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Testing the TEC-MED-Integrated Transcultural Social–Ethical-Care Model for Older People in the Mediterranean Basin: A Mixed-Method Quasiexperimental Study Protocol Cover

Testing the TEC-MED-Integrated Transcultural Social–Ethical-Care Model for Older People in the Mediterranean Basin: A Mixed-Method Quasiexperimental Study Protocol

Open Access
|May 2025

References

  1. 1Health Department of Spanish Goverment. Estrategia para el Abordaje de la Cronicidad en el Sistema Nacional de Salud. https://www.sanidad.gob.es/areas/calidadAsistencial/estrategias/abordajeCronicidad/home.htm.
  2. 2Salive ME. Multimorbidity in Older Adults. Epidemiol Rev. Jan. 2013.35(1):7583. DOI: 10.1093/epirev/mxs009
  3. 3Shi Z, et al. Association between multimorbidity trajectories and incident disability among mid to older age adults: China Health and Retirement Longitudinal Study. BMC Geriatr. Sep. 2022;22(1):741. DOI: 10.1186/s12877-022-03421-9
  4. 4Dugravot A, et al. Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: a 24-year follow-up of the Whitehall II cohort study. Lancet Public Health. Jan. 2020;5(1):e42e50. DOI: 10.1016/S2468-2667(19)30226-9
  5. 5Rodrigues LP, et al. Association between multimorbidity and hospitalization in older adults: systematic review and meta-analysis. Age Ageing. Jul. 2022;51(7). DOI: 10.1093/ageing/afac155
  6. 6Read JR, Sharpe L, Modini M, Dear BF. Multimorbidity and depression: A systematic review and meta-analysis. J Affect Disord. Oct. 2017.221:3646. DOI: 10.1016/j.jad.2017.06.009
  7. 7Bezerra de Souza DL, et al. Multimorbidity and its associated factors among adults aged 50 and over: A cross-sectional study in 17 European countries. PLoS One. Feb. 2021;16(2):e0246623. DOI: 10.1371/journal.pone.0246623
  8. 8Maresova P, et al. Consequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health. Dec. 2019;19(1):1431. DOI: 10.1186/s12889-019-7762-5
  9. 9O’Toole L, Connolly D, Boland F, Smith SM. Effect of the OPTIMAL programme on self-management of multimorbidity in primary care: a randomised controlled trial. British Journal of General Practice. Apr. 2021.71(705):e303e311. DOI: 10.3399/bjgp20X714185
  10. 10Kurpas D, et al. Patient-centred access to health care: a framework analysis of the care interface for frail older adults. BMC Geriatr. Dec. 2018;18(1):273. DOI: 10.1186/s12877-018-0960-7
  11. 11Heggdal K, Mendelsohn JB, Stepanian N, Oftedal BF, Larsen MH. Health-care professionals’ assessment of a person-centred intervention to empower self-management and health across chronic illness: Qualitative findings from a process evaluation study. Health Expectations. Aug. 2021.24(4):13671377. DOI: 10.1111/hex.13271
  12. 12Fonseca C, de Pinho LG, Lopes MJ, do Céu Marques M, Garcia-Alonso J. The Elderly Nursing Core Set and the cognition of Portuguese older adults: a cross-sectional study. BMC Nurs. Dec. 2021.20(1):108. DOI: 10.1186/s12912-021-00623-1
  13. 13Lopes M. Challenges and Innovation in Health: Rethinking Care Models. Evora – Portugal; 2021.
  14. 14Goes M, Lopes MJ, Oliveira H, Fonseca C, Marôco J. A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs. Sci Rep. Feb. 2020.10(1):1770. DOI: 10.1038/s41598-020-58596-1
  15. 15Walsh K, Scharf T, Keating N. Social exclusion of older persons: a scoping review and conceptual framework. Eur J Ageing. Mar. 2017.14(1):8198. DOI: 10.1007/s10433-016-0398-8
  16. 16Ramos A, Fonseca C, Pinho L, Lopes M, Brites R, Henriques A. Assessment of Functioning in Older Adults Hospitalized in Long-Term Care in Portugal: Analysis of a Big Data. Front Med (Lausanne). Mar. 2022:9. DOI: 10.3389/fmed.2022.780364
  17. 17Narasimhan M, Allotey P, Hardon A. Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance. BMJ. Apr. 2019:l688. DOI: 10.1136/bmj.l688
  18. 18Cano F, Alves E, João A, Oliveira H, Pinho LG, Fonseca C. A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness. Front Public Health. Aug. 2023:11. DOI: 10.3389/fpubh.2023.1213816
  19. 19Conrad D, Shortell S. Integrated Health Systems: Promise and Performance. Front Health Serv Manage. 1996;13(1) [Online]. Available: https://journals.lww.com/frontiersonline/fulltext/1996/07000/integrated_health_systems__promise_and_performance.2.aspx. DOI: 10.1097/01974520-199607000-00002
  20. 20Wilson M, Guta A, Waddell K, Lavis J, Reid R, Evans C. The impacts of accountable care organizations on patient experience, health outcomes and costs: a rapid review. J Health Serv Res Policy. 2020;25(2):130138. DOI: 10.1177/1355819620913141
  21. 21Nolte E, Pitchforth E. What is the evidence on the economic impacts of integrated care? Copenhagen, Denmark: World Health Organization. Jan. 2014, Accessed: Jan. 14, 2024. [Online]. Available: https://researchonline.lshtm.ac.uk/id/eprint/2530944
  22. 22Hwang SW, et al. A Comprehensive Assessment of Health Care Utilization Among Homeless Adults Under a System of Universal Health Insurance. Am J Public Health. Dec. 2013;103(S2):S294S301. DOI: 10.2105/AJPH.2013.301369
  23. 23Stewart T, et al. Integrating Health and Social Care for Community-Dwelling Older Adults: A Description of 16 Canadian Programs. Healthc Policy. Oct. 2023;19(SP):7887. DOI: 10.12927/hcpol.2023.27177
  24. 24Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. Mar. 2013.13(1). DOI: 10.5334/ijic.886
  25. 25Gilbert J, Yan J, Hoffman S. A WHO Report: Framework for Action on Interprofessional Education and Collaborative Practice. J Allied Health. Jan. 2010.39:196197. DOI: 10.1353/ncf.2010.0029
  26. 26Vo MTH, et al. Can collaboration among health and social care workers play a role in addressing geriatric care challenges? A qualitative case study in Central Vietnam. Int Health. Sep. 2023. DOI: 10.1093/inthealth/ihad082
  27. 27Porcel A, Lima M, Allande R, Fernández E, et al. Development of a Transcultural social-ethical-care model for dependent population in Mediterranean basin (TEC MED). Accessed: Feb. 13, 2023. [Online]. Available: https://www.enicbcmed.eu/projects/tec-med
  28. 28Leininger M. Culture Care Theory: A Major Contribution to Advance Transcultural Nursing Knowledge and Practices. Journal of Transcultural Nursing. 2002;13(3):189192. DOI: 10.1177/10459602013003005
  29. 29Pender N. Heath Promotion Model Manual. University of Michigan. Accessed: Aug. 29, 2023. [Online]. Available: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/85350/HEALTH_PROMOTION_MANUAL_Rev_5-2011.pdf.
  30. 30McCormack B, McCance T. The Person-centred Nursing and Person-centred Practice Frameworks: from conceptual development to programmatic impact. J Adv Nurs. 2006;56(5):18. DOI: 10.1111/j.1365-2648.2006.04042.x
  31. 31Donabedian A. Evaluating the Quality of Medical Care. Milbank Mem Fund Q. 1966;44(3):166206. DOI: 10.2307/3348969
  32. 32Bulechek G, Butcher H, Dochterman J, Wagner C. Nursing Interventions Classification (NIC). 7a. St. Louis: ElSevier; 2018.
  33. 33Moorhead S, Swanson E, Johnson M, Maas M. Nursing Outcomes Classification (NOC): Measurement of health outcomes. 6a. St. Luois: ElSevier; 2018. [Online]. DOI: https://doi.org/ElsevierEspañaS.L
  34. 34Herdman H, Kamitsuru S, Lopes C. Nanda-I International Nursing Diagnoses: Definitions & Classification, 2024–2026. 13th ed. Thieme Medical Publichers; 2024.
  35. 35Morales-Asencio JM, et al. Design and validation of the INICIARE instrument, for the assessment of dependency level in acutely ill hospitalised patients. J Clin Nurs. 2015;24(5–6). DOI: 10.1111/jocn.12690
  36. 36Porcel-Gálvez AM, Barrientos-Trigo S, Fernández-García E, Allande-Cussó R, Quiñoz-Gallardo MD, Morales-Asencio JM. Development and external validity of a short-form version of the iniciare scale to classify nursing care dependency level in acute hospitals. Int J Environ Res Public Health. 2020;17(22):119. DOI: 10.3390/ijerph17228511
  37. 37European Commission. At risk of poverty or social exclusion (AROPE). https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:At_risk_of_poverty_or_social_exclusion_(AROPE).
  38. 38EuroQol Group. The 5-level EQ-5D version (EQ-5D-5L). https://euroqol.org/eq-5d-instruments/eq-5d-5l-about/.
  39. 39Koenig HG, Westlund RE, George LK, Hughes DC, Blazer DG, Hybels C. Abbreviating the Duke Social Support Index for use in chronically ill elderly individuals. Psychosomatics. 1993;34(1):6169. DOI: 10.1016/S0033-3182(93)71928-3
  40. 40Nolasco A, et al. Health literacy: psychometric behaviour of the HLS-EU-Q16 questionnaire. Gac Sanit. Jul. 2020;34(4):399402. DOI: 10.1016/j.gaceta.2018.08.006
  41. 41Lima-Rodríguez J, Lima-Serrano M, Picón N, Domínguez Sánchez I. Reliability and Construct Validity of an Instrument to Asses the Self-perception of Family Health Status. Rev Esp Salud Publica. Jan. 2012.86:509521. DOI: 10.1037/t42542-000
  42. 42Thornton M, Travis SS. Analysis of the Reliability of the Modified Caregiver Strain Index. The Journals of Gerontology: Series B. Mar. 2003.58(2):S127S132. DOI: 10.1093/geronb/58.2.S127
  43. 43Wimo A, Gustavsson A, Jönsson L, Winblad B, Hsu M, Gannon B. Application of Resource Utilization in Dementia (RUD) instrument in a global setting. Alzheimer’s & Dementia. Jul. 2013.9(4):429. DOI: 10.1016/j.jalz.2012.06.008
  44. 44National Statistical Institute. National Health Survey. https://www.ine.es/dyngs/INEbase/en/operacion.htm?c=Estadistica_C&cid=1254736176783&menu=resultados&idp=1254735573175.
  45. 45European Commission. European Health Survey. https://ec.europa.eu/eurostat/web/microdata/european-health-interview-survey.
  46. 46World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. J Am Coll Dent. 2014;81(3):1418. DOI: 10.1093/acprof:oso/9780199241323.003.0025
  47. 47Hughes G, Shaw S, Greenhalgh T. Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts. Milbank Q. Jun. 2020.98(2):446492. DOI: 10.1111/1468-0009.12459
  48. 48Wei H, Corbett RW, Ray J, Wei TL. A culture of caring: the essence of healthcare interprofessional collaboration. J Interprof Care. May 2020.34(3):324331. DOI: 10.1080/13561820.2019.1641476
  49. 49Dawadi S, Shrestha S, Giri RA. Mixed-Methods Research: A Discussion on its Types, Challenges, and Criticisms. Journal of Practical Studies in Education. Feb. 2021.2(2):2536. DOI: 10.46809/jpse.v2i2.20
  50. 50Wei H, Corbett RW, Ray J, Wei TL. A culture of caring: the essence of healthcare interprofessional collaboration. J Interprof Care. May 2020.34(3):324331. DOI: 10.1080/13561820.2019.1641476
  51. 51Stewart T, et al. Integrating Health and Social Care for Community-Dwelling Older Adults: A Description of 16 Canadian Programs. Healthc Policy. Oct. 2023;19(SP):7887. DOI: 10.12927/hcpol.2023.27177
  52. 52Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. Mar. 2013.13(1). DOI: 10.5334/ijic.886
  53. 53Hughes G, Shaw SE, Greenhalgh T. Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts. Milbank Q. Jun. 2020.98(2):446492. DOI: 10.1111/1468-0009.12459
  54. 54Vo MTH, et al. Can collaboration among health and social care workers play a role in addressing geriatric care challenges? A qualitative case study in Central Vietnam. Int Health. Jul. 2024;16(4):387398. DOI: 10.1093/inthealth/ihad082
DOI: https://doi.org/10.5334/ijic.9017 | Journal eISSN: 1568-4156
Language: English
Submitted on: Oct 21, 2024
Accepted on: May 2, 2025
Published on: May 9, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Marta Lima-Serrano, Regina Allande-Cussó, Ana Magdalena Vargas-Martínez, Georges Karam, Lea El-Korh, Ana María Porcel-Gálvez, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.