Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 14, 643-658
eCollection

Effects of Health Care Interventions on Quality of Life Among Frail Elderly: A Systematized Review

Affiliations

Effects of Health Care Interventions on Quality of Life Among Frail Elderly: A Systematized Review

Jantine van Rijckevorsel-Scheele et al. Clin Interv Aging.

Abstract

Introduction: Many health care interventions have been developed that aim to improve or maintain the quality of life for frail elderly. A clear overview of these health care interventions for frail elderly and their effects on quality of life is missing.

Purpose: To provide a systematic overview of the effect of health care interventions on quality of life of frail elderly.

Methods: A systematic search was conducted in Embase, Medline (OvidSP), Cochrane Central, Cinahl, PsycInfo and Web of Science, up to and including November 2017. Studies describing health care interventions for frail elderly were included if the effect of the intervention on quality of life was described. The effects of the interventions on quality of life were described in an overview of the included studies.

Results: In total 4,853 potentially relevant articles were screened for relevance, of which 19 intervention studies met the inclusion criteria. The studies were very heterogeneous in the design: measurement of frailty, health care intervention and outcome measurement differ. Health care interventions described were: multidisciplinary treatment, exercise programs, testosterone gel, nurse home visits and acupuncture. Seven of the nineteen intervention studies, describing different health care interventions, reported a statistically significant effect on subdomains of quality of life, two studies reported a statistically significant effect of the intervention on the overall quality of life score. Ten studies reported no statistically significant difference between the intervention and control groups.

Conclusion: Reported effects of health care interventions on frail elderly persons' quality of life are inconsistent, with most of the studies reporting no differences between the intervention and control groups. As the number of frail elderly persons in the population will continue to grow, it will be important to continue the search for effective health care interventions. Alignment of studies in design and outcome measurements is needed.

Keywords: exercise programs; frailty; interventions; multidisciplinary treatment; quality of life; systematic review.

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Study selection flowchart. Abbreviation: ADL, activities of daily life.
Figure 2
Figure 2
Methodological quality of the included studies, using the Cochrane collaboration’s tool for assessing risk of bias.
Figure 3
Figure 3
Risk of bias graph: review authors’ judgments about each risk of bias item presented as percentages across all included studies.

Similar articles

See all similar articles

References

    1. United Nations DoEaSA, Population Division . World Population Prospects: The 2015 Revision, Key Findings & Advace Tables. New York: United Nations; 2015.
    1. Lp F, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol. 2001;56(3):146–156. - PubMed
    1. Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM. Towards an integral conceptual model of frailty. J Nutr Health Aging. 2010;14(3):175–181. - PubMed
    1. Rodríguez-Mañas L, Féart C, Mann G, et al. Searching for an operational definition of frailty: a Delphi method based consensus statement. The frailty operative Definition-Consensus conference project. J Gerontol A Biol Sci Med Sci. 2013;68(1):62–67. - PMC - PubMed
    1. de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Nijhuis-van der Sanden MW. Outcome instruments to measure frailty: a systematic review. Ageing Res Rev. 2011;10(1):104–114. - PubMed

Publication types

Feedback