Evidence map›Paper›PMID 34461892›Full record

SynthesisBMC health services research2021

Supporting medicines management for older people at care transitions - a theory-based analysis of a systematic review of 24 interventions.

Justine Tomlinson, Iuri Marques, Jonathan Silcock, Beth Fylan, Judith Dyson

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 87% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

5 authors at 2 institutions in 1 country.

Justine Tomlinson *Medicines Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK. j.e.c.tomlinson@bradford.ac.uk.ORCID http://orcid.org/0000-0003-3911-0701
Iuri Marques *Medicines Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID https://orcid.org/0000-0003-3990-2338
Jonathan SilcockMedicines Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID https://orcid.org/0000-0002-4920-9249
Beth FylanMedicines Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID https://orcid.org/0000-0003-0599-4537
Judith DysonFaculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK.ORCID https://orcid.org/0000-0002-0928-0438
University of Bradford · GBBirmingham City University · GB

Funding

Research for Patient Benefit Programme PB-PG-0317-20010
6 · The paper itself

Abstract

backgroundOlder patients are at severe risk of harm from medicines following a hospital to home transition. Interventions aiming to support successful care transitions by improving medicines management have been implemented. This study aimed to explore which behavioural constructs have previously been targeted by interventions, which individual behaviour change techniques have been included, and which are yet to be trialled.

methodThis study mapped the behaviour change techniques used in 24 randomised controlled trials to the Behaviour Change Technique Taxonomy. Once elicited, techniques were further mapped to the Theoretical Domains Framework to explore which determinants of behaviour change had been targeted, and what gaps, if any existed.

resultsCommon behaviour change techniques used were: goals and planning; feedback and monitoring; social support; instruction on behaviour performance; and prompts/cues. These may be valuable when combined in a complex intervention. Interventions mostly mapped to between eight and 10 domains of the Theoretical Domains Framework. Environmental context and resources was an underrepresented domain, which should be considered within future interventions.

conclusionThis study has identified behaviour change techniques that could be valuable when combined within a complex intervention aiming to support post-discharge medicines management for older people. Whilst many interventions mapped to eight or more determinants of behaviour change, as identified within the Theoretical Domains Framework, careful assessment of the barriers to behaviour change should be conducted prior to intervention design to ensure all appropriate domains are targeted.

Indexed as

AftercarePatient TransferAgedBehavior TherapyHumansPatient DischargePrimary Health CareRandomized Controlled Trials as TopicBehaviour changeInterventionMedicines managementOlder peopleSystematic reviewTheoretical domains framework

Identifiers

PMID34461892
PMCPMC8404335
OpenAlexW3196893457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.