ArticleMedical care2014
Healthcare task difficulty among older adults with multimorbidity.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 9 of them syntheses that pooled it.
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Who cites it
102 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Patient-reported outcome measures for patients with chronic comorbidities: a systematic review of psychometric properties.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Pooled it
- Measuring treatment burden related to general practice in patients with multimorbidity: development and validation of a PROM.Family medicine and community health · 2025Pooled it
- Treatment burden in individuals living with and beyond cancer: A systematic review of qualitative literature.PloS one · 2023Pooled it
- A mixed-methods systematic review of nurse-led interventions for people with multimorbidity.Journal of advanced nursing · 2022Pooled it
- A systematic review of classifications systems to determine complexity of patient care needs in palliative care.Palliative medicine · 2021Pooled it
- Decreasing patient-reported burden of treatment: A systematic review of quantitative interventional studies.PloS one · 2021Pooled it
- Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- A systematic literature review of the assessment of treatment burden experienced by patients and their caregivers.BMC geriatrics · 2019Pooled it
- Measuring treatment burden with the treatment burden questionnaire (TBQ): a narrative literature review and implications for geriatric research and clinical practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Review
- Alterations in mitochondria and cellular senescence in aged sEH null female kidneys.GeroScience · 2026Article
- Article
- Adaptation and psychometric validation of treatment burden questionnaire for caregivers of older adults with diabetes and dementia.Aging & mental health · 2026Article
- Experiences of medication burden among patients with multimorbidity in rural China: a qualitative study.Frontiers in medicine · 2026Article
- Patient administrative burden: a scoping review.Health affairs scholar · 2025Review
- Effects of a Complex Care Model for Patients with Multimorbidity in Lithuania: Results from an Implementation Study.Healthcare (Basel, Switzerland) · 2025Article
- Treatment Burden Among Older Adults in the United States, 2022.Journal of the American Geriatrics Society · 2025Article
- Development and validation of a Japanese version of the multimorbidity treatment burden questionnaire.Scientific reports · 2025Article
- The Medication-Related Burden Quality of Life (MRB-QoL) tool: A confirmatory factor analysis of the Arabic version.Exploratory research in clinical and social pharmacy · 2025Article
- Relationship between multimorbidity treatment burden and chronic disease self-efficacy in the elderly population of China.Frontiers in medicine · 2025Article
42 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors.
Funding
Abstract
backgroundApplying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden.
objectivesTo describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH
designCross-sectional and longitudinal secondary data analysis. SUBJECTS: Multimorbid adults aged 65 years or older from primary care clinics. MEASURES: We generated a scale (0-16) of self-reported difficulty with 8 HCTD and conducted factor analysis to assess its dimensionality and internal consistency. To assess predictive ability, cross-sectional associations of HCTD and number of chronic diseases, and conditions that add to health status complexity (falls, visual, and hearing impairment), patient activation, patient-reported quality of chronic illness care (Patient Assessment of Chronic Illness Care), mental and physical health (SF-36) were tested using statistical tests for trend (n=904). Longitudinal analyses of the effects of change in HCTD on changes in the outcomes were conducted among a subset (n=370) with ≥1 follow-up at 6 and/or 18 months. All models were adjusted for age, education, sex, race, and time.
resultsGreater HCTD was associated with worse mental and physical health [Cuzick test for trend (P<0.05)], and patient-reported quality of chronic illness care (P<0.05). In longitudinal analysis, increasing patient activation was associated with declining HCTD over time (P<0.01). Increasing HCTD over time was associated with declining mental (P<0.001) and physical health (P=0.001) and patient-reported quality of chronic illness care (P<0.05).
conclusionsThe findings of this study establish the construct validity of the HCTD scale.
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