Identifying and Understanding the Health and Social Care Needs of Older Adults with Multiple Chronic Conditions and their Caregivers: A Scoping Review

McGilton, K (NPI); Puts, M; Commisso, E; Ayala, AP; Andrew, M; Bergman, H; Beaudet, L; Dubé, V; Hale, L; Keatings, M; Marshall, E; McElhaney, J; Morgan, D; Parrot, E; Ploeg, J ; Sampalli, T; Stephens, D; Vedel, I; Walker, J; Wodchis, W.

Introduction

People are living longer; however, they are not necessarily experiencing good health and wellbeing as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own wellbeing and also require support. Currently, not enough is known about how best to identify and meet the health and social care needs of older adults with MCC, or the needs of their caregivers. This study will examine and synthesize the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.

Methods & Analysis

We will conduct a scoping review of the peer-reviewed and grey literature using the updated guidelines by Arksey and O’Malley. The literature will be identified using a search strategy developed by a health science librarian. Papers, reports and other materials addressing the health and social care needs of older adults and those of their friend and family caregivers will be included. Search results will be screened, independently, by two reviewers and data will be abstracted from included literature and charted in duplicate. MCC often face challenges to their own wellbeing and also require support. Currently, not enough is known about how best to identify and meet the health and social care needs of older adults with MCC, or the needs of their caregivers. This study will examine and synthesize the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.

Ethics & Dissemination

This scoping review does not require ethics approval. We anticipate that study findings will inform novel strategies for ascertaining and meeting the health and social care needs of older adults living with MCC and those of their caregivers. Working with knowledge-user members of our team, we will prepare materials and presentations to disseminate study findings to relevant stakeholder and end-user groups at local, national and international levels. We will also publish our findings in a peer-reviewed journal.