Intervention components, theoretical underpinning and outcomes
Study | Components | Healthcare professional delivering the intervention | Theory | Intervention | Comparator | Outcomes |
Pilote et al 41 |
How care is delivered: individual delivery Location/environment: orientation to environment/facilities; transportation services Finance: incentives | Nurse plus peer-health advisor | None specified | Monetary incentive for TB clinic attendance (group 1). Peer-health advisor assisting with clinic attendance (group 2). | Usual care (clinic appointment and tokens for travel expenses) | Attendance at initial TB clinic appointment. |
Tulsky et al 30 |
How care is delivered: individual delivery Location/environment: orientation to environment/facilities; transportation services Finance: incentives | Nurse, outreach worker and peer-health advisor | None specified | Monetary incentive for uptake of DOT (group 1). Peer-health advisor supporting DOT (group 2). | Usual care | Completion of 6 months isoniazid therapy |
Tulsky et al 29 |
How care is delivered: individual delivery Location/environment: transportation services Finance: incentives | Nurse, outreach worker and peer-health advisor | None specified | Monetary incentive for uptake of DOT. | Non-cash incentive of equal value (vouchers) | Completion of 6 months isoniazid therapy Cost-effectiveness |
Samet et al 47 |
How care is delivered: individual delivery Self-management Location/environment: outreach services Coordination of care: disease management | Nurse | Health belief model and motivational interviewing | Adherence support for ART. | Usual care (written instructions/advice regarding treatment adherence) | Adherence to ART CD4+ count HIV viral load |
Ciaranello et al 32 |
How care is delivered: individual delivery. Self-management Location/environment: outreach services; changing site of service delivery Coordination of care: communication between providers; disease management; multidisciplinary teams | Medical director, nurse practitioner, medical clerk and social worker | None specified | Weekly visits including health assessment, education, referral and social support. | Transitional houses in a different area not receiving the intervention | ED attendance Hospital admission Blood pressure Satisfaction with care |
Nyamathi et al
37 Nyamathi et al 38 Schumann et al 39 Nyamathi et al 40 |
How care is delivered: group delivery. Self-management Location/environment: outreach services; transportation services Coordination of care: case management; disease management Finance: incentives | Nurse and outreach worker | Comprehensive health seeking and coping paradigm | DOT plus eight education sessions. Information provided on community resources and participants escorted to appointments. | DOT plus 20 min educational lecture | Completion of directly observed TB therapy TB knowledge HIV knowledge Self-efficacy |
Tsai et al
43 Tsai et al 44 Grelotti et al 45 |
How care is delivered: individual delivery Coordination of care: case management; disease management Finance: incentives | Psychiatrist and study nurse | None specified | Directly observed fluoxetine and weekly psychiatric interview | Advice on sources of mental health support | Adherence to antiretroviral therapy HIV viral load Depression |
Savage et al 42 |
How care is delivered: individual delivery Self-management | Nurse | Self-efficacy theory | Nurse-led case-management and diabetes education | Usual care | Self-efficacy |
Tyler et al 46 |
How care is delivered: group delivery Self-management Coordination of care: case management; communication between providers | Nurse | Comprehensive health seeking and coping paradigm | Case management with group sessions, self-management training and education | Single, brief educational intervention | Hepatitis C knowledge |
O’Toole et al 33 |
How care is delivered: individual delivery. Self-management Location/environment: orientation to environment/facilities; outreach services; transportation services Coordination of care: case management; disease management | Nurse | None specified | Nurse-led brief health assessment with motivational interviewing (group 1). Guided orientation to primary care clinic facilities (group 2). Both interventions together (group 3). | Usual care (social work assessment and description of available services) | ED attendance Hospital admission Access to primary care |
Hewett et al 31 |
How care is delivered: individual delivery; coordination of care providers Role expansion; recruitment of specific professionals Coordination of care: care pathways; communication between professionals; discharge planning; integration of services; shared care; multidisciplinary teams | General practitioner and specialist nurse | None specified | Nurse- and GP-led inpatient intervention. Goal setting. Discharge planning. Liaison and multiagency meetings. | Initial meeting with nurse and signposting of services | ED attendance Hospital readmission Quality of life |
ART, antiretroviral treatment; DOT, directly observed therapy; ED, emergency department; GP, general practitioner; TB, tuberculosis.