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A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support
BACKGROUND: This study explored the effects of an integrated care model for the frail elderly on informal caregivers’ satisfaction with care and support services. METHODS: A 62-item instrument was developed and deployed in an evaluative before/after study using a quasi-experimental design and enroll...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986650/ https://www.ncbi.nlm.nih.gov/pubmed/24678804 http://dx.doi.org/10.1186/1472-6963-14-140 |
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author | Janse, Benjamin Huijsman, Robbert Fabbricotti, Isabelle Natalina |
author_facet | Janse, Benjamin Huijsman, Robbert Fabbricotti, Isabelle Natalina |
author_sort | Janse, Benjamin |
collection | PubMed |
description | BACKGROUND: This study explored the effects of an integrated care model for the frail elderly on informal caregivers’ satisfaction with care and support services. METHODS: A 62-item instrument was developed and deployed in an evaluative before/after study using a quasi-experimental design and enrolling a control group. The definitive study population (n = 63) consisted mainly of female informal caregivers who did not live with the care recipient. Analysis of separate items involved group comparisons, using paired and unpaired tests, and regression analyses, with baseline measurements, control variables (sex, age and living together with care recipient) and the intervention as independent variables. Subsequently, the underlying factor structure of the theoretical dimensions was investigated using primary component analysis. Group comparisons and regression analyses were performed on the resulting scales. RESULTS: Satisfaction with the degree to which care was provided according to the need for care of the recipients increased, while satisfaction with the degree to which professionals provided help with administrative tasks, the understandability of the information provided and the degree to which informal caregivers knew which professionals to call, decreased. Primary component analysis yielded 6 scales for satisfaction with care and 5 scales for satisfaction with caregiver support, with sufficient reliability. CONCLUSIONS: The results suggest that expectations regarding the effects of integrated care on informal caregiver satisfaction may not be realistic. However, the results must be seen in light of the small sample size and should therefore be considered as preliminary. Nonetheless, this study provides guidance for further research and integrated care interventions involving informal caregivers. TRIAL REGISTRATION: Current Controlled Trials ISRCTN05748494. Date of registration: 14/03/2013. |
format | Online Article Text |
id | pubmed-3986650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39866502014-04-16 A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support Janse, Benjamin Huijsman, Robbert Fabbricotti, Isabelle Natalina BMC Health Serv Res Research Article BACKGROUND: This study explored the effects of an integrated care model for the frail elderly on informal caregivers’ satisfaction with care and support services. METHODS: A 62-item instrument was developed and deployed in an evaluative before/after study using a quasi-experimental design and enrolling a control group. The definitive study population (n = 63) consisted mainly of female informal caregivers who did not live with the care recipient. Analysis of separate items involved group comparisons, using paired and unpaired tests, and regression analyses, with baseline measurements, control variables (sex, age and living together with care recipient) and the intervention as independent variables. Subsequently, the underlying factor structure of the theoretical dimensions was investigated using primary component analysis. Group comparisons and regression analyses were performed on the resulting scales. RESULTS: Satisfaction with the degree to which care was provided according to the need for care of the recipients increased, while satisfaction with the degree to which professionals provided help with administrative tasks, the understandability of the information provided and the degree to which informal caregivers knew which professionals to call, decreased. Primary component analysis yielded 6 scales for satisfaction with care and 5 scales for satisfaction with caregiver support, with sufficient reliability. CONCLUSIONS: The results suggest that expectations regarding the effects of integrated care on informal caregiver satisfaction may not be realistic. However, the results must be seen in light of the small sample size and should therefore be considered as preliminary. Nonetheless, this study provides guidance for further research and integrated care interventions involving informal caregivers. TRIAL REGISTRATION: Current Controlled Trials ISRCTN05748494. Date of registration: 14/03/2013. BioMed Central 2014-03-29 /pmc/articles/PMC3986650/ /pubmed/24678804 http://dx.doi.org/10.1186/1472-6963-14-140 Text en Copyright © 2014 Janse et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Janse, Benjamin Huijsman, Robbert Fabbricotti, Isabelle Natalina A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title | A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title_full | A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title_fullStr | A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title_full_unstemmed | A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title_short | A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
title_sort | quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986650/ https://www.ncbi.nlm.nih.gov/pubmed/24678804 http://dx.doi.org/10.1186/1472-6963-14-140 |
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