Cargando…
Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation
Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236665/ https://www.ncbi.nlm.nih.gov/pubmed/33625262 http://dx.doi.org/10.1177/0898264321993321 |
_version_ | 1783714586160005120 |
---|---|
author | Rietkerk, Wanda de Jonge-de Haan, Jannet Slaets, Joris P. J. Zuidema, Sytse U. Gerritsen, Debby L. |
author_facet | Rietkerk, Wanda de Jonge-de Haan, Jannet Slaets, Joris P. J. Zuidema, Sytse U. Gerritsen, Debby L. |
author_sort | Rietkerk, Wanda |
collection | PubMed |
description | Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults. |
format | Online Article Text |
id | pubmed-8236665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82366652021-07-13 Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation Rietkerk, Wanda de Jonge-de Haan, Jannet Slaets, Joris P. J. Zuidema, Sytse U. Gerritsen, Debby L. J Aging Health Articles Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults. SAGE Publications 2021-02-24 2021-08 /pmc/articles/PMC8236665/ /pubmed/33625262 http://dx.doi.org/10.1177/0898264321993321 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Rietkerk, Wanda de Jonge-de Haan, Jannet Slaets, Joris P. J. Zuidema, Sytse U. Gerritsen, Debby L. Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title | Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title_full | Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title_fullStr | Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title_full_unstemmed | Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title_short | Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation |
title_sort | increasing older adult involvement in geriatric assessment: a mixed-methods process evaluation |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236665/ https://www.ncbi.nlm.nih.gov/pubmed/33625262 http://dx.doi.org/10.1177/0898264321993321 |
work_keys_str_mv | AT rietkerkwanda increasingolderadultinvolvementingeriatricassessmentamixedmethodsprocessevaluation AT dejongedehaanjannet increasingolderadultinvolvementingeriatricassessmentamixedmethodsprocessevaluation AT slaetsjorispj increasingolderadultinvolvementingeriatricassessmentamixedmethodsprocessevaluation AT zuidemasytseu increasingolderadultinvolvementingeriatricassessmentamixedmethodsprocessevaluation AT gerritsendebbyl increasingolderadultinvolvementingeriatricassessmentamixedmethodsprocessevaluation |