Table 1.
Citation | Design | N | Setting | Complex Health Need |
---|---|---|---|---|
Alegría, 201937 | RCT | I: 153 C: 154 |
MA, NY, FL, Puerto Rico (Community) | Disability: Depression or anxiety plus minor-moderate disability (SPPB) |
Dye, 201838 | Quasi-exp | I: 33 C: 36 |
Rural Oconee County, SC (Community) | High-utilization: High ED-utilizing county; multiple chronic conditions in most participants |
Geffen, 201939 | Quasi-exp (+ qual) | 212 | Peri-urban suburb, South Africa (Community) | Multimorbidity: At least 2 listed physical or psychosocial conditions |
Lawn, 201740 | Qual | 10 older adults 24 support workers 8 coordinators |
Metro and rural South Australia (Community) | High-utilization: Frequent users of hospital/acute care due to comorbidities, psychosocial complexities |
Li, 201941 | Qual (within parent RCT) | 16 village doctors 16 aging workers 6 psychiatrists |
Rural China (PC) | Multimorbidity: Comorbid hypertension and depression |
Panagioti, 201842 | RCT (Trial w/in Cohort) | I: 504a C: 802 |
Northwest England (Community; PC recruitment) | Multimorbidity: At least 2 self-reported long-term conditions |
Russell, 201743,b | Quasi-exp (+ qual) | 34 older adults 23 HHAs |
Urban NY (Community) | Frailty: Dual Medicare and Medicaid recipients (described as frail) |
Walters, 201744 | Pilot RCT (+ qual) | I: 26 C: 25 |
Urban, semi-rural UK (Community; PC recruitment) | Frailty: Mild frailty (Rockwood Clinical Frailty Scale) |
Wang, 201345 | Pilot RCT | I: 30 C: 32 |
Rural Taiwan (Community; PC recruitment) | Multimorbidity: At least 2 chronic illnesses |
Abbreviations: C, control; ED, emergency department; HHA, home health aide; I, intervention; PC, primary care; Qual, qualitative; Quasi-exp, quasi-experimental; RCT, randomized controlled trial; SPPB, Short Physical Performance Battery.
In this Trials within Cohorts design, 504 participants were randomized to the treatment group, but only 207 consented to the intervention.
Only 1 of the 2 described interventions in this article met criteria for this systematic review.