SEARCHSYSTEMATIC_REVIEWgeriatrics, infectious disease

systematic_review·geriatrics, infectious disease, public health, internal medicine, systematic review·PMC10329351

Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis

BMC Geriatrics · 4 authors, 7 centres

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TL;DR

The study was a scoping review following the Arksey & O’Malley framework.

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The study was a scoping review following the Arksey & O’Malley framework. The review highlights that most included models incorporated aspects of these components.

STUDY TYPE

systematic_review

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geriatrics

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100% · A

ORIGINAL PAPER

PMC10329351

Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis

BMC Geriatrics

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ABSTRACT

Background Advances in Human Immunodeficiency Virus (HIV) treatment have reduced mortality rates and consequently increased the number of individuals with HIV living into older age. Despite this, people aged 50 years and older have been left behind in recent HIV treatment and prevention campaigns, and a gold-standard model of care for this population has not yet been defined. Developing evidence-based geriatric HIV models of care can support an accessible, equitable, and sustainable HIV health care system that ensures older adults have access to care that meets their needs now and in the future. Methods Guided by Arksey & O’Malley (2005)’s methodological framework, a scoping review was conducted to determine the key components of, identify gaps in the literature about, and provide recommendations for future research into geriatric models of care for individuals with HIV. Five databases and the grey literature were systematically searched. The titles, abstracts and full texts of the search results were screened independently in duplicate. Data were analyzed using a qualitative case study and key component analysis approach to identify necessary model components. Results 5702 studies underwent title and abstract screening, with 154 entering full-text review. 13 peer-reviewed and 0 grey literature sources were included. Most articles were from North America. We identified three primary model of care components that may improve the successful delivery of geriatric care to people living with HIV: Collaboration and Integration; Organization of Geriatric Care; and Support for Holistic Care. Most articles included some aspects of all three components. Conclusion To provide effective geriatric care to older persons living with HIV, health services and systems are encouraged to use an evidence-based framework and should consider incorporating the distinct model of care characteristics that we have identified in the literature. However, there is limited data about models in developing countries and long-term care settings, and limited knowledge of the role of family, friends and peers in supporting the geriatric care of individuals living with HIV. Future evaluative research is encouraged to determine the impact of optimal components of geriatric models of care on patient outcomes. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-023-04114-7.

CITATION EXPORT

Kristina Marie Kokorelias, Anna Grosse, Alice Zhabokritsky et al.. Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis. BMC Geriatrics. (2023). https://doi.org/10.1186/s12877-023-04114-7

AUTHORS

4 · 7 CENTRES

Kristina Marie Kokorelias, Anna Grosse, Alice Zhabokritsky, Luxey Sirisegaram

1grid.492573.e0000 0004 6477 6457Division of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Suite 475 - 600 University Avenue, Toronto, ON M5G 1X5 Canada
2grid.17063.330000 0001 2157 2938Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 160 - 500 University Ave, Toronto, ON M5G 1V7 Canada
3grid.17063.330000 0001 2157 2938Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
4grid.17063.330000 0001 2157 2938Division of Geriatric Medicine, Department of Medicine, Medical Sciences Building, University of Toronto, 1 King’s College Cir, Toronto, ON M5S 1A8 Canada
5grid.17063.330000 0001 2157 2938Department of Medicine, Medical Sciences Building, The University of Toronto, King’s College Cir, Toronto, ON M5S 1A8 Canada
6grid.231844.80000 0004 0474 0428Infectious Diseases, Department of Medicine, University Health Network, 610 University Ave, Toronto, Toronto, ON M5G 2M9 Canada
7CIHR Canadian HIV Trails Network, 570-1081 Burrard Street, Vancouver, BC V6Z 1Y6 Canada