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Table 1 Inclusion and exclusion criteria for selected articles

From: Health outcomes and implementation barriers and facilitators of comprehensive geriatric assessment in community settings: a systematic integrative review [PROSPERO registration no.: CRD42021229953]

Inclusion

Exclusion

Study design

1.

Primary peer-reviewed articles

Reviews (narrative review, systematic review, meta-analyses, integrative review, umbrella reviews, overviews), conceptual papers, editorials, case studies, position papers, commentaries, protocols.

Studies on tool development, validation, concordance, and prediction.

2.

Published from 1 January 2000 to 31 October 2020

Published before 1 January 2000 or after 31 October 2020

3.

In English

Not in English

Population and setting

4.

Older adults aged ≥65 years.

Aged below 65 years.

Articles will not be excluded if the study sample is aged younger than 65 years but contains stratified findings for those aged ≥65 years.

5.

Care setting is in the community.

i.e., home, transitional care programs at home, primary care, day care centres, day rehabilitation centres, outpatient clinics.

Care setting is not in the community i.e., care setting is not at home, primary care, day care centres, day rehabilitation centres, nor outpatient clinics.

Articles are excluded if the care setting is in community hospitals, nursing homes, or other residential facilities.

Subjects should not be a warded patient of a community hospital, nursing home or long-term care facility. If CGA is given to community-dwelling adults on an outpatient basis in a setting that happens to be in a community hospital, nursing home or long-term care facility, the article can be included.

 

Intervention: Comprehensive geriatric assessment (CGA)

6.

Comprehensive assessment has ≥2 assessment domains.

Domains that are assessed include physical health, psychological or mental health, functional status, cognitive status, nutrition, frailty and falls, social health-related (e.g., loneliness), health service utilisation, medication use or polypharmacy, home environment, caregiver burden, financial burden, and self-reported health outcomes like quality of life [1,2,3]. This list is not exhaustive. The article meets inclusion criteria if the 2 or more domains assessed are sufficiently distinct from each other.

AND

Development of care plan to inform care.

The terminology, CGA, can be explicitly or not explicitly used.

Comprehensive assessment has < 2 assessment domains.

OR

No development of care plan to inform care.

7.

CGA is not conducted for the purpose of addressing a single specific health condition or health issue.

CGA is conducted to address a specific health condition or health issue.

For example, articles are excluded if the aim of the CGA intervention is to only address falls, mental health conditions, cancer, neurological conditions, pre-operative issues, self-neglect, etc.

Comparator

8.

There is no inclusion criteria for comparator.

Articles with and without a comparator group (i.e. control group) that does not have the CGA intervention can be included.

NA

Outcome

9.

Quantitative health outcomes

(Health outcomes refer to indicators to changes in health status)

AND/OR

Qualitative implementation barriers and facilitators of CGA

No quantitative health outcome

AND

No qualitative implementation barriers and facilitators of CGA

For clarity, the following will be included:

â–ª Quantitative articles on only health outcomes

â–ª Qualitative articles on only implementation barriers and facilitators of CGA

â–ª Mixed methods articles on only quantitative health outcomes

â–ª Mixed methods articles on only implementation barriers and facilitators of CGA

â–ª Mixed methods articles on both quantitative health outcomes and implementation barriers and facilitators of CGA

  1. CGA Comprehensive geriatric assessment