{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:33:52Z","timestamp":1793270032569,"version":"4.5.0"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This systematic review aimed to identify the nature and effects of implementation strategies used to improve the care of older people with frailty in hospital settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included randomised controlled trials (RCTs), non\u2010RCTs, before\u2013after studies and interrupted time series describing clinical frailty\u2010focussed interventions and implementation strategies aimed at improving outcomes for older people with frailty in hospital settings. We included peer\u2010review articles and PhD theses published from the Year 2000 onwards. We excluded publications not in English and conference abstracts. Four electronic databases (Medline, PsycInfo, CINAHL and Scopus) were searched, alongside grey literature, in April 2024. Risk of bias was analysed using the NIH Quality Assessment Tool. A narrative synthesis approach was undertaken, with the RE\u2010AIM framework used to present data for implementation outcomes and the Expert Recommendations for Implementing Change (ERIC) taxonomy used to categorise implementation strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies were included; all were pre\u2010\/postdesigns and published post\u20102014. Most studies involved implementing frailty assessments to trigger care planning and pathways for people with frailty. Twelve studies reported positive improvements in one or more primary outcomes. Common implementation strategies included developing quality monitoring tools, mandating change, promoting adaptability of the intervention and distributing educational materials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Frailty interventions in hospital settings are usually multicomponent and highly influenced by context. This review confirms the feasibility of frailty screening and intervention in hospital settings, but implementation strategies are not well\u2010reported. Future research should prioritise rigorous study designs and reporting to optimise the transferability of successful implementation strategies for frailty interventions to other health\u2010care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70060","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T08:19:40Z","timestamp":1750753180000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Implementing frailty interventions in hospitals: A systematic review of strategies and outcomes"],"prefix":"10.1111","volume":"44","author":[{"given":"Kisani","family":"Manuel","sequence":"first","affiliation":[{"name":"Rehabilitation, Aged and Palliative Care Division Southern Adelaide Local Health Network  Bedford Park South Australia Australia"},{"name":"Flinders Health and Medical Research Institute, College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8857-4749","authenticated-orcid":false,"given":"Madison","family":"Chapman","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Crotty","sequence":"additional","affiliation":[{"name":"Rehabilitation, Aged and Palliative Care Division Southern Adelaide Local Health Network  Bedford Park South Australia Australia"},{"name":"Flinders Health and Medical Research Institute, College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Harvey","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Kurrle","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Rehabilitation and Aged Care Services Northern Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Laver","sequence":"additional","affiliation":[{"name":"Rehabilitation, Aged and Palliative Care Division Southern Adelaide Local Health Network  Bedford Park South Australia Australia"},{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.03.007"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-14-1"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0369-5"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.101947"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.04.018"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-019-1273-z"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13330"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13232"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02686-w"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054780"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000381171"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15120"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr07100"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006211.pub3"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6795"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2023-016263"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0209-1"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.89.9.1322"},{"key":"e_1_2_11_22_1","unstructured":"National Heart Lung and Blood Institute.Study quality assessment tools.2013. 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