Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis. by Kasey R Boehmer, Abd Moain Abu Dabrh, Michael R Gionfriddo, Patricia Erwin, Victor M Montori

“…These patients face accumulating and overwhelming complexity resulting from the sum of uncoordinated responses to each of their problems. Minimally Disruptive Medicine (MDM) was proposed to respond to this challenge, aiming at improving outcomes that matter to patients with the smallest burden of treatment. …”
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Insights from fifteen years of real-world development, testing and implementation of youth digital mental health interventions by Shane Cross, Shaminka Mangelsdorf, Lee Valentine, Shaunagh O'Sullivan, Carla McEnery, Isabelle Scott, Tamsyn Gilbertson, Shona Louis, Jon Myer, Ping Liu, Niel Mac Dhonnagáin, Tom Wren, Eleanor Carey, Daniela Cagliarini, Ross Jacobs, Roos Pot-Kolder, Imogen Bell, Jennifer Nicholas, Lucia Valmaggia, John Gleeson, Mario Alvarez-Jimenez

“…Each theme reflects both achievements and persistent challenges, and is illustrated through a synthesis of the current evidence and real-world insights from our clinical trials and national-scale service implementations.Our approach is grounded in various frameworks including clinical staging, self-determination theory, supportive accountability, and minimally disruptive medicine. Emerging innovations such as just-in-time adaptive interventions, extended reality (XR) therapies, stratified treatment models, and large language models offer promising future pathways for greater personalization, engagement, effectiveness, and scalability.Our findings highlight the potential value of context-sensitive, co-designed, and system-integrated DMHIs, while also emphasising enduring limitations such as variable engagement, implementation barriers, and population-specific adaptation. …”
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