An integrated model of multimorbidity and symptom science

Toni Tripp-Reimer; Janet K Williams; Sue E Gardner; Barbara Rakel; Keela Herr; Ann Marie McCarthy; Linda Liu Hand; Stephanie Gilbertson-White; Catherine Cherwin

doi:10.1016/j.outlook.2020.03.003

Back

An integrated model of multimorbidity and symptom science

Journal article

Peer reviewed

An integrated model of multimorbidity and symptom science

Toni Tripp-Reimer, Janet K Williams, Sue E Gardner, Barbara Rakel, Keela Herr, Ann Marie McCarthy, Linda Liu Hand, Stephanie Gilbertson-White and Catherine Cherwin

Nursing outlook, Vol.68(4), pp.430-439

07/2020

DOI: 10.1016/j.outlook.2020.03.003

PMCID: PMC7483649

PMID: 32482344

View Online

Abstract

•Symptoms are largely ignored in multimorbidity research in the United States.•Model combining complexity of multimorbidity and symptom science is proposed.•Research methods go beyond assumptions of linear effects.•Outcomes may be differentially impacted when MCC and symptom science are combined.•Practice guidelines should integrate multimorbidity and symptom science. Prevalence and complexity of persons with multiple chronic conditions (MCC), also known as multimorbidity, are shifting clinical practice from a single disease focus to one considering MCC and symptoms. Although symptoms are intricately bound to concepts inherent in MCC science, symptoms are largely ignored in multimorbidity research and literature. Introduce an Integrated Model of Multimorbidity and Symptom Science. Critical integrative review and synthesis process. The model comprises three primary domains: 1. Contributing/ Risk Factors; 2. Symptom/Disease/Treatment Interactions; and 3. Patient Outcomes. The model highlights the multilevel nature of contributing factors and the recursive interactions among multiple etiologies, conditions, symptoms, therapies, and outcomes.

Nursing

Conceptual model

Symptoms

Precision health

Multimorbidity

Multiple chronic conditions

Details

Title: Subtitle: An integrated model of multimorbidity and symptom science
Creators: Toni Tripp-Reimer
Janet K Williams
Sue E Gardner
Barbara Rakel
Keela Herr
Ann Marie McCarthy
Linda Liu Hand
Stephanie Gilbertson-White
Catherine Cherwin
Resource Type: Journal article
Publication Details: Nursing outlook, Vol.68(4), pp.430-439
DOI: 10.1016/j.outlook.2020.03.003
PMID: 32482344
PMCID: PMC7483649
NLM abbreviation: Nurs Outlook
ISSN: 0029-6554
eISSN: 1528-3968
Publisher: Elsevier Inc
Grant note: P20 NR018081 / National Institute of Nursing Research
Language: English
Date published: 07/2020
Academic Unit: Nursing Administration and Gen; Stead Family Department of Pediatrics; Nursing; Physical Therapy and Rehabilitation Science; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984066349702771

Metrics

36 Record Views

25 Times Cited - Web of Science