Effects of a person-centred and health-promoting intervention in home care services – a non-randomized controlled trial
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...
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Umeå universitet, Institutionen för omvårdnad
2021
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190870 https://doi.org/10.1186/s12877-021-02661-5 |
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ftumeauniv:oai:DiVA.org:umu-190870 2024-09-09T19:59:47+00:00 Effects of a person-centred and health-promoting intervention in home care services – a non-randomized controlled trial LämÃ¥s, Kristina Bölenius, Karin Sandman, Per-Olof Lindkvist, Marie Edvardsson, David 2021 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190870 https://doi.org/10.1186/s12877-021-02661-5 eng eng UmeÃ¥ universitet, Institutionen för omvÃ¥rdnad UmeÃ¥ universitet, Institutionen för epidemiologi och global hälsa UmeÃ¥ universitet, Statistik UmeÃ¥ universitet, Avdelningen för medicin School of Nursing and Midwifery, La Trobe University, Melbourne, Australia BMC Geriatrics, 2021, 21:1, orcid:0000-0002-5877-3458 orcid:0000-0002-1074-0729 orcid:0000-0001-8787-2327 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190870 doi:10.1186/s12877-021-02661-5 PMID 34922494 ISI:000731390300013 Scopus 2-s2.0-85121427403 info:eu-repo/semantics/openAccess Home care service Intervention Older adults Person-centred care Nursing OmvÃ¥rdnad Article in journal info:eu-repo/semantics/article text 2021 ftumeauniv https://doi.org/10.1186/s12877-021-02661-5 2024-07-09T23:37:52Z 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 ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMC Geriatrics 21 1 |
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Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Home care service Intervention Older adults Person-centred care Nursing Omvårdnad |
spellingShingle |
Home care service Intervention Older adults Person-centred care Nursing Omvårdnad 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 |
Home care service Intervention Older adults Person-centred care Nursing Omvårdnad |
description |
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 ... |
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 |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2021 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190870 https://doi.org/10.1186/s12877-021-02661-5 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Geriatrics, 2021, 21:1, orcid:0000-0002-5877-3458 orcid:0000-0002-1074-0729 orcid:0000-0001-8787-2327 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190870 doi:10.1186/s12877-021-02661-5 PMID 34922494 ISI:000731390300013 Scopus 2-s2.0-85121427403 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12877-021-02661-5 |
container_title |
BMC Geriatrics |
container_volume |
21 |
container_issue |
1 |
_version_ |
1809930867179520000 |