The INSPIRE Population Survey: development, dissemination and respondent characteristics

Siqeca, Flaka; Obas, Katrina; Yip, Olivia; Stenz, Samuel; Vounatsou, Penelope; Briel, Matthias; Schwenkglenks, Matthias; Quinto, Carlos Beat; Blozik, Eva; Zeller, Andreas; Zullig, Leah L.; Geest, Sabina De

doi:10.1186/s12874-021-01329-3

Cited by 8 publications

(22 citation statements)

References 26 publications

(34 reference statements)

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“…1) [41]. First, we conducted secondary analysis on a subset of data from the cross-sectional INSPIRE population survey [39] (which was part of the parent study). To help explain and expand on these results [41], we used data from interviews with older adults in the INSPIRE parent study [40] (which used Interpretive Description [42]).…”

Section: Methodsmentioning

confidence: 99%

“…Consistent with the INSPIRE population survey in the parent study [39], selected socio-demographic variables were descriptively analysed and reported as frequencies, percentages, medians, and interquartile range (IQR) to describe the sample of survey participants. We also included a description of household members to support interpretation of care use.…”

Section: Methodsmentioning

confidence: 99%

“…We selected variables from the INSPIRE population survey [39] (Additional file 1). Except for sample characteristics, variables are presented according to adapted domains (i.e., Individual with multi-morbidity and their environment, Workforce, and Leadership and governance) and concepts (e.g., needs, social network, use of community services, use of transportation services, informal caregiver support, use of health care professionals, use of care organizations, named coordinator, multidisciplinary team, individualized care planning) of the SELFIE framework, to stay consistent with the organization of results [28].…”

Section: Variables and Measurementsmentioning

confidence: 99%

“…The INSPIRE project aims to develop, implement, and evaluate an integrated care model for these IACs [38]. During the development phase, a contextual analysis was conducted which included a population survey [39] followed by interviews with older adults [40] to create an IAC care model which was suited to local health and social needs and preferences. More information on the parent study can be found elsewhere [38][39][40].…”

mentioning

confidence: 99%

“…During the development phase, a contextual analysis was conducted which included a population survey [39] followed by interviews with older adults [40] to create an IAC care model which was suited to local health and social needs and preferences. More information on the parent study can be found elsewhere [38][39][40]. Using a quantitative approach, we investigated the type and frequency of formal health and social care as well as informal care and social support that frail older adults are currently using and their future preferences, and to what extent the older adults perceive their support in place meets their current needs.…”

mentioning

confidence: 99%

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Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study

Yip

Dhaini²,

Eßer³

et al. 2022

BMC Geriatr

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Background Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as informal care and social support used by home-dwelling frail older adults; whether they perceive their support as sufficient; and their experience with and preferences for care and support. Methods Using an explanatory sequential mixed methods design, we first conducted a secondary analysis of a subset of cross-sectional data from the ImplemeNtation of a community-baSed care Program for home dwelling senIoR citizEns (INSPIRE) population survey using descriptive analysis. Subsequently, we analyzed existing data from interviews in the parent study to help explain the survey results using applied thematic analysis. Results were organized according to adapted domains and concepts of the SELFIE framework and integrated via a joint display table. Results Of the parent population survey respondents, 2314 older adults indicating frailty were included in the quantitative arm of this study. Interview data was included from 7 older adults who indicated frailty. Support from health and social, formal and informal caregivers is diverse and anticipated to increase (e.g., for ‘care and assistance at home’ and ‘meal services’). Informal caregivers fulfilled various roles and while some older adults strongly relied on them for support, others feared burdening them. Most participants (93.5%) perceived their overall support to meet their needs; however, findings suggest areas (e.g., assessment of overall needs) which merit attention to optimize future care. Conclusions Given the anticipated demand for future care and support, we recommend efforts to prevent fragmentation between health and social as well as formal and informal care.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Variables and Measurementsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study

Yip

Dhaini²,

Eßer³

et al. 2022

BMC Geriatr

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A multi-level perspective on perceived unmet needs for home support in home-dwelling older adults in the Swiss context: a secondary data analysis of a population study

et al. 2022

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Background Unmet needs for home support occur when any support services perceived by older people as needed are not being received. Not meeting these needs can negatively impact older adults’ quality of life, and increase health care utilization, hospitalizations, institutionalizations, or death. To date there is no consensus in how to define and assess these unmet needs. In parallel, previous research of factors associated with unmet needs for home support has mostly focused on factors at the micro level. Thus, this paper aims to identify the prevalence of unmet needs for home support among a home-dwelling older population and the factors at the macro, meso and micro levels contributing to them. Methods Using an ecological approach we identified multi-level factors associated with the presence of unmet needs for home support among the home-dwelling older population (aged 75+) in Switzerland. This is a secondary cross-sectional analysis of the INSPIRE Population Survey of home-dwelling older adults (n = 8,508) living in Basel-Landschaft in Switzerland, conducted as part of the TRANS-SENIOR Project. Prevalence of perceived unmet needs for home support was self-reported, using a dichotomized question. Multiple logistic regression analyses were performed to investigate the associations of factors at each level with unmet needs for home support. Results 4.3% of participants reported unmet needs for home support, with a median age of 81 years. 45.1% had private health insurance and 6.3% needed additional government support. Being a recipient of other type of government support (OR = 1.65; 95% CI = 1.17–2.29) (macro-); the use of transportation services (OR = 1.74; 95% CI = 1.15–2.57) (meso-); and feeling depressed (OR = 1.40; 95% CI = 1.06–1.85) or abandoned (OR = 2.60; 95% CI = 1.96–3.43) (micro-) increased odds of having perceived unmet needs for home support. Having a private health insurance (macro-) (OR = 0.63; 95% CI = 0.49–0.80), speaking Swiss-German (OR = 0.44; 95% CI = 0.24–0.88) or German (OR = 0.47; 95% CI = 0.24–0.98), having a high level of education [primary (OR = 0.48; 95% CI = 0.24–1.02); secondary (OR = 0.49; 95% CI = 0.25–1.03); tertiary (OR = 0.38; 95% CI = 0.19–0.82); other (OR = 0.31 (0.12–0.75)], having a high score of self-perceived health status [score ≥ 76 (OR = 0.42; 95% CI = 0.20–0.96)] and having informal care (OR = 0.57; 95% CI = 0.45–0.73), among others (micro-) were associated with decreased odds of having perceived unmet needs for home support. Conclusion Our study findings highlight the role of socio-economical inequality in the perception of unmet needs for home support in home-dwelling older adults. In order to address unmet needs in home-dwelling older adults, healthcare leaders and policy makers should focus on strategies to reduce socio-economic inequalities at the different levels in this population.

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Factors associated with health-related quality of life among home-dwelling older adults aged 75 or older in Switzerland: a cross-sectional study

Siqeca

Yip

Mendieta

et al. 2022

Health Qual Life Outcomes

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Background HRQoL is an indicator of individuals’ perception of their overall health, including social and environmental aspects. As a multidimensional concept, HRQoL can be influenced by a multitude of factors. Studies of HRQoL and factors associated with it among home-dwelling older adults have often been limited to inpatient settings or to a sub-population with a chronic disease. Studying HRQoL and its correlating factors among this population, by providing an ecological lens on factors beyond the individual level, can provide a better understanding of the construct and the role of the environment on how they perceive their HRQoL. Thus, we aimed to assess the HRQoL and investigate the correlates of HRQOL among home-dwelling older adults, guided by the levels of the ecological model. Methods This is a cross-sectional population survey conducted in 2019 in Canton Basel-Landschaft, in northwestern Switzerland, and includes a sample of 8786 home-dwelling older adults aged 75 and above. We assessed HRQoL by using the EQ-index and the EQ-VAS. The influence of independent variables at the macro, meso and micro level on HRQoL was tested using Tobit multiple linear regression modelling. Results We found that having a better socio-economic status as denoted by higher income, having supplementary insurance and a higher level of education were all associated with a better HRQoL among home-dwelling older adults. Furthermore, being engaged in social activities was also related to an improved HRQoL. On the other hand, older age, female gender, presence of multimorbidity and polypharmacy as well as social isolation and loneliness were found to all have a negative impact on HRQoL. Conclusions Understanding factors related to HRQoL by using an ecological lens can help identify factors beyond the individual level that impact the HRQoL of home-dwelling older adults. Our study emphasises the importance of social determinants of health and potential disparities that exists, encouraging policymakers to focus on policies to reduce socio-economic disparities using a life-course approach, which consequently could also impact HRQoL in later stages of life.

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The INSPIRE Population Survey: development, dissemination and respondent characteristics

Cited by 8 publications

References 26 publications

Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study

Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study

A multi-level perspective on perceived unmet needs for home support in home-dwelling older adults in the Swiss context: a secondary data analysis of a population study

Factors associated with health-related quality of life among home-dwelling older adults aged 75 or older in Switzerland: a cross-sectional study

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