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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...

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Autores principales: Rietkerk, Wanda, de Jonge-de Haan, Jannet, Slaets, Joris P. J., Zuidema, Sytse U., Gerritsen, Debby L.
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
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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.
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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
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