Evidence mapPaperPMID 42396152Full record

ArticleFrontiers in medicine2026

Organizing everyday management in older adults with multimorbidity: a qualitative study from a time-geography perspective.

Huiyu Lin, Huiling Lin, Zhishou Miao, Yiping Chen, Zhuo Wang, Xiaobing Wang

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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Huiyu LinDepartment of Nursing, Zhongshan Hospital, Xiamen University, Xiamen, Fujian, China.
Huiling LinDepartment of Nursing, Zhongshan Hospital, Xiamen University, Xiamen, Fujian, China.
Zhishou MiaoDepartment of Nursing, Zhongshan Hospital, Xiamen University, Xiamen, Fujian, China.
Yiping ChenSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Zhuo WangDepartment of International Medical Services, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xiaobing WangDepartment of Pharmacy, Zhongshan Hospital, Xiamen University, Xiamen, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multimorbidity is common among older adults and is associated with substantial treatment burden, functional decline, and complex care needs. Although self-management has received increasing attention, less is known about how older adults organize everyday management activities within the temporal and spatial structures of daily life. This study aimed to explore how older adults with multimorbidity organized their everyday management activities from a time-geography perspective. Methods: A qualitative descriptive study was conducted with 26 community-dwelling older adults with two or more chronic conditions. Participants were purposively recruited through the outpatient pharmacy of a tertiary hospital. Semi-structured interviews were conducted face to face and focused on daily routines, management activities, bodily changes, healthcare use, and adjustment strategies. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis informed by time-geography. Results: Data from 26 interviews reached saturation. Thematic analysis generated four themes and eight subthemes: (1) management embedded in everyday routines (management within household life, routine as a stabilizing strategy); (2) capability constraints and fragile routines (symptom fluctuation and disrupted plans, limited mobility, energy, and digital capacity); (3) coordination burden under coupling and authority constraints (constant alignment with people and facilities, restricted choice under rules and roles); and (4) active reorganization under multiple constraints (simplifying and planning ahead, unequal capacity to absorb disruption). Conclusion: Everyday management among older adults with multimorbidity is not a separate or clearly bounded medical activity but a dynamic time-space process embedded in daily life. A time-geography perspective helps reveal how personal, relational, and institutional constraints shape management practices and highlights the need for more realistic, person-centered support for older adults living with multimorbidity.

Indexed as

multimorbidityolder adultsqualitative studyself-managementtime-geography

Identifiers

PMID42396152
PMCPMC13322870

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.