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What do systematic reviews say?

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Evidence found and GRADE certainty

2,262 questions · 2,405 findings · 248 reviews · Headline outcomes only

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No studies found 507 · 21.1%GRADE not reported 93 · 3.9%Very low 657 · 27.3%Low 708 · 29.4%Moderate 387 · 16.1%High 53 · 2.2%

Summary of findings for the main comparison: comprehensive care programmes vs usual care

Parent health, functioning, and quality of life Patient‐Reported Outcomes Measurement Information System (PROMIS) (higher scores = more of the outcome of interest, which can mean improvement or deterioration depending on the outcome) · children with medical complexity
1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Health status (a) Patient‐reported high self‐rated health at 6 months after baseline CDC Healthy Days Measure (CDC 2000): dichotomised as low (1 to 3) and high (4 to 5) · older patients with multi‐morbidity

It is very uncertain whether interventions for involving older patients with multi‐morbidity in… changes health status (a) Patient‐reported high self‐rated health at 6… compared with usual care (very low certainty).

1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Patient enablement and engagement (b) Morisky Medication Adherence Scale at 15 months after baseline (8‐item yes‐no survey. Range of scores from 0 to 8. Lower scores suggest non‐adherence) (Morisky 2008) · older patients with multi‐morbidity
1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Practitioners' knowledge and skills Not measured · older patients with multi‐morbidity

The review found no eligible studies for this question.

1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Resource use and cost Number of nurse consultations at 15 months after baseline (extracted from patients’ routine electronic medical records) · older patients with multi‐morbidity

Interventions for involving older patients with multi‐morbidity in… probably leads to higher resource use and cost Number of nurse consultations at 15 months… compared with usual care (moderate certainty).

1 finding from 1 review