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Complex interventions: Lessons from previous studies influenced subsequent projects, providing a deeper understanding of the efficacy of person-centred care

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A new review has examined how previous research in five different studies influences new projects in person-centered care. The analysis showed how experiences from previous studies contribute to an iterative learning process and the development of partnerships between staff and patients. The study also showed that the three steps in person-centered care; initiating a partnership with the patient, developing it and securing it in a personal health plan, were equally effective when carried out physically or digitally.

We have examined the progression of research in person-centred care, specifically focusing on using complex interventions. We aimed to explore how previous experiences can inform and shape subsequent projects. The review was based on five studies from our research group, encompassing 1099 patients, resulting in 41 peer-reviewed scientific publications. We have now published what we learned in the article .

Most studies focused on patients diagnosed with chronic heart failure, as well as patients with chronic obstructive pulmonary disease. In addition, interventions for acute coronary syndrome and common mental disorders were also considered. 

Results from different types of studies complemented each other and provided a deeper understanding

The analyses involved creating a coherent model for person-centred care, examining partnership operationalisation, and establishing trial evaluation criteria. Sequential trials build upon their predecessors, and different study designs contributed with complementary information.  The studies conducted by clinicians in usual care and in-house by research staff were complementary, providing a deeper understanding of the efficacy of person-centred care.

Person-centred care works equally well in person or remotely

We also found that initiating, working, and safeguarding a partnership between patient and staff was possible, whether through in-person or remote communication. 

The evaluations followed modern research standards and incorporated past study insights for a more thorough approach. Our study highlights how the cumulative experience from previous research in person-centred care informs the design and analyses of subsequent projects through an iterative learning process, particularly important for complex interventions.

Written by: Inger Ekman, Senior Professor and Hanna Gyllensten, Associate Professor and Researcher

The article: Gyllensten, H., Cederberg, M., Als茅n, S. et al. Person-Centred Care: State-of-the-Art and Future Perspectives. Curr Heart Fail Rep 22, 15 (2025). https://doi.org/10.1007/s11897-025-00702-3