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Identifying the content of home-based health behaviour change interventions for frail older people: a systematic review protocol.

Jovicic, A; Gardner, B; Belk, C; Kharicha, K; Iliffe, S; Manthorpe, J; Goodman, C; Drennan, V; Walters, K (2015) Identifying the content of home-based health behaviour change interventions for frail older people: a systematic review protocol. Syst Rev, 4. p. 151. ISSN 2046-4053
SGUL Authors: Drennan, Vari MacDougal

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BACKGROUND: Meeting the needs of the growing number of older people is a challenge for health and social care services. Home-based interventions aiming to modify health-related behaviours of frail older people have the potential to improve functioning and well-being. Previous reviews have focused on whether such interventions are effective, rather than what might make them effective. Recent advances in behavioural science make possible the identification of potential 'active ingredients' of effective interventions, such as component behaviour change techniques (BCTs), and intended intervention functions (IFs; e.g. to educate, to impart skills). This paper reports a protocol for a systematic review that seeks to (a) identify health behaviour change interventions for older frail people, (b) describe the content of these interventions, and (c) explore links between intervention content and effectiveness. The protocol is reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) 2015 guidelines. METHODS/DESIGN: Studies will be identified through a systematic search of 15 electronic databases, supplemented by citation tracking. Studies will be retained for review where they report randomised controlled trials focusing on home-based health promotion delivered by a health professional for frail older people in community settings, written in English, and either published from 1980 onwards, or, for registered trials only, unpublished but completed with results obtainable from authors. Interventions will be coded for their content (BCTs, IFs) and for evidence of effectiveness (outcome data relating to behavioural and health outcomes). Analyses will describe characteristics of all interventions. Interventions for which effectiveness data are available will be categorised into those showing evidence of effectiveness versus those showing no such evidence. The potential for each intervention characteristic to contribute to change in behaviour or health outcomes will be estimated by calculating the percentage of all interventions featuring those characteristics that have shown effectiveness. DISCUSSION: Results will reveal the strategies that have been drawn on within home-based interventions to modify the health behaviours of frail older people, and highlight those more associated with positive changes in behaviour and health. Findings from this review will provide a useful basis for understanding, developing, and implementing behaviour change interventions in this field. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42014010370.

Item Type: Article
Additional Information: © 2015 Jovicic et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Keywords: Aged, Frail Elderly, Health Behavior, Health Promotion, Health Status, Home Care Services, Humans, Research Design, Review Literature as Topic, Humans, Health Behavior, Health Status, Research Design, Aged, Frail Elderly, Health Promotion, Home Care Services, Review Literature as Topic
Journal or Publication Title: Syst Rev
ISSN: 2046-4053
Language: eng
4 November 2015Published
19 October 2015Accepted
Publisher License: Creative Commons: Attribution 4.0
Project IDFunderFunder ID
G1001822Medical Research CouncilUNSPECIFIED
HTA/12/192/10Department of HealthUNSPECIFIED
PubMed ID: 26538082
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