Important aspects of home care service: An interview study of persons with dementia

Olsen, Marie; Udo, Camilla; Boström, Anne‐Marie; Hammar, Lena Marmstål

doi:10.1177/1471301220964393

Cited by 7 publications

(6 citation statements)

References 46 publications

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“…A recent qualitative study showed a similar result, where persons with dementia expressed that having a relationship with those who came to their homes (ie, socialising with the staff and being seen as an integral part of society) were vital components of receiving home care service. 30 …”

Section: Discussionmentioning

confidence: 99%

Older Persons’ Views on Important Values in Swedish Home Care Service: A Semi-Structured Interview Study

Olsen¹,

Udo²,

Dahlberg³

et al. 2022

JMDH

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Introduction Knowledge of older person’s experiences of important values in home care service can facilitate the development and delivery of high-quality services supporting their well-being, dignity and participation in the care provided. To date, few studies have explored older person’s values and experiences of home care services. Purpose This study aimed to explore values that older person holds regarding home care services and their experiences of how these values manifest in home care service delivery. Participants and Methods The study has a qualitative exploratory design. Semi-structured interviews were conducted with 16 older persons aged 74–90 who received home care service. Data were analysed using qualitative content analysis. Results Two themes (each with sub-themes) of values relating to the experience of home care service from the perspective of the 16 older persons were identified: to be supported as an autonomous person and to be supported as a relational being. The participants experience that these two values were only partly manifested in the home care services they received. They also noted that their well-being was negatively affected when staff failed to implement these values. The fundamental values identified in study related to the older person feeling safe, being autonomous, maintaining control and independence, and having relationships. The values constitute help to guide practice from the perspective of older persons who receive home care services. Conclusion The identified values are primarily interpersonal-level values. However, such values are also of importance for home care service organisations when promoting delivery of person-centred care. Taking such a position implies adopting a relation-oriented rather than a task-oriented approach in providing home care services for older persons.

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Section: Discussionmentioning

confidence: 99%

Older Persons’ Views on Important Values in Swedish Home Care Service: A Semi-Structured Interview Study

Olsen¹,

Udo²,

Dahlberg³

et al. 2022

JMDH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Different approaches were found to intertwine in daily life and were dependent on individual, relational, and external factors. Other studies found that persons with dementia, in their early stages, can be capable of articulating what is important to them regarding their needs and preferences about both the content and the delivery of elder care services [28,29]. Persons with dementia were also found to be less satisfied with the decision-making process about elder care services compared to their carers [30], and they were unable to influence care decisions left to them due to a feeling of loss of control over their everyday life [31].…”

Section: Research On Care Decisions Involving Dementiamentioning

confidence: 99%

“I See What You Mean”—A Case Study of the Interactional Foundation of Building a Working Alliance in Care Decisions Involving an Older Couple Living with Cognitive Decline

Nilsson

Olaison

2023

Healthcare

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Background: Social workers have a key role in needs assessment meetings with families dealing with dementia, providing information, support, and advocacy, while also assessing needs and making decisions about care services for several parties. These contacts are especially important during the introduction of home care services, where often the person has previously relied on informal support from relatives. The needs assessment process entails the involvement of all present parties, with the aim to reach a mutual agreement, a working alliance, regarding which services to apply for. Purpose: The aim of this case study is to explore how the participants, by means of different conversational practices, jointly create a working alliance between the different parties in one family. The study provides insights into the process of co-constructing a working alliance in the needs assessment process for elder care services. Methods: This article addresses the process by which social workers build a working alliance in a multi-party conversation with a family living with cognitive decline; a meeting that lasted 50 min. In this case study, we benefit from an inductive and detailed conversation analytic methodology. The theoretical framework of working alliances in institutional interaction has informed the analysis. Results: The findings illustrate how the social worker in this case study involves all parties in the decision regarding care services and explores the use of the conversational practices of mitigations, positive framing, adding information, and positioning, as a “we” achieve mutual agreement toward the end of several sequences. Conclusions: Drawing on the results of this case study, we argue that multi-party interaction involving relatives enables diversity in role-taking, where the professional, for instance, can pursue a more empathic role. Also, our results indicate that minimal agreement to a proposal is sufficient in a multi-party interaction involving clients with cognitive decline.

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“…Remote treatment via at-home or community-based CCTs may increase accessibility and autonomy in the cognitive training of adults with MCI [20] . The importance of home-based support services has been increasingly highlighted, with the number studies on at-home and community center CCTs increasing [21] . However, further verification of the feedback mechanisms in treatments and the effects on cognitive functioning are required [22] .…”

Section: Introductionmentioning

confidence: 99%

Effects of Home-Based Computerized Cognitive Training in Community-Dwelling Adults With Mild Cognitive Impairment

Baik,

Min,

et al. 2024

IEEE J. Transl. Eng. Health Med.

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Objective: There is a growing importance for the home-based (HB) support services, and computerized cognitive training (CCT) has been reported as an effective intervention for cognitive impairment. However, there is still a need for further verification of the effect of HB-CCT. This study aimed to determine the effectiveness of HB-CCT on the cognitive function of community-dwelling adults with mild cognitive impairment (MCI) as well as safety in its use. Methods: Fifty community-dwelling adults with MCI were included, of which 25 each were randomized to either HB-CCT or control groups. Evaluations of comprehensive cognition, memory, attention, language, executive function, and depression were performed before and after the intervention, including three times a week for eight weeks in the intervention group and eight weeks apart with no intervention in the control group. Results: In baseline and post-evaluation comparisons, the HB-CCT group showed significant improvements, while the control group did not show significant changes. Statistically significant variations were noted between the HB-CCT and control groups in all post-intervention evaluations relative to baseline. Additionally, no side effects were observed. Conclusion: Beneficial effects on cognition and depression were noted in the intervention group compared with the control group, suggesting that HB-CCT may be a positive tool for cognitive improvement in adults with MCI.

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Important aspects of home care service: An interview study of persons with dementia

Cited by 7 publications

References 46 publications

Older Persons’ Views on Important Values in Swedish Home Care Service: A Semi-Structured Interview Study

Older Persons’ Views on Important Values in Swedish Home Care Service: A Semi-Structured Interview Study

“I See What You Mean”—A Case Study of the Interactional Foundation of Building a Working Alliance in Care Decisions Involving an Older Couple Living with Cognitive Decline

Effects of Home-Based Computerized Cognitive Training in Community-Dwelling Adults With Mild Cognitive Impairment

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