#multimorbidity — Public Fediverse posts

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/

#Multimorbidity #ParityOfEsteem

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/

#Multimorbidity #ParityOfEsteem

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/

#Multimorbidity #ParityOfEsteem

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/

#Multimorbidity #ParityOfEsteem

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/e004156

Quick comparison of identified outcomes with the two central #CoreOutcomeSets 👇

#HRQOL #Psychometrics #PatientCentered

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/e004156

Quick comparison of identified outcomes with the two central #CoreOutcomeSets 👇

#HRQOL #Psychometrics #PatientCentered

🔥 The excitement is rising:

Today is the reveal event for the #RCT results from our DIAMONDS study.
#NIHR #PGfAR

The 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-1016-20003

Read our trial protocol here
https://bmjopen.bmj.com/content/15/3/e090295.abstract

and the #ISRCTN registration w statistical analysis plan here:
https://www.isrctn.com/ISRCTN22275538

#SMI #NCDs #Multimorbidity

🔥 The excitement is rising:

Today is the reveal event for the #RCT results from our DIAMONDS study.
#NIHR #PGfAR

The 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-1016-20003

Read our trial protocol here
https://bmjopen.bmj.com/content/15/3/e090295.abstract

and the #ISRCTN registration w statistical analysis plan here:
https://www.isrctn.com/ISRCTN22275538

#SMI #NCDs #Multimorbidity

🔥 The excitement is rising:

Today is the reveal event for the #RCT results from our DIAMONDS study.
#NIHR #PGfAR

The 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-1016-20003

Read our trial protocol here
https://bmjopen.bmj.com/content/15/3/e090295.abstract

and the #ISRCTN registration w statistical analysis plan here:
https://www.isrctn.com/ISRCTN22275538

#SMI #NCDs #Multimorbidity

"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/8EDA704DF6C14361147C87FB83EEABFD

#SubstanceUse

Researching #IntegratedCare, especially for people w #multimorbidity, shows that silos do not start at the psychological vs. physiological, but already within those categories.

#MentalIllness #HealthServices

"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/8EDA704DF6C14361147C87FB83EEABFD

#SubstanceUse

Researching #IntegratedCare, especially for people w #multimorbidity, shows that silos do not start at the psychological vs. physiological, but already within those categories.

#MentalIllness #HealthServices

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/s12982-025-00964-1

Glad to see our recent study included and summarised 👇
https://gh.bmj.com/content/9/1/e013606

#GlobalHealth #GlobalMentalHealth #Multimorbidity #LTC

A #ScopingReview of quality of life measures in treatment for substance misuse:
https://link.springer.com/article/10.1007/s11136-025-04072-0

Urgent 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

#HRQOL

A workshop of the MLTC Cross- #NIHR Collaboration programme suggests three challenge themes in #multimorbidity research #methodology:
https://journals.sagepub.com/doi/full/10.1177/26335565251372222

Wired:
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.

#Training #ECRs #Epidemiology #Statistics

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).

https://fmch.bmj.com/content/13/3/e003390

#GlobalHealth #GlobalMentalHealth #HRQL #HRQoL

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

#ImplementationScience

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/e090295

Registration incl. SAP at ISRCTN22275538
https://www.isrctn.com/ISRCTN22275538

#SMI #Multimorbidity #ISRCTN #NIHR #DundeeUni #UniOfYork #PatientCentered

Links to follow up:

The COSMOS set
https://gh.bmj.com/content/9/8/e015120.info

The 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/

#LMIC #GlobalHealth #GlobalMentalHealth

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.info

In 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.

#GlobalHealth #Multimorbidity #HRQL #LMIC

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.info

In 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.

#GlobalHealth #Multimorbidity #HRQL #LMIC

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.info

In 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.

#GlobalHealth #Multimorbidity #HRQL #LMIC

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 👇🧵

#SMI #HRQL #SDoH #DundeeUni #LivingWellUoD #ISOQOL

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 👇🧵

#SMI #HRQL #SDoH #DundeeUni #LivingWellUoD #ISOQOL

Quality of Life Research 05-2024

https://link.springer.com/journal/11136/volumes-and-issues/33-5

#ISOQOL

#HRQL of people w heart failure in #LMICs

https://rdcu.be/dF2sX

#SysReview

#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...

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/10.1177/26335565231223350

It is likely due to the type of data used, but the included studies are only from seven countries (and only one MIC).

#GlobalHealth

Population-Based Trends in Complexity of #Hospital Inpatients

"...Measures of patient #complexity that increased over a 15-year interval included the presence of advanced age, #multimorbidity, #polypharmacy, recent hospitalization, admission via the #emergency department, multiple acute medical problems, more than one adverse event, and prolonged hospital length of stay..."

#Geriatrics #Frailty #Aging #PublicHealth #Care #Health

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2813852?guestAccessKey=6c18ecf8-bdf5-46c0-a9ad-62a796665534&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=010824&adv=000001492947

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

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

End of the Clinical Consortium on #HealthyAgeing at the #WHO Headquarters in Geneva. Two-and-a-half days of exchanges within a multistakeholder group on how to improve #care for older persons.

Discussions on #IntegratedCare, Person-centered #care, #Community engagement, Musculoskeletal #health, Ageing with #HIV, #Multimorbidity, #LongTermCare, Low resource settings, #Research, #Training...

#ICOPE #CCHA

Last week "Quality of Life Research" published 5 papers:
https://link.springer.com/journal/11136/online-first #ISOQOL

For example,

Evaluating different versions of the #WHODAS to measure disability in #MultipleSclerosis
https://link.springer.com/article/10.1007/s11136-023-03470-6 #RaschModel #Psychometrics

A longitudinal analysis of #multimorbidity and #HRQL amongst Indigenous Australians
https://link.springer.com/article/10.1007/s11136-023-03500-3 #HILDA

HRQL in people with Hepatitis C virus after treatment w direct-acting antivirals
https://rdcu.be/djWrJ

Fifty-nine studies were included in this #SysReview on the costs of #Multimorbidity
https://link.springer.com/article/10.1186/s12916-022-02427-9

i) annual costs of per person ranged from I$*800 to I$150,000

ii) increased country GDP per capita was associated with higher costs

iii) morbidity-dyads including #MentalHealth conditions are among the most costly (I$36,840)

Important future research: The included studies mostly focused on direct costs and #HighIncome countries.

*I$ 2021 International Dollars

#Introduction

Hi Mastodon!

I work at the School of Health Sciences, University of Dundee.

I research #MentalHealth MentalIllness #Multimorbidity.

I am interested in Health-related Quality of Life #HRQL
#HealthEconomics.

I have experience in the assessment & evaluation of research, thanks #REF2021 😂

I am a #NightshiftEditor & post about editing, publishing & #PeerReview.

Looking forward to exchanges about all these & will post the odd picture of my Scottish Environs.