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Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial

BACKGROUND: The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce older people’s quality of life. Person-centred care has been shown to improve the...

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Autores principales: Bölenius, Karin, Lämås, Kristina, Sandman, Per-Olof, Edvardsson, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314690/
https://www.ncbi.nlm.nih.gov/pubmed/28209122
http://dx.doi.org/10.1186/s12877-017-0445-0
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author Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Edvardsson, David
author_facet Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Edvardsson, David
author_sort Bölenius, Karin
collection PubMed
description BACKGROUND: The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce older people’s quality of life. Person-centred care has been shown to improve the satisfaction with care and quality of life in older people cared for in hospitals and nursing homes, with limited published evidence about the effects and meanings of person-centred interventions in home care services for older people. This study protocol outlines a study aiming to evaluate such effects and meanings of a person-centred and health-promoting intervention in home aged care services. METHODS/DESIGN: The study will take the form of a non-randomised controlled trial with a before/after approach. It will include 270 older people >65 years receiving home care services, 270 relatives and 65 staff, as well as a matched control group of equal size. All participants will be recruited from a municipality in northern Sweden. The intervention is based on the theoretical concepts of person-centredness and health-promotion, and builds on the four pedagogical phases of: theory apprehension, experimental learning, operationalization, and clinical supervision. Outcome assessments will focus on: a) health and quality of life (primary outcomes), thriving and satisfaction with care for older people; b) caregiver strain, informal caregiving engagement and relatives’ satisfaction with care: c) job satisfaction and stress of conscience among care staff (secondary outcomes). Evaluation will be conducted by means of self-reported questionnaires and qualitative research interviews. DISCUSSION: Person-centred home care services have the potential to improve the recurrently reported sub-standard experiences of home care services, and the results can point the way to establishing a more person-centred and health-promoting model for home care services for older people. TRIAL REGISTRATION: NCT02846246.
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spelling pubmed-53146902017-02-24 Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial Bölenius, Karin Lämås, Kristina Sandman, Per-Olof Edvardsson, David BMC Geriatr Study Protocol BACKGROUND: The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce older people’s quality of life. Person-centred care has been shown to improve the satisfaction with care and quality of life in older people cared for in hospitals and nursing homes, with limited published evidence about the effects and meanings of person-centred interventions in home care services for older people. This study protocol outlines a study aiming to evaluate such effects and meanings of a person-centred and health-promoting intervention in home aged care services. METHODS/DESIGN: The study will take the form of a non-randomised controlled trial with a before/after approach. It will include 270 older people >65 years receiving home care services, 270 relatives and 65 staff, as well as a matched control group of equal size. All participants will be recruited from a municipality in northern Sweden. The intervention is based on the theoretical concepts of person-centredness and health-promotion, and builds on the four pedagogical phases of: theory apprehension, experimental learning, operationalization, and clinical supervision. Outcome assessments will focus on: a) health and quality of life (primary outcomes), thriving and satisfaction with care for older people; b) caregiver strain, informal caregiving engagement and relatives’ satisfaction with care: c) job satisfaction and stress of conscience among care staff (secondary outcomes). Evaluation will be conducted by means of self-reported questionnaires and qualitative research interviews. DISCUSSION: Person-centred home care services have the potential to improve the recurrently reported sub-standard experiences of home care services, and the results can point the way to establishing a more person-centred and health-promoting model for home care services for older people. TRIAL REGISTRATION: NCT02846246. BioMed Central 2017-02-16 /pmc/articles/PMC5314690/ /pubmed/28209122 http://dx.doi.org/10.1186/s12877-017-0445-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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 Study Protocol
Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Edvardsson, David
Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title_full Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title_fullStr Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title_full_unstemmed Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title_short Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
title_sort effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314690/
https://www.ncbi.nlm.nih.gov/pubmed/28209122
http://dx.doi.org/10.1186/s12877-017-0445-0
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