher URL: https://bmjopen.bmj.com/content/9/2/e024185