INSPIRE: Feasibility of a Community-based Integrated Care Model for Older Adults Living at Home
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- To assess the adoption of the integrated care model at the IAC, and explore perceptions of IAC staff towards the implemented care model, and if adaptations are needed to the care model or the implementation strategies.
研究概览
简要总结
Background: The care of older people, often suffering from multiple chronic health problems is complex. As a result, many home-dwelling older people receive long-term care by a large number of care providers often in various care settings, which are neither centralized nor coordinated, putting older people are at risk for fragmented care. To address the complex needs and overcome fragmentation of care, implementation of integrated care models has been recommended. Integrated care has been described as a person-centred model of care that is structured to support coordinated, pro-active care led by a multidisciplinary core team and a lead coordinator communicating and cooperating across and within health and social sectors. However, a systematic review and meta analysis published by our research team could not show convincing evidence regarding the beneficial impact of integrated care models on health and service outcomes. But our study highlighted that the majority of the studies included effectiveness outcomes only and lacked process and implementation outcomes hindering to determine whether the negative conclusions were due to intervention or implementation failure. Therefore, this indicates the need for effectiveness studies which include process evaluations, contextual analysis, and measuring proximal implementation outcomes to determine if, how and why community-based integrated care for frail older adults is successful in practice.
To facilitate the uptake of integrated care in daily practice and overcome implementation issues, principles and methods from the field of implementation science should be incorporated into future research.
In January 2018, the Canton Basel-Landschaft (BL) published a new legal framework to redesign care for home-dwelling older people in the canton. This legal framework mandates the reorganization of the Canton BL into larger care regions and the creation of an Information and Advice Center (IAC) in each of these care regions. The legislation mandates the IAC to be staffed with at least a nurse. Subsequently, the INSPIRE research team has been working together with the Canton and the care region of Leimental to help operationalize and evaluate a care model for the IAC.
The overall INSPIRE project is a three-phase implementation science project which aims to develop, implement and evaluate an integrated care model for the IAC for home-dwelling older adults in Canton BL. Phase 1: consisted in the development of the community-based integrated care model. Phase 2: We will assess the feasibility of the community-based integrated model of care at the IAC in Leimental. Phase 3: we will evaluate the effectiveness of this intervention.
The current study focuses in the phase 2.
Aims:
- assess feasibility of recruitment to the IAC including external (e.g., strategies used to promote the IAC services) and internal processes (e.g., the number of visitors to the IAC; how clients heard of the IAC; among others);
- assess the adoption, acceptability, feasibility, and fidelity of the integrated care model at the IAC BPA in Leimental;
- explore perceptions of older adults and their caregivers, IAC staff, and external health and social care providers towards the implemented care model, and if adaptations are needed to the care model or the implementation strategies/process.
Design: The feasibility study uses multiple methods. For aim 1, a descriptive study will be conducted to monitor the strategies used to promote the IAC and to assess which ones worked in getting older adults to reach out to the IAC. To address aims 2 and 3, a parallel convergent mixed methods observational design will be used, being the core aspect of this phase. A combination of administrative data, health record reviews, older adult and informal caregiver interviews, IAC staff meetings, and a questionnaire of community professional collaborators will be used to meet the aims of the feasibility study.
Sample: For this study, multiple samples will be included to collect administrative data, implementation outcomes, and individual characteristics of consenting older adults who used the IAC services: external (people respondents to promotion strategies) and internal (all visitors to the IAC); older adults; frail older adults who receive a CGA and their informal caregivers; the IAC nurse and social worker; and community professionals who collaborate with the IAC in care coordination.
Measurements & Outcomes: Engagement measures will be provided by the IAC Administration about all visitors to the IAC. Implementation outcomes will be captured from IAC staff; older adults visiting the IAC (or with home appointments) and their informal caregivers; and community healthcare collaborators using a combination of meeting logs, interviews, IAC health records, and a questionnaire. The estimation of time-driven activity-based cost will be captured by using information provided by the IAC staff.
详细描述
Background The care of older people, often suffering from multiple chronic health problems is complex. As a result, many home-dwelling older people receive long-term care by a large number of care providers often in various care settings, which are neither centralized nor coordinated, putting older people are at risk for fragmented care. To address the complex needs and overcome fragmentation of care, implementation of integrated care models has been recommended. Integrated care has been described as a person-centred model of care that is structured to support coordinated, pro-active care led by a multidisciplinary core team and a lead coordinator communicating and cooperating across and within health and social sectors. However, a systematic review and meta analysis published by our research team could not show convincing evidence regarding the beneficial impact of integrated care models on health and service outcomes. But our study highlighted that the majority of the studies included effectiveness outcomes only and lacked process and implementation outcomes hindering to determine whether the negative conclusions were due to intervention or implementation failure. Therefore, this indicates the need for effectiveness studies which include process evaluations, contextual analysis, and measuring proximal implementation outcomes to determine if, how and why community-based integrated care for frail older adults is successful in practice.
To facilitate the uptake of integrated care in daily practice and overcome implementation issues, principles and methods from the field of implementation science should be incorporated into future research.
In January 2018, the Canton Basel-Landschaft (BL) published a new legal framework to redesign care for home-dwelling older people in the canton. This legal framework mandates the reorganization of the Canton BL into larger care regions and the creation of an Information and Advice Center (IAC) in each of these care regions. The legislation mandates the IAC to be staffed with at least a nurse. Subsequently, the INSPIRE research team has been working together with the Canton and the care region of Leimental to help operationalize and evaluate a care model for the IAC.
The overall INSPIRE project is a three-phase implementation science project which aims to develop, implement and evaluate an integrated care model for the IAC for home-dwelling older adults in Canton BL. Phase 1: We developed a community-based integrated care model. Phase 2: We will assess the feasibility of the community-based integrated model of care at the IAC in Leimental. Phase 3: we will evaluate the effectiveness of this intervention.
The current study focuses in the phase 2.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
To assess the adoption of the integrated care model at the IAC, and explore perceptions of IAC staff towards the implemented care model, and if adaptations are needed to the care model or the implementation strategies.
时间窗: 2 months
- Adoption is defined as the intention, initial decision, or action to try to employ a new intervention. Adoption will be qualitatively determined during the study through the regular meetings with the IAC Nurse(s) and Social Worker (\[sample 3\]. These regular meetings will be led by the INSPIRE research team (e.g., Implementation Lead).
To assess the acceptability of the integrated care model at the IAC, and explore perceptions of older adults and their caregivers, IAC staff towards the implemented care model.
时间窗: 2 months
- Acceptability is defined as the perception among stakeholders that the intervention is agreeable (31). Acceptability will be captured qualitatively through regular meetings with the IAC Nurse(s) and Social worker (sample 3) as well as through interviews with a nested sample of older adults (e.g., aged 75+, Groningen Frailty Indicator \[GFI\] score ≥4, received a CGA; see sample 1C) and their informal caregiver (sample 2; e.g., spouse, family member or neighbour), when possible.
To assess the feasibility of the integrated care model at the IAC, and explore perceptions of older adults and their caregivers, and IAC staff towards the implemented care model
时间窗: 2 months
- Feasibility is defined as the perception among participating care providers that the intervention is feasible (31). Feasibility will be assessed for recruitment (e.g., referral to the IAC) and aspects of the care model (i.e., screening, CGA, creation of a care plan and collaboration to coordinate care, and follow-up). Feasibility will be captured qualitatively in this study through a) the regular meetings with the IAC staff (sample 3) and b) the interviews with a nested sample of participating older adults (sample 1C) and informal caregivers (sample 2), when possible. A final consensus meeting will be held at the end of the study with the INSPIRE research team, the Head of the IAC and the IAC Nurse(s) and Social Worker to confirm whether the care model is indeed "feasible" and we are ready to move into the effectiveness study.
To assess the fidelity of the integrated care model at the IAC, and explore perceptions of the IAC staff towards the implemented care model, and if adaptations are needed to the care model or the implementation strategies.
时间窗: 2 months
- Fidelity is defined as the degree to which the intervention is implemented as it was designed in the original protocol. Fidelity will be quantitatively measured in this study phase by reviewing participating older adults' IAC health records (see sample 1B; e.g., aged 64+, living at home, have a IAC health record) to primarily determine if the care model components (i.e., screening, comprehensive geriatric assessment \[CGA\], care coordination and individualized care plan, and follow-up were delivered as intended. Fidelity will also be explored qualitatively in the regular meetings with the IAC staff (sample 3).
To explore implementation processes related to collaboration between IAC staff and external health and social care professionals when coordinating care for an older adult
时间窗: 2 months
- The Normalization MeAsure Development questionnaire (NoMAD) will be sent to external health and social care providers who have collaborated with the IAC staff for coordination of care of a participating older adult. It is a three-part (A, B, C), 23-item survey. Part A (2-items) asks about their role and job category; in part B, two general questions about the intervention are rated with a response scale of 0-10 (0=not at all, 5=somewhat, 10=completely); and part C (19-items) is in the format of a 5-point Likert scale to indicate level of agreement (1=strongly agree, 3=neutral, 5=strongly disagree). There are four constructs assessed in Part C which are related to the Normalization Process Theory, being: a) coherence (4-items), b) cognitive participation (4-items), c) collective action (7-items; 1 of which we removed due to context), and d) reflexive monitoring (5-items). The NoMAD has a reliability of α = 0.89 for the 20 items and has been cited in many research studies
次要结局
- To assess feasibility of recruitment to the Fachstelle and evaluate recruitment strategies(2 months)
研究者
Sabina De Geest
Prof. Dr.
University of Basel