Thriving among older people living at home with home care services—A cross‐sectional study

Lämås, Kristina; Bölenius, Karin; Sandman, Per‐Olof; Bergland, Ådel; Lindkvist, Marie; Edvardsson, David

doi:10.1111/jan.14307

Cited by 10 publications

(11 citation statements)

References 37 publications

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“…This dimension included taking part in meaningful, enjoyable activities that matched the older people’s interest. As we reported previously [ 11 ], thriving was rated relatively high and the dimension “being engaged in activities” was rated lowest of all dimensions at baseline. The finding that the other dimensions did not improve seems reasonable as a high score at baseline limits the possibility of improvement.…”

Section: Discussionsupporting

confidence: 69%

“…This is the first time that thriving, evaluated using the TOPAS, has been used as outcome variable in an intervention study. The scale has previously been used in cross-sectional studies, with comparable values [ 11 , 12 , 45 ], which suggests that the scale has a ceiling effect and may need to be further developed and tested. Furthermore, the period between baseline and follow-up was 20 months, which probably also had an impact on the results.…”

Section: Discussionmentioning

confidence: 99%

“…In the analysis the same items in the follow-up survey were omitted and the results are therefore based on 30 items. A statistical test of the effect of omitting the two items suggests that the impact on the estimation of the concept was limited [ 11 ]. Statistical calculations were performed using IBM SPSS Statistics version 25.0 (IBM Corp., Armonk, NY, USA).…”

Section: Methodsmentioning

confidence: 99%

“…However, thriving as a concept in care for older people has been scantily studied. In a cross-sectional study of HCS, thriving has been found to be associated with self-determination and taking part in social activities [ 11 ]. In nursing homes, thriving has been found to be associated with social activities [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

et al. 2021

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Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

et al. 2021

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“…Other aspects of QoL, such as being able to manage one's situation and feeling supported by others, or living independently (Lämås et al, 2020) are therefore important to be included as relevant outcomes of care. These QoL aspects might be improved through care services (author information removed., submitted, Lämås et al, 2020). In short, a broader perspective on QoL seems required in determining quality of care in this context.…”

Section: Introductionmentioning

confidence: 99%

‘Implementing a broad quality of life tool for determining care wishes and needs of older adults living at home

Loon

Widdershoven

Leeuwen³

et al. 2021

Home Health Care Services Quarterly

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The aim was to investigate the views of stakeholders on the practical relevance of a broad quality of life (QoL) outcome tool for care in older adults: the Extended Quality of Life Tool (EQLT). We conducted individual interviews and focus groups with a variety of stakeholders involved in the care for older adults which were analyzed using a framework analysis. Stakeholders considered relevant: focus on the client perspective; perspective on QoL broader than health; the possibility to take diversity into account; and the possibility to determine a minimum level of QoL. Three facilitators for implementation of the tool were mentioned as well as four barriers. The EQLT can support conversations with clients about their needs and wishes, thus enabling decisions about care services based on a broad set of domains of QoL. Implementation of the tool should take into account the facilitators and barriers identified in the current study.

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Exploring changes to resident thriving and associated factors in Swedish nursing homes: A repeated cross‐sectional study

Baxter

Lövheim

Björk

et al. 2022

Int J Geriat Psychiatry

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Objective This study aimed to explore changes to resident thriving in Swedish nursing homes over a 5‐year period and describe changes in associated factors. Methods Cross‐sectional data were collected from a randomised sample of Swedish nursing homes in 2013/2014 (baseline) and 2018/2019 (follow‐up). Descriptive statistics, independent samples t‐tests, and chi squared tests were used to statistically evaluate differences between the samples. Simple and multiple linear regression analyses were used to explore associations between thriving and the study variables. Results Resident characteristics were relatively consistent between the full baseline (N = 4831) and follow‐up (N = 3894) samples. Within a sub‐sample of nursing homes that participated in both data collections mean thriving scores were found to have increased from 152.9 to 155.2 (p ≤ 0.003; d =0.09) and overall neuropsychiatric index scores had decreased from 16.0 to 14.3 (p ≤ 0.004; d =0.09), as had the prevalence of several neuropsychiatric symptoms. Thriving was found to have a positive association with the neuropsychiatric symptom of elation/euphoria, and negative associations with the symptoms of aggression/agitation, depression/dysphoria, apathy, and irritability. Conclusions The results show an increase in overall thriving scores and a decrease in overall neuropsychiatric scores between baseline and follow‐up. This study confirmed associations between thriving and certain neuropsychiatric symptoms and established comparative knowledge regarding changes in resident thriving, characteristics, and symptom prevalence. These findings could inform future care and organisational policies to support thriving in nursing homes, particularly among residents at risk of lower thriving due to cognitive impairment or neuropsychiatric symptoms.

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Thriving among older people living at home with home care services—A cross‐sectional study

Cited by 10 publications

References 37 publications

Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

‘Implementing a broad quality of life tool for determining care wishes and needs of older adults living at home

Exploring changes to resident thriving and associated factors in Swedish nursing homes: A repeated cross‐sectional study

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