初级保健机构健康老龄治疗的核心结果集的发展

IF 3 4区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Integrative Medicine Research Pub Date : 2025-07-19 DOI:10.1016/j.imr.2025.101205

Soobin Jang , Hyein Jeong , Jungi Park , Mi Mi Ko , Jeeyoun Jung

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引用次数: 0

摘要

健康老龄化是全球公共卫生的优先事项，人们对促进老年人的功能能力和福祉越来越感兴趣。韩国人口的迅速老龄化凸显了对干预措施标准化评估工具的需求。本研究旨在建立一个核心结局集（COS），用于初级保健中的健康老龄化治疗。方法COS遵循COS- stad指南，经过多阶段的过程，包括文献回顾和修改的德尔菲共识。一个项目管理小组（PMG）审查了与健康促进计划有关的研究，并产生了初步的结果清单。这份名单是通过16位专家参与的两轮德尔菲调查来完善的。共识评估使用内容效度比，共识程度，和收敛。结果26项研究提供了初步结果表，得到24个德尔菲评价结果。两轮德尔菲和PMG的最后审查建立了一个包含12个结果的COS。这些包括EQ-5D、老年抑郁量表、日常生活工具活动、体重、血压、血糖、血脂、肝功能、肾功能、韩国虚弱指数、自评健康和肾虚评分。结论COS为评价初级保健中健康老龄化干预措施提供了一套标准化的结果。它在初级保健和健康促进计划中的应用可以增强研究之间的可比性，并支持循证决策。未来的修订建议基于临床应用和新兴的研究成果。

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Development of core outcome set for healthy aging treatment in primary care settings

Background

Healthy aging is a global public health priority, with increasing interest in the promotion of functional ability and well-being among older adults. South Korea’s rapidly aging population highlights the need for standardized evaluation tools for interventions. This study aimed to develop a Core Outcome Set (COS) for healthy aging treatment in primary care.

Methods

The COS was developed following the COS-STAD guidelines and through a multiphase process, including a literature review and a modified Delphi consensus. A project management group (PMG) reviewed studies related to health promotion programs and generated an initial list of outcomes. This list was refined through two rounds of Delphi surveys involving 16 experts. Consensus was assessed using content validity ratio, degree of consensus, and convergence.

Results

Twenty-six studies informed the initial outcome list, resulting in 24 outcomes for the Delphi evaluation. Two Delphi rounds and a final review by the PMG established a COS comprising 12 outcomes. These included EQ-5D, Geriatric Depression Scale, Instrumental Activities of Daily Living, body weight, blood pressure, blood glucose, blood lipids, liver function, kidney function, Korean Frailty Index, Self-rated Health, and Kidney-Deficiency Score.

Conclusions

The COS provides a standardized set of outcomes for evaluating healthy aging interventions in primary care. Its application in primary care and health promotion programs may enhance comparability across studies and support evidence-based decision making. Future revisions are recommended based on clinical applications and emerging research findings.

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来源期刊

Integrative Medicine Research Medicine-Complementary and Alternative Medicine

CiteScore

6.50

自引率

2.90%

发文量

审稿时长

12 weeks

期刊介绍： Integrative Medicine Research (IMR) is a quarterly, peer-reviewed journal focused on scientific research for integrative medicine including traditional medicine (emphasis on acupuncture and herbal medicine), complementary and alternative medicine, and systems medicine. The journal includes papers on basic research, clinical research, methodology, theory, computational analysis and modelling, topical reviews, medical history, education and policy based on physiology, pathology, diagnosis and the systems approach in the field of integrative medicine.