Promoting Seniors’ Health With Home Care Aides: A Pilot

Muramatsu, Naoko; Yin, Lijuan; Berbaum, Michael L.; Márquez, David X.; Jurivich, Donald A.; Zanoni, Joseph; Madrid, Katya Y. Cruz; Walton, Surrey M.

doi:10.1093/geront/gnx101

Cited by 16 publications

(29 citation statements)

References 40 publications

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“…Our project also sought to enhance HCAs′ capacities to promote health and safety for themselves, their clients and their communities. In fact, this program delivered by HCAs led to improvement in their clients’ function measured subjectively and objectively (i.e., fitness tests), as reported elsewhere [26]. This supplementary finding demonstrates our study’s additional impact for the beneficial role of HCAs.…”

Section: Discussionsupporting

confidence: 82%

Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment

Muramatsu

Yin

Lin

2017

IJERPH

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Home care aides (HCAs), predominantly women, constitute one of the fastest growing occupations in the United States. HCAs work in clients’ homes that lack typical workplace resources and benefits. This mixed-methods study examined how HCAs’ work environment was transformed by a pilot workplace health promotion program that targeted clients as well as workers. The intervention started with training HCAs to deliver a gentle physical activity program to their older clients in a Medicaid-funded home care program. Older HCAs aged 50+ reported increased time doing the types of physical activity that they delivered to their clients (stretching or strengthening exercise) (p = 0.027). Almost all (98%) HCAs were satisfied with the program. These quantitative results were corroborated by qualitative data from open-ended survey questions and focus groups. HCAs described how they exercised with clients and how the psychosocial work environment changed with the program. Building physical activity into HCAs’ job is feasible and can effectively promote HCAs’ health, especially among older HCAs.

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Section: Discussionsupporting

confidence: 82%

Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment

Muramatsu

Yin

Lin

2017

IJERPH

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“…Nine studies (32%) identified use of UCPs in specialty roles, including palliative care, rehabilitation and caring for patients on home ventilation (Giosa, Holyoke, Bender, Tudge, & Gifford, 2015;Guay, Dubois, & Desrosiers, 2014;Herber & Johnston, 2013;Ingleton, Chatwin, Seymour, & Payne, 2011;Johnson, Myers, Scholey, Cyarto, & Ecclestone, 2003;Muramatsu et al, 2017;Pierratos et al, 2017;Royackers et al, 2016;Swedberg et al, 2015). A literature review examining palliative and end-of-life care provided by UCPs in the community identified five key domains of care provided by UCPs: personal care, emotional support, domestic support, respite care and collaborating with professional and family carers (Herber & Johnston, 2013).…”

Section: Specialty Rolesmentioning

confidence: 99%

“…Both studies provided evidence to support the development of UCP skills to provide rehabilitation services to patients in the community. Other studies examined more independent roles for UCPs in improving the functional status of patients (Johnson et al, 2003;Muramatsu et al, 2017). These roles included the delivery of interventions including a home exercise programme (Johnson et al, 2003) and health promotion intervention, which focused on increasing physical activity in seniors (Muramatsu et al, 2017).…”

Section: Specialty Rolesmentioning

confidence: 99%

“…Other studies examined more independent roles for UCPs in improving the functional status of patients (Johnson et al, 2003;Muramatsu et al, 2017). These roles included the delivery of interventions including a home exercise programme (Johnson et al, 2003) and health promotion intervention, which focused on increasing physical activity in seniors (Muramatsu et al, 2017). One significant difference between the two exercise-based interventions was the health promotion intervention included the expectation that UCPs assessed home care clients for readiness to complete physical activities (Johnson et al, 2003;Muramatsu et al, 2017).…”

Section: Specialty Rolesmentioning

confidence: 99%

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The role of unregulated care providers in home care: A scoping review

et al. 2018

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“…A recently published American study explored the ability of home care aides (may be considered equivalent to support workers in Australia) to increase the physical activity levels of frail older people accessing community care services through the use of chair-based activities and motivational techniques and found them to be effective. 15 …”

Section: Introductionmentioning

confidence: 99%

Can community care workers deliver a falls prevention exercise program? A feasibility study

Burton¹,

Lewin²,

O'Connell³

et al. 2018

CIA

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BackgroundAlmost half of older people receiving community care fall each year and this rate has not improved in the last decade. Falls prevention programs targeted at this group are uncommon, and expensively delivered by university trained allied health professionals.PurposeTo investigate the feasibility of community care workers delivering a falls prevention exercise program to older clients, at low or medium risk of falling, as part of an existing service provision.Patients and methodsCommunity care workers from 10 community care organizations participated in the training for, and delivery to their clients of, an 8-week evidence-based falls prevention exercise program. Community care workers included assessment staff (responsible for identifying the need for community care services through completing an assessment) and support workers (responsible for providing support in the home). Clients were surveyed anonymously at the completion of the intervention and workers participated in a semi-structured interview.ResultsTwenty-five community care workers participated in the study. The falls prevention program was delivered to 29 clients, with an average age of 82.7 (SD: 8.72) years and consisting of 65.5% female. The intervention was delivered safely with no adverse events recorded, and the eligibility and assessment tools were completed by the majority of community care workers (93.1%). Assessment staff found it difficult to find time to deliver the intervention. Support workers were able to complete the intervention within their current service delivery period, with the initial assessment taking a small amount of additional time. Support workers reported enjoying the additional responsibility afforded by delivering the falls prevention program and seeing changes in their clients. The majority of clients (82%) reported enjoying the exercises, with 59% reporting that they felt it made a positive change in their health. Clients completed the exercises on average 4.8 (SD: 2.2) days per week.ConclusionCommunity care workers who have completed appropriate training are able to deliver a falls prevention exercise program to their clients as part of their current services. Further research is required to determine whether the program reduces the rate of falls for community care clients and whether integration of a falls prevention program into an existing service is cost-effective.

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Promoting Seniors’ Health With Home Care Aides: A Pilot

Abstract: Building PA into the everyday care of older adults and the routine work of HCAs is feasible. The intervention has the potential for further implementation and dissemination.

Cited by 16 publications

References 40 publications

Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment

Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment

The role of unregulated care providers in home care: A scoping review

Can community care workers deliver a falls prevention exercise program? A feasibility study

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