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Commentary to: Woodward A, Nimmons D, Davies N, et al. A qualitative exploration of the barriers and facilitators to self-managing multiple long-term conditions amongst people experiencing socioeconomic deprivation. Health Expect 2024;27(2):e14046. doi: 10.1111/hex.14046.
Implications for practice and research Addressing socioeconomic barriers is crucial to develop patient-centred care models to help self-managing multiple long-term conditions (MLTCs). Managing MLTCs is not solely an individual responsibility, and community-based interventions should aim to strengthen social support networks and reduce social isolation. The extent of the beneficial effects of social support networks on health outcomes and MLTCs self-management should also be addressed in research.
Worldwide, one in three adults lives with multiple long-term conditions (MLTCs) and requires ongoing management and self-management. Socioeconomic deprivation exacerbates health inequalities due to limited resources and opportunities. In England, people living in deprived areas tend to develop MLTCs earlier and have a...
Commentary on: Kung PC, Huang HL, Hsu WC, et al. Coexisting with anomie: Experiences of persons living with early-stage dementia: A grounded theory study. Int J Ment Health Nurs 2024;33(2):452-462.
Implications for practice and research Adopting a holistic care approach for individuals living with early-stage dementia is crucial, addressing not only their physical symptoms but also psychosocial and emotional needs. There is need for further exploration of anomie in the context of dementia, as well as longitudinal and comparative studies to expand the understanding of its implications towards developing effective intervention strategies.
Dementia, recently renamed as ‘major neurocognitive disorder’, manifests with a multitude of symptoms leading to varying disease progression and expression
Commentary on: Chen S, Marshall T, Jackson C, et al. Sociodemographic characteristics and longitudinal progression of multimorbidity: A multistate modelling analysis of a large primary care records dataset in England. PLoS Med 2023;20(11): e1004310. doi: 10.1371/journal.pmed.1004310
Collecting data about different physiological, psychological and sociodemographic factors is crucial to better understand the progression of multimorbidity, rather than single disease-oriented approaches. Factors that influence the development of multimorbidity seem to precede a subject’s engagement with health services, thus the implementation of preventive strategies should take place early in the disease trajectory, aiming to reduce inequalities between groups with diverse socioeconomic backgrounds and ethnicities.
Multimorbidity is the concomitant presence of ≥2 long-term chronic health conditions in a subject, it is increasingly prevalent with the ageing process and leads to poor health outcomes.
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