Trial reportBMC geriatrics2016
The effects of a pro-active integrated care intervention for frail community-dwelling older people: a quasi-experimental study with the GP-practice as single entry point.
Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- The impact of integrated care on quality of life in community-dwelling older adults with frailty: A systematic review and mixed method synthesis.The Journal of frailty & aging · 2026Pooled it
- The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review.BMC geriatrics · 2026Pooled it
- Effectiveness of information and communication technology-based integrated care for older adults: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Delaying and reversing frailty: a systematic review of primary care interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Effects of health care interventions on quality of life among frail elderly: a systematized review.Clinical interventions in aging · 2019Pooled it
- The (cost-)effectiveness of preventive, integrated care for community-dwelling frail older people: A systematic review.Health & social care in the community · 2019Pooled it
- Effects of Nurse-Led Multifactorial Care to Prevent Disability in Community-Living Older People: Cluster Randomized Trial.PloS one · 2016Trial
- Exploring diverse applications of team-based care in preventive medicine: a scoping review.BMC primary care · 2026Article
- Article
- Impact of MidMed, a general practitioner-led modified comprehensive geriatric assessment for patients with frailty.Age and ageing · 2023Article
- Can integrated care improve the efficiency of hospitals? Research based on 200 Hospitals in China.Cost effectiveness and resource allocation : C/E · 2021Article
- Costs and effects of comprehensive geriatric assessment in primary care for older adults with high risk for hospitalisation.BMC geriatrics · 2021Observational
- Staff experiences of a new tool for comprehensive geriatric assessment in primary care (PASTEL): a focus group study.Scandinavian journal of primary health care · 2020Article
- Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review.Health & social care in the community · 2019Article
- Using collaborative community care to deal with the emergency department frailty epidemic.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Article
- Patient-centred access to health care: a framework analysis of the care interface for frail older adults.BMC geriatrics · 2018Article
- Perspectives of nursing professionals and older adults differ on aspects of care for older people after a nationwide improvement program.BMC health services research · 2018Article
- Virtual Reality as a Potential Tool to Face Frailty Challenges.Frontiers in psychology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study explored the effectiveness of a pro-active, integrated care model for community-dwelling frail older people compared to care as usual by evaluating the effects on a comprehensive set of outcomes: health outcomes (experienced health, mental health and social functioning); functional abilities; and quality of life (general, health-related and well-being).
methodsThe design of this study was quasi-experimental. In this study, 184 frail older patients of three GP practices that implemented the Walcheren Integrated Care Model were compared with 193 frail older patients of five GP practices that provided care as usual. In the Walcheren Integrated Care Model, community-dwelling elderly were pro-actively screened for frailty from the GP practice using the Groningen Frailty Indicator, and care needs were assessed with the EASYcare instrument. The GP practice functioned as single entry point from which case management was provided, and the GP was the coordinator of care. The entire process was supported by multidisciplinary meetings, multidisciplinary protocols and web-based patient files. The outcomes of this study were obtained at baseline, after 3 months and after 12 months and analyzed with linear mixed models of repeated measures.
resultsThe Walcheren Integrated Care Model had a positive effect on love and friendship and a moderately positive effect on general quality of life. The ability to receive love and friendship and general quality of life decreased in the control group but was preserved in the experimental group. No significant differences were found on health outcomes such as experienced health, mental health, social functioning and functional abilities.
conclusionsThe results indicated that pro-active, integrated care can be beneficial for frail older people in terms of quality of life and love and friendship but not in terms of health outcomes and functional abilities. Recommendations for future research are to gain greater insight into what specific outcomes can be achieved with proactive and integrated care, considering the specific content of this care, and to allow for the heterogeneity of frail older people in evaluation research.
trial registrationCurrent Controlled Trials ISRCTN05748494. Registration date: 14/03/2013.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.