#multimorbidity — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #multimorbidity, aggregated by home.social.
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Very interesting read for #psychotherapy w long-term conditions
https://www.cambridge.org/core/journals/the-cognitive-behaviour-therapist/article/living-well-with-physical-health-conditions-client-perspectives-on-longterm-cbt-outcomes-in-uk-primary-care/2D48E7F012EA431CF21272487D5322DEThe theme "Lack of therapist skill and knowledge of #LTCs" illustrates specific barriers to forming a strong #TherapeuticAlliance.
#Interdisciplinary #Interprofessional -
Very interesting read for #psychotherapy w long-term conditions
https://www.cambridge.org/core/journals/the-cognitive-behaviour-therapist/article/living-well-with-physical-health-conditions-client-perspectives-on-longterm-cbt-outcomes-in-uk-primary-care/2D48E7F012EA431CF21272487D5322DEThe theme "Lack of therapist skill and knowledge of #LTCs" illustrates specific barriers to forming a strong #TherapeuticAlliance.
#Interdisciplinary #Interprofessional -
Linkage Study, #PalliativeCare, #Denmark
Patients with severe #MentalIllness died younger and more often from non-cancer conditions; and those with active psychiatric treatment had longer waiting time from referral to first palliative care contact
https://orca.cardiff.ac.uk/id/eprint/186458/ -
Linkage Study, #PalliativeCare, #Denmark
Patients with severe #MentalIllness died younger and more often from non-cancer conditions; and those with active psychiatric treatment had longer waiting time from referral to first palliative care contact
https://orca.cardiff.ac.uk/id/eprint/186458/ -
A #SysReview exploring impacts of community-based interventions for adults with #multimorbidity on clinical and patient-reported outcomes (25 studies):
https://bmjpublichealth.bmj.com/content/4/1/e004156Quick comparison of identified outcomes with the two central #CoreOutcomeSets 👇
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A #SysReview exploring impacts of community-based interventions for adults with #multimorbidity on clinical and patient-reported outcomes (25 studies):
https://bmjpublichealth.bmj.com/content/4/1/e004156Quick comparison of identified outcomes with the two central #CoreOutcomeSets 👇
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🔥 The excitement is rising:
Today is the reveal event for the #RCT results from our DIAMONDS study.
#NIHR #PGfARThe aim was to develop and test a #SelfManagement programme for people w severe #MentalIllness and type-2 #diabetes; and to explore its relevance to people w SMI and other physical conditions
https://fundingawards.nihr.ac.uk/award/RP-PG-1016-20003Read our trial protocol here
https://bmjopen.bmj.com/content/15/3/e090295.abstractand the #ISRCTN registration w statistical analysis plan here:
https://www.isrctn.com/ISRCTN22275538 -
🔥 The excitement is rising:
Today is the reveal event for the #RCT results from our DIAMONDS study.
#NIHR #PGfARThe aim was to develop and test a #SelfManagement programme for people w severe #MentalIllness and type-2 #diabetes; and to explore its relevance to people w SMI and other physical conditions
https://fundingawards.nihr.ac.uk/award/RP-PG-1016-20003Read our trial protocol here
https://bmjopen.bmj.com/content/15/3/e090295.abstractand the #ISRCTN registration w statistical analysis plan here:
https://www.isrctn.com/ISRCTN22275538 -
"Maintaining a conceptual divide btw addictions and other psychiatric disorders reinforces diagnostic “tunnel vision,” constraining our understanding of neuropsychopathology and contributing to persistent gaps in care and treatment accessibility."
https://www.cambridge.org/core/journals/irish-journal-of-psychological-medicine/article/addiction-is-a-mental-disorder-within-the-mental-health-spectrum-and-it-matters/8EDA704DF6C14361147C87FB83EEABFDResearching #IntegratedCare, especially for people w #multimorbidity, shows that silos do not start at the psychological vs. physiological, but already within those categories.
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"Maintaining a conceptual divide btw addictions and other psychiatric disorders reinforces diagnostic “tunnel vision,” constraining our understanding of neuropsychopathology and contributing to persistent gaps in care and treatment accessibility."
https://www.cambridge.org/core/journals/irish-journal-of-psychological-medicine/article/addiction-is-a-mental-disorder-within-the-mental-health-spectrum-and-it-matters/8EDA704DF6C14361147C87FB83EEABFDResearching #IntegratedCare, especially for people w #multimorbidity, shows that silos do not start at the psychological vs. physiological, but already within those categories.
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Summarising literature from 25yrs, the paper shows that most studies investigating cost in global #NCD research emphasise tangible costs (direct & indirect expenses), while largely neglecting intangible costs:
https://link.springer.com/article/10.1186/s12982-025-00964-1Glad to see our recent study included and summarised 👇
https://gh.bmj.com/content/9/1/e013606 -
A #ScopingReview of quality of life measures in treatment for substance misuse:
https://link.springer.com/article/10.1007/s11136-025-04072-0Urgent development topics:
Culturally adapted measures, how intersecting identities shape QoL experience, impacts of stigma on QoL, and the roles of socioeconomic factors and cooccurring conditions.
#SDH #Multimorbidity -
A workshop of the MLTC Cross- #NIHR Collaboration programme suggests three challenge themes in #multimorbidity research #methodology:
https://journals.sagepub.com/doi/full/10.1177/26335565251372222Wired:
Transparency, standardisation, reproducibility of multimorbidity research made the list!Tired:
Bullet points in figure 1 have more detail on building methodological capacity than the text. Investing in methodologists (of any kind) is not part mentioned as far as I can see. -
Meta-analysis of #TaskShifting / #TaskSharing for managing #Multimorbidity shows some associations w depression (d=-.27, k=14), quality of life (d=.10, k=12), increased anxiety (d=.14, k=5), mortality (OR=.77, k=4).
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An analysis of electronic health records shows that a third of patients with SMI [severe #MentalIllness] in UK #PrimaryCare are excepted from #MentalHealth indicators at least once. Given the persisting health inequalities in people with #SMI this is concerning:
https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/characteristics-of-people-with-severe-mental-illness-excluded-from-incentivised-physical-health-checks-in-the-uk-electronic-healthcare-record-study/806549AACA75DB0BFA98521A761C36AF -
Telehealth interventions for managing #multimorbidity can be cost-effective and improve access and health outcomes in rural and remote areas. This #ScopingReview (n=15) stresses variability in findings and need for standardised implementation:
https://journals.sagepub.com/doi/full/10.1177/26335565251344433 -
This study used data from national registers to examine the prevalence of multimorbidity in the Danish population btw 2000-2018. They found that the prevalence of #multimorbidity doubled during the study period, with a stronger increase in older age groups:
https://journals.sagepub.com/doi/full/10.1177/26335565251331182
For example, the number of people with at least one morbidity was 26.2% in 2000 and 41.9% in 2018; and the prevalence of multimorbidity (disease count) increased from 7.1% to 16.1%. -
Protocol for one of our current trials published:
DIAMONDS evaluates a #diabetes #SelfManagement intervention for people living with severe mental illness
https://bmjopen.bmj.com/content/15/3/e090295Registration incl. SAP at ISRCTN22275538
https://www.isrctn.com/ISRCTN22275538#SMI #Multimorbidity #ISRCTN #NIHR #DundeeUni #UniOfYork #PatientCentered
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Characteristics of older patients undergoing #surgery in the UK: SNAP-3, a snapshot observational study - PubMed https://pubmed.ncbi.nlm.nih.gov/39765405/ “In the UK, one in five older patients undergoing surgery is living with #frailty, and almost two-thirds of older patients are living with #multimorbidity. These data highlight the importance of frailty screening. “
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Nice meeting with people working on the development of an #ICF Core Set for #Multimorbidity Rehabilitation:
https://www.cometinitiative.org/Studies/Details/3266Two things I found interesting to delve deeper into:
Africa Multimorbidity Alliance:
https://www.africamultimorbidityalliance.com/Evidence for exercise-based interventions across 45 different long-term conditions:
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00178-0/fulltext -
Denosumab for #osteoporosis in older adults in long‐term care: A randomized trial
"...Participants with #multimorbidity, dysmobility, and #cognitive impairment were not excluded..."
#LTC #Geriatrics #MedMastodon #Health #Care #Research #LongTermCare
https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.19260?af=R
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🎉👩🎓🎓🥂Congrats to Anastasia Lam!
Last week she successfully defended her thesis "Growing old with multimorbidity: how our differences shape the years we live with disease" at the University of St Andrews passing the viva without any corrections.
Well done! 👏
#PhD #Multimorbidity #Inequality #Demography #Intersectionality #Health #Aging
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#Multimorbidity and adverse outcomes following #emergency department attendance: population-based cohort study
"...The increasing prevalence of multimorbidity in the population is likely to exacerbate strain on emergency departments unless practice and #policy evolve to meet the growing demand..."
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Links to follow up:
The COSMOS set
https://gh.bmj.com/content/9/8/e015120.infoThe COSmm set
https://pubmed.ncbi.nlm.nih.gov/29531104/And a special plug for the paper presenting an interpretative phenomenological analysis of the lived experience of people with
#multimorbidity in low- and middle-income countries based on the interview data from this study
pubmed.ncbi.nlm.nih.gov/38262681/ -
Core outcome sets for trials of interventions to prevent and to treat #multimorbidity in adults in low and middle-income countries
https://gh.bmj.com/content/9/8/e015120.infoIn the works since early 2020 w #SysReview, 50 qualitative interviews in 10 countries, Delphi study & consensus meetings.
Enormous thanks to all who made this possible!🙇
Summary of core outcomes 👇 incl. earlier seminal #COSmm work in #HIC.
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Interesting #CaseStudy in #multimorbidity network visualisation:
https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-024-02286-3I would challenge the conclusion that only pairs which are selected by multiple statistics should be visualised:
How about using a statistic instead that connects to the underlying theoretical assumptions? -
With view to #multimorbidity I focus on work led by Phuong Bich Tran using our COSMOS /
#IMPACTNIHR qualitative data investigating the lived experiences of people living w MM in #LMICs by exploring their perspectives, experiences, and aspirations
https://gh.bmj.com/content/9/1/e013606The interviews firstly showed strongly the importance of healthcare cost and forgone income as outcomes of #HealthCare, which are often not considered in the development of core outcome sets (see also https://www.medrxiv.org/content/10.1101/2024.01.29.24301589v1)
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Mentally preparing for the
#MWMsymposium later today, giving a brief input on severe mental illnesses and #multimorbidity in relation to social determinants of health and health-related quality of life.I'll be posting here later about the talks, but here I share some resources I'll talk about 👇🧵
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Mentally preparing for the
#MWMsymposium later today, giving a brief input on severe mental illnesses and #multimorbidity in relation to social determinants of health and health-related quality of life.I'll be posting here later about the talks, but here I share some resources I'll talk about 👇🧵
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Quality of Life Research 05-2024
https://link.springer.com/journal/11136/volumes-and-issues/33-5
#HRQL of people w heart failure in #LMICs
#QOL of people living w mental illness in Africa
https://link.springer.com/article/10.1007/s11136-023-03525-8
#SysReview #SMI #Multimorbidity
#NightshiftEditor seven issues to go...
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Call for #GlobalHealth #GlobalMentalHealth researchers interested in #Multimorbidity:
9th GACD Funding Call – Management of Multiple Long-Term Conditions
https://www.gacd.org/funding/current-call-for-applications/management-of-multiple-long-term-conditions
🗓️ 15.05. (first stage)The common call document [pdf https://www.gacd.org/perch/resources/admin/ninth-gacd-call-text-mltc-wp-v1-5.pdf] lists a range of topics such as #StudyDesign, health #equity, stakeholder engagement and knowledge sharing it has a specific section on #OutcomeMeasures that explicitly refers to our COSMOS work
https://www.medrxiv.org/content/10.1101/2024.01.29.24301589v1 -
A #SysReview (n=16 studies) of #multimorbidity patterns in #PrimaryCare electronic health records shows #MentalIllness and cardiovascular patterns in all studies, and other patterns relating to musculoskeletal, respiratory, and gastrointestinal diseases in some studies:
https://journals.sagepub.com/doi/full/10.1177/26335565231223350It is likely due to the type of data used, but the included studies are only from seven countries (and only one MIC).
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African Research Leaders funding by #UKRI:
www.ukri.org/opportunity/...It offers support for exceptional #ECRs /mid-career African researchers to conduct #GlobalHealth research across sub-Saharan Africa.
🔥Apply by 24.04.!
#Multimorbidity & #PublicHealth are mentioned as areas of relevance 😊
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Led by Phuong Bich Tran, this COSMOS* network study supports the growing appreciation that people's views about what is important in #HealthCare differ from those of clinicians/researchers
https://gh.bmj.com/content/9/1/e013606Re-analysing 50 semi-structured interviews from 10 LMICs across 3 regions showed especially how important finances, financing, and loss of income are.
#GlobalHealth #Multimorbidity #UniversalHealthCoverage #QualitativeResearch
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We developed a #CoreOutcomeSet for #SelfManagement interventions for ppl living w severe mental illness and type 2 #diabetes (NIHR DIAMONDS PGfAR https://www.diamondscollaboration.org.uk/)
https://onlinelibrary.wiley.com/doi/10.1111/dme.15288We identified 7 outcomes (incl. #HRQL), but I found it very instructive to see the connection btw
the focus on a narrow range of outcomes and
the potential of disease-specific interventions being too focused for the issues experienced by people living w coexisting conditions. -
Danes with Chronic Conditions Face Steep Medication Costs Despite Welfare https://researchinenglish.com/article/2024.0/multimorbidity-danish-adults-with-chronic-o0e3o0rl
#denmark #medication #prescriptions #research #welfare #research #multimorbidity #chronicconditions #healthcare #costs
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How can we fund #Research for people, not conditions?
Research funders need to respond to the significant challenges of #Multimorbidity
“More people now live with several health problems at an earlier age and #HealthInequalities have increased, but most clinical services remain geared towards management of single diseases."
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New (very long, very lucrative) MRC call
For units to tackle complex, interdisciplinary health challenges
Funded for up to 14 years
£25,000,000 for the first 7 years
Themes:
mental health
multimorbidity
advanced therapeuticsOpening 21 November
Applications can be from a single research organisation or in partnership and may include industry collaboration
https://www.ukri.org/opportunity/mrc-new-unit-funding/
#ResearchFunding #MRC #MentalHealth #Multimorbidity #Therapeutics
