Development of core outcome set for healthy aging treatment in primary care settings

Background: Healthy aging is a global public health priority, with increasing interest in the promotion of functional ability and well-being among older adults. South Korea’s rapidly aging population highlights the need for standardized evaluation tools for interventions. This study aimed to develop...

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Main Authors: Soobin Jang, Hyein Jeong, Jungi Park, Mi Mi Ko, Jeeyoun Jung
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:Integrative Medicine Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S221342202500085X
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author Soobin Jang
Hyein Jeong
Jungi Park
Mi Mi Ko
Jeeyoun Jung
author_facet Soobin Jang
Hyein Jeong
Jungi Park
Mi Mi Ko
Jeeyoun Jung
author_sort Soobin Jang
collection DOAJ
description Background: Healthy aging is a global public health priority, with increasing interest in the promotion of functional ability and well-being among older adults. South Korea’s rapidly aging population highlights the need for standardized evaluation tools for interventions. This study aimed to develop a Core Outcome Set (COS) for healthy aging treatment in primary care. Methods: The COS was developed following the COS-STAD guidelines and through a multiphase process, including a literature review and a modified Delphi consensus. A project management group (PMG) reviewed studies related to health promotion programs and generated an initial list of outcomes. This list was refined through two rounds of Delphi surveys involving 16 experts. Consensus was assessed using content validity ratio, degree of consensus, and convergence. Results: Twenty-six studies informed the initial outcome list, resulting in 24 outcomes for the Delphi evaluation. Two Delphi rounds and a final review by the PMG established a COS comprising 12 outcomes. These included EQ-5D, Geriatric Depression Scale, Instrumental Activities of Daily Living, body weight, blood pressure, blood glucose, blood lipids, liver function, kidney function, Korean Frailty Index, Self-rated Health, and Kidney-Deficiency Score. Conclusions: The COS provides a standardized set of outcomes for evaluating healthy aging interventions in primary care. Its application in primary care and health promotion programs may enhance comparability across studies and support evidence-based decision making. Future revisions are recommended based on clinical applications and emerging research findings.
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spelling doaj-art-d2823b7485974d8a9e396970e08d5f842025-08-20T03:07:14ZengElsevierIntegrative Medicine Research2213-42202025-12-0114410120510.1016/j.imr.2025.101205Development of core outcome set for healthy aging treatment in primary care settingsSoobin Jang0Hyein Jeong1Jungi Park2Mi Mi Ko3Jeeyoun Jung4Department of Preventive Medicine, College of Korean Medicine, Daegu Hanny University, Gyeongsan, KoreaDepartment of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul, KoreaCollege of Korean Medicine, Daegu Hanny University, Gyeongsan, KoreaKorea Medicine Science Research Division, Korea Institute of Oriental Medicine, Daejeon, KoreaKorea Medicine Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Korea; Corresponding author at: Korea Medicine Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.Background: Healthy aging is a global public health priority, with increasing interest in the promotion of functional ability and well-being among older adults. South Korea’s rapidly aging population highlights the need for standardized evaluation tools for interventions. This study aimed to develop a Core Outcome Set (COS) for healthy aging treatment in primary care. Methods: The COS was developed following the COS-STAD guidelines and through a multiphase process, including a literature review and a modified Delphi consensus. A project management group (PMG) reviewed studies related to health promotion programs and generated an initial list of outcomes. This list was refined through two rounds of Delphi surveys involving 16 experts. Consensus was assessed using content validity ratio, degree of consensus, and convergence. Results: Twenty-six studies informed the initial outcome list, resulting in 24 outcomes for the Delphi evaluation. Two Delphi rounds and a final review by the PMG established a COS comprising 12 outcomes. These included EQ-5D, Geriatric Depression Scale, Instrumental Activities of Daily Living, body weight, blood pressure, blood glucose, blood lipids, liver function, kidney function, Korean Frailty Index, Self-rated Health, and Kidney-Deficiency Score. Conclusions: The COS provides a standardized set of outcomes for evaluating healthy aging interventions in primary care. Its application in primary care and health promotion programs may enhance comparability across studies and support evidence-based decision making. Future revisions are recommended based on clinical applications and emerging research findings.http://www.sciencedirect.com/science/article/pii/S221342202500085XHealthy agingAgingFrailtyGeriatric careCore outcome set
spellingShingle Soobin Jang
Hyein Jeong
Jungi Park
Mi Mi Ko
Jeeyoun Jung
Development of core outcome set for healthy aging treatment in primary care settings
Integrative Medicine Research
Healthy aging
Aging
Frailty
Geriatric care
Core outcome set
title Development of core outcome set for healthy aging treatment in primary care settings
title_full Development of core outcome set for healthy aging treatment in primary care settings
title_fullStr Development of core outcome set for healthy aging treatment in primary care settings
title_full_unstemmed Development of core outcome set for healthy aging treatment in primary care settings
title_short Development of core outcome set for healthy aging treatment in primary care settings
title_sort development of core outcome set for healthy aging treatment in primary care settings
topic Healthy aging
Aging
Frailty
Geriatric care
Core outcome set
url http://www.sciencedirect.com/science/article/pii/S221342202500085X
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