1. Multimorbidity intervention components.
Author Year | Professional | Participant | Organisational | Effect of intervention on primary outcome | ||
Case management or coordination of care | Reorganisation of care/team working | New team member | ||||
Predominantly organisational | ||||||
Barley 2014 | Nurse training | Participant information Prioritisation to create goals and health plan |
Case manager provided personalised care | Regular planned participant visits Weekly team meetings |
Nurse case manager | Pilot study and primary outcome was feasibility and deemed successful |
Bogner 2008 | Individualised programme | Case manager | Regular planned participant visits | Improved blood pressure control and depression scores | ||
Boult 2011 | Nurse training | Individual management plans Support for self‐management |
Guided care nurses coordinated care |
Guided care 'pods' consisting of nurse and PCP Monthly monitoring of participants |
No impact on healthcare utilisation | |
Coventry 2015 | Practice team training | Personalised goals and participant workbooks |
Collaborative care using stepped care protocols Joint consultation between participant, psychologist and practice nurse |
Psychologist Supervision and input from team psychiatrist |
Modest reduction in depression scores | |
Hogg 2009 | Individualised care plans |
Multidisciplinary team‐based management with home based assessment Medication review |
Pharmacist | Modest improvements in quality of chronic care delivery | ||
Katon 2010 | Individualised management plans and targets Support for self‐management |
Team‐based care Stepped care treatment protocols Weekly team meeting |
Psychologist and psychiatrist supported depression care | Improvements in composite outcome of glycaemic control, blood pressure, lipids and depression scores | ||
Kennedy 2013 | Practice training | Support for self‐management Participant guidebooks |
Systems‐based approach to self‐management support with practice supports and links made with related local services | No intervention effect noted | ||
Krska 2001 | Individualised pharmaceutical care plans | Practice team‐implemented care plans | Pharmacist undertook medication review and devised pharmaceutical care plans | Reduction in pharmaceutical care issues | ||
Martin 2013 | Training for community psychologists | Cognitive behavioural therapy sessions | Psychological care programme designed for headache and depression | Community psychologists | Reduced headaches and improved depression scores | |
Morgan 2013 | Practice nurse training | Support for self‐management Goal setting Individualised care plans |
Nurse case manager | Quarterly reviews with practice nurse with GP stepping up care as needed | Improved depression scores | |
Sommers 2000 | Risk reduction plan | Team based care with home assessment followed by team discussion, treatment plan and targets | Social worker | Reduced hospitalisation | ||
Wakefield 2012 | Participation in home telehealth monitoring | Nurse case manager using telehealth monitoring and treatment algorithms | Improved blood pressure, no effect on glycaemic control | |||
Predominantly Patient‐oriented interventions | ||||||
Eakin 2007 | Support for self‐management with focus on diet and physical activity | Regular visits and follow‐up telephone calls | Health educator | Improvements in diet but not in physical activity | ||
Garvey 2015 | Occupational therapist (OT) training |
OT‐led, group‐based support for self‐management programme (6 weeks) Goal setting and peer support |
GP and primary care team referral | OT with input from physiotherapist and pharmacist | Improvements in activity participation | |
Hochhalter 2010 | Training for coaches running intervention | Patient Engagement workshop (x1) | Two follow‐up phone calls | Coach who delivered workshop | No effect on outcomes | |
Lorig 1999 | Training for volunteer lay group leaders |
Chronic Disease Self Management Support Programme (six sessions) Peer support |
Volunteer lay group leaders supported by study team | No primary outcome specified. Multiple outcomes reported with mixed effects | ||
Lynch 2014 |
Diabetes self management support groups (18 sessions) Peer support Goal setting and behaviour skills training |
Dietician led groups | No effect on primary outcome of weight reduction |
The predominant intervention component is highlighted in bold text for each study
No study contained a financial‐type intervention element