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. 2021 Jan 15;2021(1):CD006560. doi: 10.1002/14651858.CD006560.pub4

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