Institute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, 40170, Shah Alam, Selangor, Malaysia.
Institute of Biological Sciences, Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
Syst Rev. 2021 Dec 6;10(1):307. doi: 10.1186/s13643-021-01862-8.
Home visiting services for older adults have been offered for decades to maintain and promote health and independent functioning, thus enhancing quality of life. Previous systematic reviews have provided a mixed picture of the benefits of home visiting programmes in older adults, primarily because of heterogeneity in study designs, targeted populations, and intervention strategies. These reviews may also become out of date; thus, an updated synthesis of relevant studies is warranted. Our objective is to perform a systematic review of recently published primary studies on the effectiveness of multi-professional home visits on quality of life among older adults.
We will perform a comprehensive search for studies investigating the effect of a multi-professional home visit approach on quality of life among older adults. We will conduct the literature search in selected electronic databases and relevant research websites from January 2010 onwards. We will include randomised controlled trials (RCTs), cluster randomised controlled trials (cluster RCTs), and observational studies that enrolled older adults without dementia over 60 years old, along with studies involving multi-professional preventive-promotive home visit approaches not related to recent hospital discharge. We will report our planned review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We will retrieve and record relevant data in a standardised data extraction form and evaluate the quality of the included articles using the Cochrane risk of bias tool and the quality assessment tool for studies with diverse designs (QATSDD). Where appropriate, outcomes will be pooled for meta-analysis using a random-effects model. The main outcomes include quality of life, incidence of falls, depression, dementia, and emergency department admissions.
This review may provide evidence for the effectiveness of home visits in improving older adults' quality of life. It will potentially benefit health care professionals, policymakers, and researchers by facilitating the design and delivery of interventions related to older generations and improve service delivery in future.
PROSPERO CRD42021234531 .
几十年来，一直为老年人提供家庭访问服务，以维持和促进健康和独立功能，从而提高生活质量。以前的系统评价对家庭访问计划对老年人健康益处的描述存在差异，主要是因为研究设计、目标人群和干预策略存在异质性。这些综述也可能已经过时；因此，有必要对相关研究进行更新综合。我们的目的是对最近发表的关于多专业家庭访问对老年人生活质量影响的原始研究进行系统评价。
我们将全面搜索研究，调查多专业家庭访问方法对老年人生活质量的影响。我们将从 2010 年 1 月起在选定的电子数据库和相关研究网站上进行文献搜索。我们将纳入随机对照试验（RCT）、整群随机对照试验（cluster RCT）和观察性研究，纳入无痴呆的 60 岁以上老年人，以及涉及多专业预防促进家庭访问方法的研究，与最近出院无关。我们将按照系统评价和荟萃分析的首选报告项目（PRISMA）指南报告我们计划的综述。我们将检索并记录相关数据在标准化数据提取表中，并使用 Cochrane 偏倚风险工具和不同设计研究质量评估工具（QATSDD）评估纳入文章的质量。在适当的情况下，将使用随机效应模型对结果进行荟萃分析。主要结局包括生活质量、跌倒发生率、抑郁、痴呆和急诊科入院率。
该综述可能为家庭访问改善老年人生活质量的有效性提供证据。它将通过促进与老年一代相关的干预措施的设计和实施，并在未来改善服务提供，使卫生保健专业人员、政策制定者和研究人员受益。
PROSPERO CRD42021234531 。
