The Effects and Meaning of a Person-centred and Health-promoting Intervention in Home Care Services: Study Protocol of a Non-randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 81
- 主要终点
- Change of Quality of Life assessed with the Nottingham Health Profile scale
研究概览
简要总结
Current home care service are to a large extent task oriented with a limited focus on care recipient's involvement. Furthermore, studies have shown that low care recipients' involvement might decrease older people's quality of life. Person-centred care focusing on involvement has improved the quality of life and the satisfaction with care for older people in health care and nursing homes but there is a lack of knowledge about the effects and meaning of a person-centred interventions in aged care at home. Present study describes the evaluation of a person-centred and health-promoting intervention.
详细描述
This is a non-randomised controlled trial with a before-after approach. The investigators will include 270 home care recipients >65 years, 270 family members and 65 staff in intervention group and control group respectively. Participants will be recruited from a municipality in northern Sweden. The intervention involves letting the person and family together with contact nurse prioritise care content and make rearrangements to make sure the home care service maximises the potential to satisfy psychosocial, physical, and functional needs and increasing health. Outcome assessment will focus on; a) quality of life (primary outcomes), thriving and satisfaction with care for older people, b) caregiver strain, informal caregiving engagement and satisfaction with care for relatives, c) job satisfaction and stress for care staff. Evaluation will be performed by questionnaires and interviews.
Person-centred home care services have the potential to improve the recurrently reported sub-standard experiences of home care services and the study result will hopefully lead the way in establish a person-centred and health-promoting model in aged care and living conditions for older people.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion criteria for care recipients will be:
- •persons 65 years or older
- •living at home with granted HCS
- •have at least two visits per month, and
- •be Swedish speaking
- •Inclusion for family members:
- •be defined by the care recipients as his/her family member, and
- •Swedish speaking
- •Inclusion for staff:
- •have an employment for more than 6 month in the HCS district at baseline, be a contact staff and
- •Swedish speaking
- •Care recipients who apply for HCS in the district during the study period will be offered the intervention but not be included in the evaluation
- •Exclusion Criteria
- •No exclusion criteria
排除标准
- 未提供
结局指标
主要结局
Change of Quality of Life assessed with the Nottingham Health Profile scale
时间窗: Baseline, 12 and 24 month follow-up
The Nottingham Health Profile scale will be used to assess quality of life. Nottingham health profile includes 38 items in six dimensions: energy level, pain, emotional reaction, sleep, social isolation, and physical abilities. Each item is answered through Yes/No statements and range from best (0) to worst (100) possible score. The Nottingham Health Profile has been found to be sensitive for changes, valid and reliable.
Change of Quality of Life assessed with the EQ-5D
时间窗: Baseline, 12 and 24 month follow-up
As a complement, the EQ-5D will also be used to assess quality of life. The EQ-5D consists of two parts, a health state description and a visual analogue scale. The health state description comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has five levels on a Likert-scale: none (0) to extreme (4). The visual analogue scale rates participants overall health between endpoints, worst imaginable health (0) and best imaginable health (100). EQ-5D has been found to be sensitive for changes and valid.
次要结局
- Change in thriving assessed with the Thriving of Older People Assessment Scale(baseline, 12 and 24 month follow-up)
- Change in satisfaction with home care service assessed with the Quality of Care from the Patients' Perspective(baseline, 12 and 24 month follow-up)