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Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review

Author

Listed:
  • Ana Isabel González-González

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany
    Health Services Research on Chronic Patients Network (REDISSEC), 28035 Madrid, Spain)

  • Robin Brünn

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany)

  • Julia Nothacker

    (Institute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany)

  • Christine Schwarz

    (Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Edris Nury

    (Institute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany)

  • Truc Sophia Dinh

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany)

  • Maria-Sophie Brueckle

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany)

  • Mirjam Dieckelmann

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany)

  • Beate Sigrid Müller

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany)

  • Marjan van den Akker

    (Institute of General Practice, Goethe University, 60590 Frankfurt am Main, Germany
    Department of Family Medicine, School CAPHRI, Maastricht University, 6200 Maastricht, The Netherlands
    Academic Center for General Practice, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium)

Abstract

The healthcare burden of patients with multimorbidity may negatively affect their family lives, leisure time and professional activities. This mixed methods systematic review synthesizes studies to assess how multimorbidity affects the everyday lives of middle-aged persons, and identifies skills and resources that may help them overcome that burden. Two independent reviewers screened title/abstracts/full texts in seven databases, extracted data and used the Mixed Methods Appraisal Tool (MMAT) to assess risk of bias (RoB). We synthesized findings from 44 studies (49,519 patients) narratively and, where possible, quantitatively. Over half the studies provided insufficient information to assess representativeness or response bias. Two studies assessed global functioning, 15 examined physical functioning, 18 psychosocial functioning and 28 work functioning. Nineteen studies explored skills and resources that help people cope with multimorbidity. Middle-aged persons with multimorbidity have greater impairment in global, physical and psychosocial functioning, as well as lower employment rates and work productivity, than those without. Certain skills and resources help them cope with their everyday lives. To provide holistic and dynamic health care plans that meet the needs of middle-aged persons, health professionals need greater understanding of the experience of coping with multimorbidity and the associated healthcare burden.

Suggested Citation

  • Ana Isabel González-González & Robin Brünn & Julia Nothacker & Christine Schwarz & Edris Nury & Truc Sophia Dinh & Maria-Sophie Brueckle & Mirjam Dieckelmann & Beate Sigrid Müller & Marjan van den Akk, 2021. "Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review," IJERPH, MDPI, vol. 19(1), pages 1-24, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:6-:d:707228
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    References listed on IDEAS

    as
    1. Cheng Cheng & Jie Bai & Cong‐Yan Yang & Ming Li & Kerry Inder & Sally Wai‐Chi Chan, 2019. "Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4400-4411, December.
    2. Brazier, John & Roberts, Jennifer & Deverill, Mark, 2002. "The estimation of a preference-based measure of health from the SF-36," Journal of Health Economics, Elsevier, vol. 21(2), pages 271-292, March.
    3. van Vegchel, Natasja & de Jonge, Jan & Bosma, Hans & Schaufeli, Wilmar, 2005. "Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies," Social Science & Medicine, Elsevier, vol. 60(5), pages 1117-1131, March.
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