From: Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Source (country) | Indication | Intervention | Control | N patients (assign.) | Follow-up(s) (weeks since T0) | Outcome (measure) | |||
---|---|---|---|---|---|---|---|---|---|
Description | IPC type | No. of prof. | Treatment intensity (hours, mean) | ||||||
RCT | |||||||||
Boesen et al. 2018 [14] (Denmark) | Multiple sclerosis | 4 weeks of continuous hospitalization with 20 days of scheduled rehabilitation | IP + IO | 10 | 70 | No treatment (wait-list) | 427 | 26 | QoL — generic (EQ-5D-5L; EQ-VAS; 15-D questionnaire) QoL — disease-specific (FAMS, MSIS-29: physical, psychological) |
Cheung et al. 2010 [19] (Australia) | Palliative care (preterminal or terminal condition) | Usual care + consultation from a palliative care team (intensive care unit) | IP | 4 | N/A | Usual care | 20 | 0.7 (IG) resp. 0.4 (CG) | Satisfaction (unknown outcome measure/self-developed) |
Counsell et al. 2000 [15] (USA) | Old age (> 70) | Acute Care for Elders (ACE): adaption of environment + patient-centered care (e.g., nursing care plans) + discharge planning + review of medical care + daily interdisciplinary team rounds | IP | 4 | N/A | Usual care | 1531 | 6 | Satisfaction (unknown outcome measure/self-developed) Functional ability and health status — generic (ADL decline: generic; IADL) |
Gade et al. 2008 [16] (USA) | Palliative care | Consultative interdisciplinary palliative care service (IPCS) | IP | 4 | N/A | Usual care | 517 | 0.42 (IG) resp. 0.28 (CG) | QoL — generic (MCOHPQ: physical area, emotional/relationship area, spiritual area, quality of life) Satisfaction — generic (MCOHPQ: place of care environment scale, doctors, nurses/other healthcare providers communication scale) |
Goldberg et al. 2013 [17] (GB) | Cognitive impairment in old age (> 65) | Acute geriatric medical ward with specialist mental health staff + staff training and education + therapeutic program + adaption of environment + inclusive approach to family carers | IP + IE + IO | 7 | N/A | Usual care | 600 | 13 | QoL — generic (EQ-5D: self-completed, proxy completed) QoL — disease-specific (DEMQOL: self-completed, proxy completed) Functional ability and health status — generic (LHS) |
Grudzen et al. 2016 [20] (USA) | Palliative care for patients with advanced cancer | Palliative care consultation: symptom assessment and treatment + goals of care + advance care plan + transition planning | IP+ IO | 4 | N/A | Usual care | 136 | 6, 12 | QoL — disease-specific (FACT-G) Psychiatric morbidity (PHQ-9) |
Hamnes et al. 2012 [18] (Norway) | Fibromyalgia | Self-management program: individual consultations + individual and group exercises + writing goals + group discussion + patient education + walking + presentation of organizations + creating activity + visiting museum | IP + IO | 8 | N/A | No treatment (wait-list) | 150 | 3 | Psychiatric morbidity (GHQ-20) Coping — disease-specific (ASES: pain, symptoms, function) Functional ability and health status — disease-specific (fibromyalgia impact questionnaire) Managing one’s own health care (EC-17) |
Hechler et al. 2014 [21] (Germany) | Chronic pain (pediatric) | Intensive interdisciplinary pain treatment (IIPT): education and goal determination + acquisition of pain coping strategies + treatment of emotional distress + family therapy and weekly family sessions + optional therapy-related drug treatment + physiotherapy + relapse prevention | IP + IE + IO | 7 | 137 | No treatment (wait-list) | 120 | 3.5 | Pain — generic (faces pain scale — revised) Psychiatric morbidity (DIKJ: depression) Coping — generic (PRCQ-C: catastrophizing) Functional ability and health status — generic (P-PDI: pediatric; partly proxy completed) |
Hewett et al. 2016 [22] (GB) | Homelessness | General practitioner ward rounds + nurse practitioner patient support + weekly multiagency meeting | IP | 2 | N/A | Usual care | 414 | 6 | QoL — generic (EQ-5D-5L) |
Mangels et al. 2009 [23] (Germany) | Chronic low back pain | Behavioral-medical rehabilitation treatment: usual care + psychologic treatment elements (manualized group education/training for psychologic pain management, progressive muscle relaxation, individual sessions with psychotherapist) | IP + IE | N/A | N/A | Usual care | 244 | 4 (IG) resp. 3.5 (CG), 57 (IG) resp. 55 (CG) | QoL — generic (LSQ-G; SF-12: physical health status, mental health status) Psychiatric morbidity (BDI) Coping — generic (FESV: action-oriented coping, subjective coping competence, cognitive restructuring, counter activities, mental distraction, relaxation) Functional ability and health status — generic (PDI, adults; PSEQ; SES, affective pain perception, sensory pain perception) |
Monticone et al.2015 [24] (Italy) | Parkinson’s disease | Multidisciplinary rehabilitative care: motor training + cognitive training + ergonomic education | IO | 4 | N/A | General physiotherapy | 70 | 8, 52 (except GPE) | QoL — disease-specific (I-PDQ-39: mobility, activities of daily living, emotional well-being, stigma, social support, cognition, communication, bodily discomfort) Functional ability and health status — disease-specific (MDS-UPDRS: part 3) Treatment success (GPE) |
O'Leary et al. 2016 [25] (USA) | General medical patients | Daily patient-centered bedside rounds with communication tool as a framework for discussion | IP | 2 | N/A | Usual care | 650 | During treatment: Picker and PAM-SF: 0 Post-discharge: Press Ganey and HCAHPS: 0.2–6 | Satisfaction — generic (Picker: do not say different things, do not give conflicting information, do not talk in front of you as if you were not there, involved in decisions, worked as a team, overall satisfaction; Press Ganey: work as a team (how often), staff effort; HCAHPS: overall rating hospital, likelihood to recommend) Therapeutic relationship (PAM-SF) |
Sidebottom et al. 2015 [26] (USA) | Palliative care for patients with acute heart failure | Usual care + PCT consultation + assessment of symptom burden, depression and QoL + emotional, spiritual, and psychosocial aspects of care + coordination of care orders + recommendations for current or future treatment | IP | 4 | N/A | Usual care | 232 | 4, 13 | QoL — disease-specific (MLHF) Pain — generic (ESAS) Psychiatric morbidity (PHQ-9) |
Singer et al. 2019 [27] (Germany) | Cancer patients with high distress level (HADS score >= 13); cancer patients with moderate or low distress level (HADS score < 13) | Stepped care: structured psychosocial care — integration of distress screening as a regular topic in doctor-patient consultation (and, if necessary, consultation of psychosocial services) | IE + IO | N/A | N/A | Usual care | 1012 | 26 | Satisfaction, generic (QPP (modified): possibility to converse with doctors and/or psychologists/social workers, shared decision-making, doctors (empathic), patient orientation) |
Wu et al. 2019 [28] (Australia) | Critical care survivors | In-reach multidisciplinary rehabilitation program | IP | 4 | N/A | Usual care | 66 | Discharge or admission (no further details), 26, 52 | QoL — generic (SF-12: physical health, mental health; AQoL-4D) Psychiatric morbidity (DASS-21) Functional ability and health status (Lawton’s Instrumental Activities of Daily Living Scale) |
Ziser et al. 2021 [29] (Germany) | Patients with anorexia nervosa | Motivation-enhancing psychotherapy for inpatients with anorexia nervosa (MANNA) plus multidisciplinary inpatient treatment | IP | 6 | N/A | Usual care | 22 | 5, 10 | Psychiatric morbidity (EDE-Q) Treatment success (URICA-S: precontemplation, contemplation, action, maintenance) Therapeutic relationship (HAQ) |
NRS | |||||||||
Angst et al. 2009 [30] (Switzerland) | Chronic pain | Zurzach interdisciplinary pain program (ZISP): medical care including adapted drug therapy + activity exercises + psychotherapy + interdisciplinary meetings | IP | N/A | > 100 | Usual care | 331 | 4 (IG) resp.3 (CG); 26 | QoL — generic (SF-36: physical functioning, social functioning) Pain – generic (WHYMPI: pain severity, life control) Psychiatric morbidity (HADS: depression, anxiety) Coping — generic (CSQ: catastrophizing, ability to decrease pain) |
Brédart et al. 2009 [31] (France) | Cancer | Use of a complex health care needs screening tool + weekly multidisciplinary liaison staff meeting + adoption of clinical guidelines + five mobile teams + professionals as consultants in the various hospital ward + supervision by a physician + assistance by paramedical professional | IP + IO | 6 | N/A | Usual care | 216 | 9 | QoL — disease-specific (EORTC QLQ-C30: physical functioning, role functioning, emotional functioning, social functioning, overall health status) Satisfaction — disease-specific (EORTC IN-PATSAT32: doctors: technical competence, interpersonal quality, information, availability; nurses/paramedical personnel: technical competence, interpersonal quality, information, availability, general satisfaction) |
Hampel et al. 2015 [32] (Germany) | Chronic low back pain and depressive symptoms | Multidisciplinary orthopedic rehabilitation program + cognitive-behavioral group training of depressive symptoms | IP + IE | N/A | 86 | Usual care | 84 | 4, 26, 52, 104 | Psychiatric morbidity (ADS: depressive symptoms, HADS: anxiety, SCL-90-R: somatization) |
Marcussen et al. 2020 [34] (Denmark) | Severe mental illness | Interprofessional training unit: interactive workshop, small-group work, clinical care teamwork, interprofessional group tutorials for students, patient participation | IP + IE + IO | 6 | N/A | Usual care | 552 | Day of discharge (no further details) | QoL — generic (SF-36: physical functioning, mental functioning) Psychiatric morbidity (K10) Satisfaction, generic (CSQ-8) |
Semrau et al. 2015 [33] (Germany) | Chronic low back pain | Interdisciplinary rehabilitation program (PASTOR): biopsychosocial health education + behavioral exercise therapy + cognitive-behavioral psychological therapy + workplace-related information + team meetings | IP + IE | 9 | 48 | Usual care | 554 | 3 (except FFkA), 52 | QoL — generic (SF-12: physical health, mental health) Pain — generic (German Pain Questionnaire) Coping — generic (FESV: action-oriented coping, subjective coping competence, cognitive restructuring, counter activities, mental distraction, relaxation; AEQ: help-/hopelessness, catastrophizing, thought suppression, anxiety/depression, positive mood, avoidance of physical activities when dealing with severe pain, humor/distraction when dealing with severe pain, pain persistence behavior when dealing with severe pain) Functional ability and health status — generic (FFkA: sport activity (hours/week), total physical activity (hours/week)) Functional ability and health status — disease-specific (FFbH-R) |
CBA | |||||||||
Deenik et al. 2018 [35] (Netherlands) | Severe mental illness | Multidisciplinary lifestyle enhancing treatment (MULTI): lifestyle interventions + improved daily structure + review of existing policies + participation of nurses in day-to-day program + supervision by a psychiatrist | IP + IO | 4 | N/A | Usual care | 123 | N/A | QoL — generic (EQ-5D; WHOQOL-BREF: physical, psychological, social, environmental) |