Evidence map›Paper›PMID 41239460›Full record

ArticleSystematic reviews2025

Factors that influence the commissioning and implementation of integrated care for adults at risk of cardiovascular disease and mild-to-moderate mental health concerns in the UK: a systematic review protocol.

N Howlett, V Antonopoulou, A McKinlay, F Lorencatto, L J McGowan, D Osborn, A O'Donnell, E J Oliver, I Vlaev, F F Sniehotta and 8 more

Abstract read
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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.

N HowlettNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
V AntonopoulouNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. v.antonopoulou@ucl.ac.uk.ORCID 0000-0002-1002-4191
A McKinlayNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
F LorencattoNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
L J McGowanNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
D OsbornNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
A O'DonnellNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
E J OliverNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
I VlaevCentre for Behavioral and Implementation Science Interventions (BISI), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
F F SniehottaNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
M P KellyNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
S MichieNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
C KempNIHR Policy Research Unit in Behavioural and Social Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Y PappasNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
G RandhawaNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
N AliNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
E MunroNIHR Policy Research Unit in Behavioural and Social Sciences, Centre for Health, Wellbeing and Behaviour Change, University of Bedfordshire, Polhill Avenue, Bedford, MK419EA, UK.
A M ChaterNIHR Policy Research Unit (PRU) in Behavioural and Social Sciences, Centre for Behaviour Change (CBC), Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.

Funding

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

Abstract

backgroundCardiovascular disease (CVD) risk factors and mild-to-moderate mental health concerns (anxiety, depression) often co-occur and can worsen individual health outcomes, increase healthcare burden, and related costs relative to non-co/multi-morbidity. Existing evidence from both staff and service users suggests that integrating care for this population can be beneficial but challenging. Therefore, it is important that the key influences on integrated care are mapped to behavioural science frameworks so that intervention strategies in the system are actionable. This review aims to synthesise findings on which individual, organisational, social, and system-level factors influence integrated care for people experiencing co-occurring CVD risk factors and mild-to-moderate mental health concerns from the perspective of a range of health and social care professionals.

methodsThis systematic review will search MEDLINE, Embase, Emcare, PsycInfo, CINAHL, and grey literature in PsyArXiv and HMIC. Included studies will be qualitative primary research published in the English language reporting on the factors that influence the commissioning and implementation of integrated care for adults at risk of CVD and experiencing mild-to-moderate mental health concerns. This will be from the perspective of healthcare professionals, managers, commissioners, and policymakers. A thematic synthesis will identify relevant actions, actors, context, targets, and timeframes using the AACTT framework, and influences on actors' behaviour will be mapped to the Consolidated Framework for Implementation Research (CFIR) and the Theoretical Domains Framework (TDF). DISCUSSION: Data from this review will provide insight for a larger NHIR-funded programme of work that aims to optimise Integrated Care Services (OptICS) that will develop a whole-systems map to identify appropriate targets and intervention strategies to optimise integrated care. This review will offer a novel contribution to knowledge by synthesising qualitative evidence from a range of stakeholders on the influences on commissioning and implementation of integrated care for adults with physical and mental health comorbidities, mapped to complementary implementation frameworks. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42024554221.

Indexed as

AnxietyCardiovascular DiseasesDelivery of Health Care, IntegratedDepressionMental DisordersAdultHumansMental HealthRisk FactorsSystematic Reviews as TopicUnited KingdomAnxietyCardiovascular DiseaseConsolidated Framework for Implementation ResearchDepressionIntegrated careMental healthTheoretical Domains FrameworkWhole Systems

Identifiers

PMID41239460
PMCPMC12619213

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LicenceCC BY-NC-ND
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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.