Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care

Jotheeswaran Amuthavalli Thiyagarajan; Islene Araujo de Carvalho; Juan Pablo Peña-Rosas; Shelly Chadha; Silvio Paolo Mariotti; Tarun Dua; Emiliano Albanese; Olivier Bruyère; Matteo Cesari; Alan Dangour; Amit Dias; Mariella Guerra; Jill Keeffe; Ngaire Kerse; Qurat Ul Ain Khan; Chiung Ju Liu; Gudlavalleti V.S. Murthy; Serah Nyambura Ndegwa; Jean Yves Reginster; Luis Miguel F.Gutiérrez Robledo; Kelly Tremblay; Jean Woo; Martin Prince; John R. Beard

doi:10.1371/journal.pmed.1002948

Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care

Jotheeswaran Amuthavalli Thiyagarajan, Islene Araujo de Carvalho, Juan Pablo Peña-Rosas, Shelly Chadha, Silvio Paolo Mariotti, Tarun Dua, Emiliano Albanese, Olivier Bruyère, Matteo Cesari, Alan Dangour, Amit Dias, Mariella Guerra, Jill Keeffe, Ngaire Kerse, Qurat Ul Ain Khan, Chiung Ju Liu, Gudlavalleti V.S. Murthy, Serah Nyambura Ndegwa, Jean Yves Reginster, Luis Miguel F.Gutiérrez RobledoKelly Tremblay, Jean Woo, Martin Prince, John R. Beard

Research output: Contribution to journal › Review article › peer-review

59 Citations (Scopus)

Abstract

• Numerous underlying physiological changes occur with increasing age, and for older people, the risks of developing chronic diseases and care dependency increase. • Health systems are often better designed to respond to episodic health needs than to the more complex and chronic health needs that tend to arise with increasing age, and reprioritization is required to meet the needs of ageing populations. • Significant losses in capacity and care dependency in later life can be delayed or avoided if health interventions are introduced earlier in the process of functional decline. • We discuss the recommendations of the WHO Integrated Care for Older People (ICOPE) Guidelines, which provide evidence-based recommendations for managing declines in intrinsic capacity, developed with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. • Implementation of evidence-based interventions requires community-based assessment of an individual's needs, development and implementation of a care plan, provision of monitoring and referrals as needed, and supporting caregivers.

Original language	English
Article number	e1002948
Pages (from-to)	e1002948
Journal	PLoS Medicine
Volume	16
Issue number	10
DOIs	https://doi.org/10.1371/journal.pmed.1002948
Publication status	Published - 1 Oct 2019

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10.1371/journal.pmed.1002948

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Thiyagarajan, J. A., Araujo de Carvalho, I., Peña-Rosas, J. P., Chadha, S., Mariotti, S. P., Dua, T., Albanese, E., Bruyère, O., Cesari, M., Dangour, A., Dias, A., Guerra, M., Keeffe, J., Kerse, N., Khan, Q. U. A., Liu, C. J., Murthy, G. V. S., Ndegwa, S. N., Reginster, J. Y., ... Beard, J. R. (2019). Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care. PLoS Medicine, 16(10), e1002948. Article e1002948. https://doi.org/10.1371/journal.pmed.1002948

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abstract = "• Numerous underlying physiological changes occur with increasing age, and for older people, the risks of developing chronic diseases and care dependency increase. • Health systems are often better designed to respond to episodic health needs than to the more complex and chronic health needs that tend to arise with increasing age, and reprioritization is required to meet the needs of ageing populations. • Significant losses in capacity and care dependency in later life can be delayed or avoided if health interventions are introduced earlier in the process of functional decline. • We discuss the recommendations of the WHO Integrated Care for Older People (ICOPE) Guidelines, which provide evidence-based recommendations for managing declines in intrinsic capacity, developed with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. • Implementation of evidence-based interventions requires community-based assessment of an individual's needs, development and implementation of a care plan, provision of monitoring and referrals as needed, and supporting caregivers.",

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Thiyagarajan, JA, Araujo de Carvalho, I, Peña-Rosas, JP, Chadha, S, Mariotti, SP, Dua, T, Albanese, E, Bruyère, O, Cesari, M, Dangour, A, Dias, A, Guerra, M, Keeffe, J, Kerse, N, Khan, QUA, Liu, CJ, Murthy, GVS, Ndegwa, SN, Reginster, JY, Robledo, LMFG, Tremblay, K, Woo, J, Prince, M & Beard, JR 2019, 'Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care', PLoS Medicine, vol. 16, no. 10, e1002948, pp. e1002948. https://doi.org/10.1371/journal.pmed.1002948

Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care. / Thiyagarajan, Jotheeswaran Amuthavalli; Araujo de Carvalho, Islene; Peña-Rosas, Juan Pablo et al.
In: PLoS Medicine, Vol. 16, No. 10, e1002948, 01.10.2019, p. e1002948.

Research output: Contribution to journal › Review article › peer-review

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AU - Thiyagarajan, Jotheeswaran Amuthavalli

AU - Araujo de Carvalho, Islene

AU - Peña-Rosas, Juan Pablo

AU - Chadha, Shelly

AU - Mariotti, Silvio Paolo

AU - Dua, Tarun

AU - Albanese, Emiliano

AU - Bruyère, Olivier

AU - Cesari, Matteo

AU - Dangour, Alan

AU - Dias, Amit

AU - Guerra, Mariella

AU - Keeffe, Jill

AU - Kerse, Ngaire

AU - Khan, Qurat Ul Ain

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AU - Murthy, Gudlavalleti V.S.

AU - Ndegwa, Serah Nyambura

AU - Reginster, Jean Yves

AU - Robledo, Luis Miguel F.Gutiérrez

AU - Tremblay, Kelly

AU - Woo, Jean

AU - Prince, Martin

AU - Beard, John R.

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DO - 10.1371/journal.pmed.1002948

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JO - PLoS Medicine

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Redesigning care for older people to preserve physical and mental capacity: WHO guidelines on community-level interventions in integrated care

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