Community Preventive In-Home Health Assessment and Home Care Programs for People Aged Over 75: How Effective Are They?

2.50
Hdl Handle:
http://hdl.handle.net/10755/151485
Type:
Presentation
Title:
Community Preventive In-Home Health Assessment and Home Care Programs for People Aged Over 75: How Effective Are They?
Abstract:
Community Preventive In-Home Health Assessment and Home Care Programs for People Aged Over 75: How Effective Are They?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Henderson, Marj, BHSc
P.I. Institution Name:Blue Care
Title:Ms
Co-Authors:Mary Courtney, PhD; Helen Edwards, PhD
Within a preventive health focus, many trials in USA, Canada, Europe and Australia have attempted to evaluate the effectiveness of in-home health assessment and home care programs for elderly people. Although there has been inconclusive evidence of their effectiveness, many such programs have been introduced into public policy internationally. Ongoing research is therefore essential in order to identify the positive benefits of these programs for older people, and establish the programs' effectiveness with regard to health resource utilization. One program recently trialled in Australia comprised ò targeting before health and/or social crisis, while community care needs were low ò linking clients with a community nurse ò comprehensive health assessments and identification of needs ò introduction of basic health care and community services and referrals if required ò case management by three-monthly telephone contact for one year. The sample consisted of 124 people aged over 75 years who lived alone in Independent Living Units, who were independent in activities of daily living. An experimental group (n=61) was compared with a control group (n=63) using a randomised control trial methodology. Numerous health outcomes were measured pre and post intervention. Previously unidentified needs were found in 66% of the experimental group, and most needs were resolved. This group also showed a statistically significantly higher level of satisfaction with care, however the effect size was very small. Results showed no benefits were gained from the program for experimental group participants for the other outcomes of health perception, functional ability, psychosocial status, health resource utilisation and mortality. This result was consistent with those of many other trials. Is it possible that methodological issues are masking many of the positive effects of the programs? Are the models being applied too broadly across a diverse elderly population? Are researchers expecting long-term outcomes in short time frames?
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCommunity Preventive In-Home Health Assessment and Home Care Programs for People Aged Over 75: How Effective Are They?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/151485-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Community Preventive In-Home Health Assessment and Home Care Programs for People Aged Over 75: How Effective Are They?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Henderson, Marj, BHSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Blue Care</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Ms</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">m.henderson@bluecare.org.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Courtney, PhD; Helen Edwards, PhD</td></tr><tr><td colspan="2" class="item-abstract">Within a preventive health focus, many trials in USA, Canada, Europe and Australia have attempted to evaluate the effectiveness of in-home health assessment and home care programs for elderly people. Although there has been inconclusive evidence of their effectiveness, many such programs have been introduced into public policy internationally. Ongoing research is therefore essential in order to identify the positive benefits of these programs for older people, and establish the programs' effectiveness with regard to health resource utilization. One program recently trialled in Australia comprised &ograve; targeting before health and/or social crisis, while community care needs were low &ograve; linking clients with a community nurse &ograve; comprehensive health assessments and identification of needs &ograve; introduction of basic health care and community services and referrals if required &ograve; case management by three-monthly telephone contact for one year. The sample consisted of 124 people aged over 75 years who lived alone in Independent Living Units, who were independent in activities of daily living. An experimental group (n=61) was compared with a control group (n=63) using a randomised control trial methodology. Numerous health outcomes were measured pre and post intervention. Previously unidentified needs were found in 66% of the experimental group, and most needs were resolved. This group also showed a statistically significantly higher level of satisfaction with care, however the effect size was very small. Results showed no benefits were gained from the program for experimental group participants for the other outcomes of health perception, functional ability, psychosocial status, health resource utilisation and mortality. This result was consistent with those of many other trials. Is it possible that methodological issues are masking many of the positive effects of the programs? Are the models being applied too broadly across a diverse elderly population? Are researchers expecting long-term outcomes in short time frames?</td></tr></table>en_GB
dc.date.available2011-10-26T11:03:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:03:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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