A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model
Abstract Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, includin...
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2021
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Online Access: | http://dx.doi.org/10.1186/s12877-021-02251-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02251-5.pdf https://link.springer.com/article/10.1186/s12877-021-02251-5/fulltext.html |
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crspringernat:10.1186/s12877-021-02251-5 2023-05-15T17:22:42+02:00 A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model Schumacher, Connie Dash, Darly Mowbray, Fabrice Klea, Lindsay Costa, Andrew Canadian Institutes of Health Research 2021 http://dx.doi.org/10.1186/s12877-021-02251-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02251-5.pdf https://link.springer.com/article/10.1186/s12877-021-02251-5/fulltext.html en eng Springer Science and Business Media LLC http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/ CC-BY BMC Geriatrics volume 21, issue 1 ISSN 1471-2318 Geriatrics and Gerontology journal-article 2021 crspringernat https://doi.org/10.1186/s12877-021-02251-5 2022-01-04T07:40:49Z Abstract Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, including emergency department visits. The DIVERT-CARE trial introduced a cardio-respiratory management model to improve client motivation, symptoms and rates of unwarranted health service use. Our objective was to explore the perceptions and experiences of individuals who participated in the DIVERT-CARE self-management support and education intervention. Methods A qualitative study was nested within a pragmatic randomized control trial and conducted following a 15-week multi-component cardio-respiratory intervention. A phenomenological descriptive design was employed using thematic analysis. Post-intervention, clients and their caregivers were invited to participate in a semi-structured telephone interview. Interview questions were designed to elicit the experience with the intervention components. Results A total of 29 interviews were completed from June 2018 to March 2020 from participants in Ontario, Newfoundland, and British Columbia. Three themes were identified; self-care trajectory and burden of responsibility, learning and behaviour change, and feeling connected pre-emptively to care providers, the information and medical advice, and connection through the therapeutic relationship. Conclusions Home care clients experience unique challenges in managing cardio-respiratory related chronic disease. Home-based interventions fostered a therapeutic relationship of connectedness while equipping clients with necessary knowledge and skills. These results inform recommendations for community nursing, and home-based self-management supports for older community-residing individuals. Article in Journal/Newspaper Newfoundland Springer Nature (via Crossref) BMC Geriatrics 21 1 |
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Springer Nature (via Crossref) |
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English |
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Geriatrics and Gerontology |
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Geriatrics and Gerontology Schumacher, Connie Dash, Darly Mowbray, Fabrice Klea, Lindsay Costa, Andrew A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
topic_facet |
Geriatrics and Gerontology |
description |
Abstract Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, including emergency department visits. The DIVERT-CARE trial introduced a cardio-respiratory management model to improve client motivation, symptoms and rates of unwarranted health service use. Our objective was to explore the perceptions and experiences of individuals who participated in the DIVERT-CARE self-management support and education intervention. Methods A qualitative study was nested within a pragmatic randomized control trial and conducted following a 15-week multi-component cardio-respiratory intervention. A phenomenological descriptive design was employed using thematic analysis. Post-intervention, clients and their caregivers were invited to participate in a semi-structured telephone interview. Interview questions were designed to elicit the experience with the intervention components. Results A total of 29 interviews were completed from June 2018 to March 2020 from participants in Ontario, Newfoundland, and British Columbia. Three themes were identified; self-care trajectory and burden of responsibility, learning and behaviour change, and feeling connected pre-emptively to care providers, the information and medical advice, and connection through the therapeutic relationship. Conclusions Home care clients experience unique challenges in managing cardio-respiratory related chronic disease. Home-based interventions fostered a therapeutic relationship of connectedness while equipping clients with necessary knowledge and skills. These results inform recommendations for community nursing, and home-based self-management supports for older community-residing individuals. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Schumacher, Connie Dash, Darly Mowbray, Fabrice Klea, Lindsay Costa, Andrew |
author_facet |
Schumacher, Connie Dash, Darly Mowbray, Fabrice Klea, Lindsay Costa, Andrew |
author_sort |
Schumacher, Connie |
title |
A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
title_short |
A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
title_full |
A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
title_fullStr |
A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
title_full_unstemmed |
A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
title_sort |
qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
http://dx.doi.org/10.1186/s12877-021-02251-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02251-5.pdf https://link.springer.com/article/10.1186/s12877-021-02251-5/fulltext.html |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
BMC Geriatrics volume 21, issue 1 ISSN 1471-2318 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s12877-021-02251-5 |
container_title |
BMC Geriatrics |
container_volume |
21 |
container_issue |
1 |
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