The DOI matches its Crossref record; 102 of the 106 references it cites were found in a registry or an index.
Understanding the Context of Health for Persons With Multiple Chronic Conditions: Moving From What Is the Matter to What Matters
Open accessAbstract
PURPOSE: An isolated focus on 1 disease at a time is insufficient to generate the scientific evidence needed to improve the health of persons living with more than 1 chronic condition. This article explores how to bring context into research efforts to improve the health of persons living with multiple chronic conditions (MCC). METHODS: Forty-five experts, including persons with MCC, family and friend caregivers, researchers, policy makers, funders, and clinicians met to critically consider 4 aspects of incorporating context into research on MCC: key contextual factors, needed research, essential research methods for understanding important contextual factors, and necessary partnerships for catalyzing collaborative action in conducting and applying research. RESULTS: Key contextual factors involve complementary perspectives across multiple levels: public policy, community, health care systems, family, and person, as well as the cellular and molecular levels where most research currently is focused. Needed research involves moving from a disease focus toward a person-driven, goal-directed research agenda. Relevant research methods are participatory, flexible, multilevel, quantitative and qualitative, conducive to longitudinal dynamic measurement from diverse data sources, sufficiently detailed to consider what works for whom in which situation, and generative of ongoing communities of learning, living and practice. Important partnerships for collaborative action include cooperation among members of the research enterprise, health care providers, community-based support, persons with MCC and their family and friend caregivers, policy makers, and payers, including government, public health, philanthropic organizations, and the business community. CONCLUSION: Consistent attention to contextual factors is needed to enhance health research for persons with MCC. Rigorous, integrated, participatory, multimethod approaches to generate new knowledge and diverse partnerships can be used to increase the relevance of research to make health care more sustainable, safe, equitable and effective, to reduce suffering, and to improve quality of life.
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“Indeed, a panel of comorbidity experts recently identified understanding contextual factors, such as patients ' relationships, values, and goals, as a vital paradigm shift in the treatment of patients with multiple chronic conditions [77].”
From Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. (2017) · cites this paper as [77]
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Multimorbidity in Older Adults With Cardiovascular Disease
Forman, D. E., Maurer, M. S., Boyd, C., Brindis, R., Salive, M. E., Horne, F. M., Bell, S. P., Fulmer, T., Reuben, D. B., Zieman, S., et al. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.03.022 · Cited by 484
Self-citationDindo, L., Van Liew, J. R., & Arch, J. J. (2017) · Neurotherapeutics · doi:10.1007/s13311-017-0521-3 · Cited by 371
Boyd, C. M., Smith, C. D., Masoudi, F. A., Blaum, C. S., Dodson, J. A., Green, A. R., Kelley, A. S., Matlock, D. D., Ouellet, J. A., Rich, M. W., et al. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15809 · Cited by 330
Self-citationTinetti, M. E., Naik, A. D., Dindo, L. N., Costello, D. M., Esterson, J., Geda, M. E., Rosen, J. D., Hernandez‐Bigos, K., Smith, C. D., Ouellet, G. M., et al. (2019) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2019.4235 · Cited by 284
The SELFIE framework for integrated care for multi-morbidity: Development and description
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Metadata
- Authors
- Bayliss, E. A., Bonds, D. E., Boyd, C. M., Davis, M. M., Finke, B., Fox, M. H., Glasgow, R. E., Goodman, R. A., Heurtin-Roberts, S., Lachenmayr, S., Lind, C., Madigan, E. A., Meyers, D. S., Mintz, S., Nilsen, W. J., Okun, S., Ruiz, S., Salive, M. E., & Stange, K. C.
- Affiliations
- Centers for Disease Control and Prevention (US)
- ORCID
- Venue
- The Annals of Family Medicine
- Publisher
- Annals of Family Medicine
- Published
- 2014-05-01
- Volume
- 12
- Issue
- 3
- Pages
- 260-269
- ISSN
- 1544-1709 (ISSN-L)
- 1544-1717
- PMC
- PMC4018375
- OpenAlex
- W2149582914
- Cited by
- 225
- References
- 106
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 6 · 2023: 15 · 2022: 16 · 2021: 25 · 2020: 64 · 2019: 17 · 2018: 11 · 2017: 17 · 2016: 13 · 2015: 15 · 2014: 14
- FWCI
- 14.86
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The Annals of Family Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- Centers for Disease Control and Prevention
- Agency for Healthcare Research and Quality
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- multimorbidity, research collaboration, participatory research, research agenda, health care system, health policy, learning communities, research relevance, quality of life
- MeSH terms
- Chronic Disease, Cooperative Behavior, Health Services Research, Humans, Research, Comorbidity, Biomedical Research
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