ReviewJournal of multidisciplinary healthcare2025
Effectiveness of Community Nurse-Led Intervention in Managing Older Adults with Multimorbidity: A Systematic Review of Randomized Controlled Trials.
Review in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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
5 citing papers in PubMed.
- Patients' Experiences of a Nurse-Guided Physical Activity Program for Type 2 Diabetes and Its Perceived Impact on Health and Quality of Life: A Qualitative Descriptive Study.Healthcare (Basel, Switzerland) · 2026Article
- Care of Older Adults as Nursing's Defining Ground: Leading the Transformation Toward Prevention-Focused and Autonomy-Promoting Healthcare Systems.Journal of advanced nursing · 2026Article
- Implementation of Digital Device-Assisted and Nurse-Led Case Management to Promote Self-Management in Adults With Noncommunicable Diseases: Protocol for a Single-Arm Intervention Study.JMIR research protocols · 2026Article
- Contexts, mechanisms and outcomes of home-based palliative care implementation in low- and middle-income countries: A realist review.Palliative care and social practice · 2026Review
- The association between treatment burden and quality of life in older adults with multimorbidity: the mediating role of personal mastery and the moderating role of social support-a cross-sectional study in China.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Multimorbidity is highly prevalent among older adults and poses significant challenges to healthcare systems globally, especially in low and middle-income countries. Nurse-led interventions are considered a promising strategy for addressing the complexity of care required for older adults with multiple chronic conditions. Purpose: This systematic review aimed to synthesize empirical evidence on the effectiveness of nurse-led interventions in improving health outcomes among older adults with multimorbidity. Methods: A systematic literature search was conducted across five major databases (PubMed, CINAHL, ScienceDirect, Scopus and Taylor & Francis) without time restriction. Randomized controlled trials (RCTs) focusing on nurse-led interventions in older adults with two or more chronic conditions were included. The methodological quality of studies was assessed using the Risk of Bias assessment. Data were extracted and synthesized qualitatively. Results: A total of nine RCTs met the inclusion criteria. The interventions varied in design, setting, and duration. The interventions were categorized into three themes: (1) nursing care transitions, (2) strengthening self-management programs, and (3) integrated collaborative care. Community nurse-led interventions have consistently demonstrated effectiveness in improving physical function, chronic disease management capacity, medication adherence and knowledge, and perceptions of service quality and coordination. This intervention also contributed to a reduction in readmission rates, use of home care services, and length of stay in a secondary care facility. Conclusion: Nurse-led interventions demonstrate strong potential in supporting older adults with multimorbidity by enhancing self-management capacity, optimizing care transitions, and improving intersectoral coordination. To maximise impact, future implementation in developing countries like Indonesia should consider cultural adaptability, primary care readiness, and system sustainability.
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What OpenQuestion holds
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.