Assessing the impact of a restorative home care service in New Zealand: a cluster randomised controlled trial.
Due to the ageing population, there is an increased demand for home care services. Restorative care is one approach to improving home care services, although there is little evidence to support its use in the community setting. The objective of this trial was to evaluate the impact of a restorative...
| Publicado en: | Health & Social Care in the Community Vol. 20; no. 4; pp. 365 - 375 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104464230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104464230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Jul2012 vid: 20 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104464230 76651453 10.1111/j.1365-2524.2011.01039.x NLM22106952 104464230 ppf: 365 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Assessing the impact of a restorative home care service in New Zealand: a cluster randomised controlled trial. aug: au: King, Anna I. I. Parsons, Matthew Robinson, Elizabeth Jörgensen, Diane affil: School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand sug: subj: Home Health Care Methods Rehabilitation Community Living In Old Age Treatment Outcomes Human Randomized Controlled Trials Funding Source New Zealand Aged Cluster Sample Prospective Studies Interviews Repeated Measures Control Group Comparative Studies Quality of Life Short Form-36 Health Survey (SF-36) Questionnaires Health Status Psychological Well-Being Biophysical Instruments Scales Health Resource Utilization Quality Improvement Functional Status Activities of Daily Living Linear Regression Analysis of Covariance Correlational Studies Confidence Intervals Fisher's Exact Test Aged: 65+ years ab: Due to the ageing population, there is an increased demand for home care services. Restorative care is one approach to improving home care services, although there is little evidence to support its use in the community setting. The objective of this trial was to evaluate the impact of a restorative home care service for community-dwelling older people. The study was a cluster randomised controlled trial undertaken at a home care agency in New Zealand. The study period was from December 2005 to May 2007. Older people were interviewed face-to-face at baseline, four and 7 months. A total of 186 older people who received assistance from a home care agency participated in the study, 93 received restorative home care and 93 older people received usual home care. The primary outcome measure was change in health-related quality of life (measured by the Short Form 36 [SF36] Health Survey). Secondary outcomes were the physical, mental, and social well-being of older people (Nottingham Extended Activities of Daily Living, Timed Up and Go, Mastery scale, Duke Social Support Index). Findings revealed that compared with usual care, the intervention demonstrated a statistically significant benefit in health-related quality of life (SF36) at 7 months for older people (mean difference 3.8, 95% CI −0.0 to 7.7, P = 0.05). There were no changes in other scale measurements for older people in either group over time. There was a statistically significant difference in the number of older people in the intervention group identified for reduced hours or discharge (29%) compared with the control group (0%) ( P < 0.001). In conclusion, a restorative home care service may be of benefit to older people, and improves home care service efficacy. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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