Evidence map›Paper›PMID 40849497›Full record

ArticleSystematic reviews2025

Exploring the factors that influence engagement with and experiences of integrated care for adults at risk of cardiovascular disease and mild-to-moderate mental health concerns in the UK (OptICS): a systematic review protocol.

Alison R McKinlay, Neil Howlett, Vivi Antonopoulou, Fabiana Lorencatto, Laura J McGowan, David Osborn, Amy O'Donnell, Emily J Oliver, Ivo Vlaev, Falko F Sniehotta and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Alison R McKinlayNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. a.mckinlay@ucl.ac.uk.
Neil HowlettNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Vivi AntonopoulouNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Fabiana LorencattoNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Laura J McGowanNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
David OsbornNIHR Policy Research Unit in Behavioural and Social Sciences, Division of Psychiatry, University College London, Maple House, Wing A Floor 6 Tottenham Court Road, London, W1T 7NF, UK.
Amy O'DonnellNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
Emily J OliverNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
Ivo VlaevNIHR Policy Research Unit in Behavioural and Social Sciences, University of Warwick, Scarman Road, Coventry, CV4 7AL, UK.
Falko F SniehottaNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
Michael P KellyNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
Susan MichieNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Caroline KempNIHR Policy Research Unit in Behavioural and Social Sciences, Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, NE1 7RU, UK.
Yannis PappasNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
Gurch RandhawaNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
Nasreen AliNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
Emily MunroNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
Angel M ChaterNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change (CBC), University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.

Funding

National Institute of Health and Care Research NIHR206241
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) is one of the leading causes of premature death globally. CVD is expensive to treat and therefore carries a significant cost for public healthcare systems and the people in them. Those most likely to develop CVD often report co-occurring mental health concerns such as depression and anxiety, in addition to behavioural factors (e.g. physical inactivity) and physical health conditions (e.g. hypertension, high cholesterol, obesity and diabetes). Due to these inter-connecting issues, healthcare provision for CVD patients necessitates a joined-up care pathway providing holistic, person-centred support. Despite the rapid emergence and growth in attempts to deliver such care, evidence concerning how it is experienced and how to promote engagement is fragmented. This review aims to capture the experiences and factors that influence integrated care engagement, reported by adults with CVD risk factors and mild-to-moderate mental health concerns.

methodsThis systematic review protocol will be reported according to the updated Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA-P) guidelines. Proposed database searches will include Emcare, MEDLINE, PsycINFO (via OVID), CINAHL and preprint databases for grey literature. Articles of interest will include adults' experiences of and factors that influence engagement with integrated care in the UK, specifically for support with CVD risk and mild-to-moderate mental health concerns. Any study design reporting qualitative primary data will be included (excluding conference abstracts). Data on study population (actors/targets), what they do (behaviours) care setting (context), care format (time) and participant experiences and perspectives will be extracted. Where appropriate, thematic synthesis of extracted data will be coded to the Theoretical Domains Framework (TDF), updated Consolidated Framework for Implementation Research (CFIR) and Action, Actor, Context, Target and Time (AACTT) framework. DISCUSSION: Findings from this review will provide foundation evidence for a behavioural systems map and recommendations for policymakers, commissioners and those involved or interested in integrated care for people at risk of CVD with mental health concerns. Such evidence can be used to develop future intervention strategies to assist the optimisation of integrated care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (CRD42024554282.

Indexed as

Cardiovascular DiseasesDelivery of Health Care, IntegratedMental DisordersMental HealthAdultHumansRisk FactorsSystematic Reviews as TopicUnited KingdomCardiovascular diseaseDelivery of health careIntegrated careMental health conditionsSystematic reviewTheoretical Domains Framework

Identifiers

PMID40849497
PMCPMC12374376

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Registered trials

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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.