Evidence map›Paper›PMID 33976598›Full record

ArticleInternational journal of integrated care2021

A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project.

Olivia Yip, Evelyn Huber, Samuel Stenz, Leah L Zullig, Andreas Zeller, Sabina M De Geest, Mieke Deschodt, INSPIRE consortium

Registry-linked trialAbstract read
In one paragraph

Article in International journal of integrated care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05302310 (INSPIRE), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05302310 completednot on this mapstarted 2022, after this paper: background citation

INSPIRE: Feasibility of a Community-based Integrated Care Model for Older Adults Living at Home

Typeobservational_patient_registrySponsorUniversity of BaselRan2022 to 2022Enrolled12ConditionsFrailtyArmsintegrated care
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Olivia YipNursing Science (INS), Department of Public Health, University of Basel, Switzerland.ORCID https://orcid.org/0000-0003-2375-7025
Evelyn HuberNursing Science (INS), Department of Public Health, University of Basel, Switzerland.ORCID https://orcid.org/0000-0002-1572-551X
Samuel StenzNursing Science (INS), Department of Public Health, University of Basel, Switzerland.
Leah L ZulligDepartment of Population Health Sciences, Duke University Medical Center, USA.ORCID https://orcid.org/0000-0002-6638-409X
Andreas ZellerCentre for Primary Health Care, University of Basel, Switzerland.ORCID https://orcid.org/0000-0002-6170-8745
Sabina M De GeestNursing Science (INS), Department of Public Health, University of Basel, Switzerland.ORCID https://orcid.org/00000-0001-6596-7237
Mieke DeschodtNursing Science (INS), Department of Public Health, University of Basel, Switzerland.ORCID https://orcid.org/0000-0003-1560-2277
INSPIRE consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImplementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland.

methodsWe conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders' feedback and preliminary implementation strategies.

resultsContextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption.

conclusionContextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.

Indexed as

Frail elderlyImplementation scienceIntegrated careLogic modelProgram developmentProgram theory

Identifiers

PMID33976598
PMCPMC8064293

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.