An exploration of factors associated with older persons’ perceptions of the benefits of and satisfaction with a preventive home visit service

Tøien, Mette; Bjørk, Ida Torunn; Fagerström, Lisbeth

doi:10.1111/scs.12555

Cited by 9 publications

(11 citation statements)

References 47 publications

(89 reference statements)

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“…Toien et al (2018) assessed the perceived benefits and opinions of preventive health visits (PHVs) to older people in Norway. These annual visits were designed to address multiple dimensions of access; as they were delivered free of charge (affordability) and involved assessing older people's health status and life situation, then providing personalised support (acceptability) including information and referrals to services (awareness).…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility

Johnstone¹,

Dickins

Lowthian

et al. 2020

Ageing and Society

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The global population is ageing and the likelihood of living alone increases with age. Services are necessary to help older people living alone to optimise health and wellbeing. This systematic review aimed to summarise the effectiveness and accessibility of interventions to improve the health and wellbeing of older people living alone. Relevant electronic databases (CINAHL, MEDLINE, PsycINFO and Scopus) were searched for all years up to August 2018. Studies were included if they involved older people (aged ⩾55 years) living alone, and an intervention with measured health and wellbeing outcomes. All study types were included. The Theory of Access was used to assess interventions across dimensions of accessibility, availability, acceptability, affordability, adequacy and awareness. Twenty-eight studies met the eligibility criteria; 17 studies focused on ageing safely in place and 11 on psychological and social wellbeing. Studies comprised quantitative (N = 19), qualitative (N = 4) and mixed-methods (N = 5) approaches. Dimensions from the Theory of Access were poorly addressed in the studies, particularly those of higher-quality methodology. Studies were heterogeneous, preliminary in scope and lacked consistent study design, methodology or measurement. Services that do not address user accessibility in design or evaluation may be limited in their uptake and impact. It is recommended that dimensions of access and co-creation principles be integrated into service design processes and be evaluated alongside clinical effectiveness.

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Section: Resultsmentioning

confidence: 99%

Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility

Johnstone¹,

Dickins

Lowthian

et al. 2020

Ageing and Society

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show abstract

“…According to Tøien et al. (2017), an annual, comprehensive intervention should be realised to support health and independence of older people. Finally, based on the results, a basic consultation with several consecutive home visits can be recommended, which should be continued in the following years as needed, or example once a quarter or every six months.…”

Section: Discussionmentioning

confidence: 99%

“…(2016), the acceptance seems to be rather low so far. It is therefore “… less a question of WHETHER, but of HOW in terms of design, settlement and unfolding” (Schulz‐Nieswandt et al., 2018, p. 8), and the experiences of the persons concerned have to be collected to enhance the effectiveness (Tøien et al., 2017). For this reason, evaluations of PHVs should focus on the individual perspective of the older people.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of preventive home visits by nurses – The user perspective

Blotenberg

Seeling

Büscher

2023

Public Health Nursing

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ObjectiveThe aim of this study was to investigate acceptance of preventive home visits (PHVs) for older adults in rural Germany.DesignQualitative descriptive approach.SampleWe investigated the personal, individual perspective of adults aged 65 to 85, who were not yet eligible for benefits from the long‐term care insurance, were able to understand and speak German, and who lived in the municipality under study.MeasurementsFifteen semi‐structured interviews were conducted between 02/2019 and 08/2020. They were transcribed, coded using MAXQDA, and content analyzed. Ethical approval was obtained.ResultsThe acceptance of PHVs was extremely high and characterized by five main effects: very close relationship with the nurse, well‐being, empowerment, satisfaction, ambivalence. Participants wish to receive PHVs in the future and would recommend it to others. Even those with a healthy or health‐promoting lifestyle are thankful to be able to refer to the counselling sessions if life circumstances should deteriorate. Those who became care‐dependent wish to continue and perceive it as a valuable addition to their care.ConclusionFrom the participants’ point of view, this low‐threshold counselling‐and‐support approach should be maintained in the future. PHVs can support health and independence in older adults and therefore prevent them from becoming care‐dependent.

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“…Participants felt that the community nurse and physical therapist kept an extra eye on them post-discharge, which contributed to medication adherence and a sense of security to perform CR exercises. Previous studies also reported that patients felt safe when preventive home visits were delivered [ 29 , 30 ]. However, participants had some difficulties to mention the specific role of the community care nurse which was primary to recognize health deterioration early.…”

Section: Discussionmentioning

confidence: 99%

Experiences of frail older cardiac patients with a nurse-coordinated transitional care intervention - a qualitative study

Jepma

Latour

Barge

et al. 2021

BMC Health Serv Res

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Background Older cardiac patients are at high risk of readmission and mortality. Transitional care interventions (TCIs) might contribute to the prevention of adverse outcomes. The Cardiac Care Bridge program was a randomized nurse-coordinated TCI combining case management, disease management and home-based rehabilitation for hospitalized frail older cardiac patients. This qualitative study explored the experiences of patients’ participating in this study, as part of a larger process evaluation as this might support interpretation of the neutral study outcomes. In addition, understanding these experiences could contribute to the design and application of future transitional care interventions for frail older cardiac patients. Methods A generic qualitative approach was used. Semi-structured interviews were performed with 16 patients ≥70 years who participated in the intervention group. Participants were selected by gender, diagnosis, living arrangement and hospital of inclusion. Data were analysed using thematic analysis. In addition, quantitative data about intervention delivery were analysed. Results Three themes emerged from the data: 1) appreciation of care continuity; 2) varying experiences with recovery and, 3) the influence of an existing care network. Participants felt supported by the transitional care intervention as they experienced post-discharge support and continuity of care. The perceived contribution of the program in participants’ recovery varied. Some participants reported physical improvements while others felt impeded by comorbidities or frailty. The home visits by the community nurse were appreciated, although some participants did not recognize the added value. Participants with an existing healthcare provider network preferred to consult these providers instead of the providers who were involved in the transitional care intervention. Conclusion Our results contribute to an explanation of the neutral study of a nurse-coordinated transitional care intervention. For future purpose, it is important to identify which patients might benefit most from TCIs. Furthermore, the intensity and content of TCIs could be more personalized by tailoring interventions to older cardiac patients’ needs, considering their frailty, self-management skills and existing formal and informal caregiver networks.

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An exploration of factors associated with older persons’ perceptions of the benefits of and satisfaction with a preventive home visit service

Abstract: Annual, comprehensive PHVs to a general older population may support older persons' health and independence. Low response rate restricts the possibility to generalise the results.

Cited by 9 publications

References 47 publications

Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility

Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility

Acceptance of preventive home visits by nurses – The user perspective

Experiences of frail older cardiac patients with a nurse-coordinated transitional care intervention - a qualitative study

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