Effect of a care process programme on frail older people’s life satisfaction

Abstract

Aim The aim of this study was to analyse the effects of a full‐scale implementation of a care process programme on life satisfaction among frail older people, as compared with those receiving usual care. Design The study includes participants from a full‐scale care process programme ( N = 77) and participants from a historical control group ( N = 66). The care process programme establishes a comprehensive continuum of care through components including case management, interprofessional teamwork and care‐planning meetings in the older people's own homes. Methods Questionnaires were used and data were collected at baseline, with follow‐ups at three, six and 12 months. Results The implementation of the full‐scale care process programme had a positive effect on life satisfaction among frail older people. From 6‐month–12‐month follow‐ups, a higher proportion of participants in the care process programme had positive life satisfaction outcomes, as compared with the historical control group.

Effectiveness of integrated person‐centered interventions for older people's care: Review of Swedish experiences and experts’ perspective

“…The same intervention was assessed again in a substudy focusing on pharmacological treatment, which reported that patients in the intervention group were more likely to receive guideline‐recommended target doses of drugs [83]. The PREFER intervention was deemed cost‐saving (mainly due to reduced costs for hospital care) [84], acceptable by family members of patients [85], and fostered feelings of personhood and involvement in decision‐making among patients [86]. A care process program for frail older people was assessed by one paper, which reported that, between the six‐ and 12‐month follow‐ups, there was a significant improvement in life satisfaction among participants in the program [87].…”

Integrating health promotion with and for older people - eHealth (IHOPe) – evaluating remote integrated person-centred care

“…In addition to person-centred telephone communication, the partnership with frail older people will be enhanced through a digital platform, a challenging and essential aspect of the intervention that facilitates the inclusion of individuals living in digital alienation. Previous or ongoing studies, including health planning after frailty screening, have mainly evaluated effects on interventions in existing care teams focusing on how professionals work for older people in different settings face-to-face [ 27 , 29 , 79 ].…”

“…Person-centred teamwork involves the older person as an equal partner in the health care team, in which HCPs work with the older person (and often with significant others) [ 9 ]. Previous research on supporting frail older people has had their point of departure in existing healthcare teams (usually situated within social and healthcare organisations) [ 26 – 29 ]. In addition, the patients and their significant others have not been described as team members.…”