健康老龄化非药物处方循证决策支持工具的开发与同行评议

Zara Quail, M. Carter, Charles Young
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摘要

引言:促进健康老龄化对于保持老年人的功能能力和健康越来越重要。然而,缺乏综合的循证信息来支持选择非药物干预措施来支持个人的健康老龄化结果。方法:对支持健康老龄化的非药物干预的循证文献进行叙述性综述。对干预益处的证据进行了评估,并将其纳入系统健康干预途径框架,并与身体健康和功能、情绪健康、认知健康、睡眠、饮食和营养相关的相关目标、需求和结果相一致。分析了对75名专家同行评审员进行的修改后的德尔菲调查的意见,为下一次Pathway迭代的开发提供信息。结果:叙述性综述确定了关键的健康老龄化干预措施,包括体育活动、社交、情绪健康干预、创造性和认知刺激活动以及饮食和营养。同行评审调查结果表明,大多数人同意路径中针对健康老龄化的所有领域和非药物干预措施,并建议干预措施和结果修订为路径迭代提供信息。结论:该途径可以在以可获得和可扩展的方式实施非药物干预方面向前迈出一步,补充传统的卫生和社会护理,使老年人能够活得更长。
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Development and Peer Review of an Evidence-Based Decision-Support Tool for Non-Drug Prescribing for Healthy Ageing
Introduction: Promoting healthy ageing is increasingly important to maintain functional ability and wellbeing in older age. However, there is a lack of consolidated evidence-based information to support the selection of non-drug interventions to support healthy ageing outcomes for individuals. Methods: A narrative review of the evidence-based literature on non-drug interventions to support healthy ageing was performed. Evidence for intervention benefits was evaluated and mapped into the Systematic Wellness Intervention Pathway framework and aligned to relevant goals, needs and outcomes relating to physical fitness and function, emotional wellbeing, cognitive health, sleep and diet and nutrition. Comments from a modified Delphi survey of 75 expert peer reviewers were analysed to inform the development of the next Pathway iteration. Results: The narrative review identified key healthy ageing interventions, including physical activity, social interaction, interventions for emotional wellbeing, creative and cognitively stimulating activities and diet and nutrition. Peer review survey results indicated majority agreement with all domains and non-drug interventions for healthy ageing in the Pathway, and suggested interventions and outcome revisions informed Pathway iteration. Conclusion: The Pathway could be a step forward in operationalising the delivery of non-drug interventions in an accessible and scalable way, supplementing conventional health and social care, to enable older people to live well for longer.
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