Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial
Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-...
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2021
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Online Access: | http://dx.doi.org/10.1186/s12877-021-02661-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02661-5.pdf https://link.springer.com/article/10.1186/s12877-021-02661-5/fulltext.html |
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crspringernat:10.1186/s12877-021-02661-5 2023-05-15T17:45:14+02:00 Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial Lämås, Kristina Bölenius, Karin Sandman, Per-Olof Lindkvist, Marie Edvardsson, David Umea University 2021 http://dx.doi.org/10.1186/s12877-021-02661-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02661-5.pdf https://link.springer.com/article/10.1186/s12877-021-02661-5/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://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/s12877-021-02661-5 2022-01-04T15:00:09Z Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016. Article in Journal/Newspaper Northern Sweden Springer Nature (via Crossref) BMC Geriatrics 21 1 |
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Springer Nature (via Crossref) |
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English |
topic |
Geriatrics and Gerontology |
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Geriatrics and Gerontology Lämås, Kristina Bölenius, Karin Sandman, Per-Olof Lindkvist, Marie Edvardsson, David Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
topic_facet |
Geriatrics and Gerontology |
description |
Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016. |
author2 |
Umea University |
format |
Article in Journal/Newspaper |
author |
Lämås, Kristina Bölenius, Karin Sandman, Per-Olof Lindkvist, Marie Edvardsson, David |
author_facet |
Lämås, Kristina Bölenius, Karin Sandman, Per-Olof Lindkvist, Marie Edvardsson, David |
author_sort |
Lämås, Kristina |
title |
Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
title_short |
Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
title_full |
Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
title_fullStr |
Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
title_full_unstemmed |
Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
title_sort |
effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
http://dx.doi.org/10.1186/s12877-021-02661-5 https://link.springer.com/content/pdf/10.1186/s12877-021-02661-5.pdf https://link.springer.com/article/10.1186/s12877-021-02661-5/fulltext.html |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Geriatrics volume 21, issue 1 ISSN 1471-2318 |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s12877-021-02661-5 |
container_title |
BMC Geriatrics |
container_volume |
21 |
container_issue |
1 |
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