Single versus multicomponent intervention in frail elderly: simplicity or complexity as precondition for success?
Research on geriatric syndromes has helped to clarify risk factors and established effective intervention strategies, yet the results based on this evidence have mostly failed to translate into clinical practice. The translation of geriatric syndrome research into practice faces unique challenges, which may heighten the barriers to evidence-based implementation. The British Medical Research Council framework (MRC) for development and evaluation of complex interventions, turns out to be very valuable in developing and evaluating interventions in the complex clinical reality of geriatrics. This paper illustrates the different phases of this framework on the basis of examples from geriatric research projects in The Netherlands. The discussed barriers in complex interventions can be mapped using the different phases in the MRC-framework and thus become feasible challenges for good quality research.
Vliek
S
S
Department of Geriatrics/Alzheimer Centre Nijmegen, Radboud University Nijmegen Medical Centre, The Netherlands.
Melis
R J
RJ
Faes
M
M
Golüke-Willemse
G A
GA
de Leest
B J
BJ
Meeuwsen
E
E
van Raak
F H J M
FH
Schölzel-Dorenbos
C J M
CJ
Olde Rikkert
M G M
MG
D000368:Aged; D000369:Aged, 80 and over; D035843:Biomedical Research; D019317:Evidence-Based Medicine; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006291:Health Policy; D006299:Health Services for the Aged / Q000592:standards*; D006801:Humans; D008297:Male; D009426:Netherlands; D011787:Quality of Health Care; D012307:Risk Factors