#multimorbidity — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #multimorbidity, aggregated by home.social.
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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 -
🔥 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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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 -
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 -
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 -
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 -
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. -
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. -
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. -
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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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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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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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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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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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 -
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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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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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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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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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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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 -
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/ -
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/ -
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/ -
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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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.
-
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.
-
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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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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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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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..."
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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...
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Fifty-nine studies were included in this #SysReview on the costs of #Multimorbidity
https://link.springer.com/article/10.1186/s12916-022-02427-9i) 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