Correction to: Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF)

Abdi, Sarah; Spann, Alice; Borilovic, Jacinta; Witte, Luc de; Hawley, Mark

doi:10.1186/s12877-019-1279-8

Cited by 20 publications

(30 citation statements)

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“…Addressing the unmet care and support needs of an ageing population, and designing services and solutions centred around what older people need and want, remains an urgent public health priority [ 37 ]. Previous large scale studies indicating that the level, maintenance and development of high quality social support networks contribute to positive QoL [ 38 – 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, this is the first study to demonstrate this relationship. Previous qualitative studies of older adults or family carers [ 37 , 52 , 56 ] have identified the impact of coordination of services, access to information and preventative strategies on clinical (e.g., physical function, medication management) and QoL outcomes. In Australia, due to maximum funding budgets for government-subsidised home care [ 57 ], individuals with higher needs may not be as well supported because of the limited number of available hours to address their needs.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

et al. 2021

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Background Measuring person-centred outcomes and using this information to improve service delivery is a challenge for many care providers. We aimed to identify predictors of QoL among older adults receiving community-based aged care services and examine variation across different community care service outlets. Methods A retrospective sample of 1141 Australians aged ≥60 years receiving community-based care services from a large service provider within 19 service outlets. Clients’ QoL was captured using the ICEpop CAPability Index. QoL scores and predictors of QoL (i.e. sociodemographic, social participation and service use) were extracted from clients’ electronic records and examined using multivariable regression. Funnel plots were used to examine variation in risk-adjusted QoL scores across service outlets. Results Mean age was 81.5 years (SD = 8) and 75.5% were women. Clients had a mean QoL score of 0.81 (range 0–1, SD = 0.15). After accounting for other factors, being older (p < 0.01), having lower-level care needs (p < 0.01), receiving services which met needs for assistance with activities of daily living (p < 0.01), and having higher levels of social participation (p < 0.001) were associated with higher QoL scores. Of the 19 service outlets, 21% (n = 4) had lower mean risk-adjusted QoL scores than expected (< 95% control limits) and 16% (n = 3) had higher mean scores than expected. Conclusion Using QoL as an indicator to compare care quality may be feasible, with appropriate risk adjustment. Implementing QoL tools allows providers to measure and monitor their performance and service outcomes, as well as identify clients with poor quality of life who may need extra support. Trial registration Australian and New Zealand clinical trial registry number: ACTRN12617001212347. Registered 18/08/2017.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

et al. 2021

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“…Each service outlet's expected score was obtained by taking the mean score of their clients' predicted values from the model, given their covariate values. The observed mean score was divided by the expected mean score and then multiplied by the study population mean score to obtain the risk-adjusted mean QoL score for each service outlet [37].…”

Section: Statistical Analysesmentioning

confidence: 99%

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

Siette

Jorgensen

Georgiou

et al. 2021

Preprint

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Background Measuring person-centred outcomes and using this information to improve service delivery is a challenge for many care providers. We aimed to identify predictors of QoL among older adults receiving community-based aged care services and examine variation across different community care service outlets.Methods A retrospective sample of 1141 Australians aged ≥ 60 years receiving community-based care services from a large service provider within 19 service outlets. Clients’ QoL was captured using the ICEpop CAPability Index. QoL scores and predictors of QoL (i.e.sociodemographic, social participation and service use) were extracted from clients’ electronic records and examined using multivariable regression.Funnel plots were used to examine variation in risk-adjusted QoL scores across service outlets.Results Mean age was 81.5 years (SD = 8) and 75.5% were women. Clients had a mean QoL score of 0.81 (range 0–1, SD = 0.15). After accounting for other factors, being older (p < 0.01), having lower-level care needs (p < 0.01), receiving services which met needs for assistance with activities of daily living (p < 0.01), and having higher levels of social participation (p < 0.001) were associated with higher QoL scores. Of the 19 service outlets, 21% (n = 4) had lower mean risk-adjusted QoL scores than expected (< 95% control limits) and 16% (n = 3) had higher mean scores than expected.Conclusion Using QoL as an indicator to compare care quality may be feasible, with appropriate risk adjustment. Implementing QoL tools allows providers to measure and monitor their performance and service outcomes, as well as identify clients with poor quality of life who may need extra support.Trial registration: Australian and New Zealand clinical trial registry number: ACTRN12617001212347. Registered 18/08/2017

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“…The abandonment of assistive technology can be due to both positive (e.g., improved health condition), and negative factors (e.g., poor usability design). Key issues relating to non-use of assistive technology include a lack of user involvement in the design and decision making process [30,[33][34][35], a lack of information about products and services [36][37][38] and the usability of assistive technology for the user [19,22,24,39]. The use of assistive technology varies amongst different groups.…”

Section: Introductionmentioning

confidence: 99%

“…Previous systematic reviews identifying barriers to assistive technology use have tended to focus on specific health populations and groups: older adults, people with intellectual disabilities, spinal cord injuries, Alzheimer's, cognitive impairments, stroke [19,34,36,38,41,42]; specific types of assistive technology: mobility or devices for upper-limb rehabilitation [22,35], and specific environments such as assistive technology use in higher education [18]. However, our initial review of the literature suggested that many of the barriers to using assistive technology are common across multiple chronic conditions and devices.…”

Section: Introductionmentioning

confidence: 99%

Exploring the barriers to using assistive technology for individuals with chronic conditions: a meta-synthesis review

Howard

Fisher

Kemp

et al. 2020

Disability and Rehabilitation: Assistive Technology

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Purpose: Assistive technology can provide a key tool to enabling independence, greater inclusion and participation in society for individuals with chronic conditions. This potential is currently not always realised due to barriers to accessing and using assistive technology. This review aims to identify all the common barriers to acquiring and using assistive technology for users with chronic conditions through a systematic meta-synthesis. This differs from other systematic reviews by applying a transdiagnostic approach to identify if barriers are common across chronic conditions. Materials and methods:A systematic literature search of five scientific databases (PubMed, SCOPUS, PsycINFO, CINAHL and Medline) was conducted to identify relevant qualitative studies. The search was conducted in November 2019. For the identified articles, thematic content analysis was conducted and the methodological quality was evaluated using the Critical Appraisal Skills Programme (CASP) checklist for qualitative research.Results: Forty papers met the inclusion criteria and were included in the analysis. Fifty-one descriptive themes grouped into six overarching analytical themes were identified from the studies. The analytical themes identified were: the design and function of the assistive technology, service provision, information and awareness, psychological barriers, support network and societal barriers. Conclusions:The barriers are interconnected and common across different health conditions. More involvement in personalised care for developing strategies, adaptation of home technologies and provision of assistive technology could overcome the service provision and design barriers to assistive technology. Accessible information and providing greater awareness will be important to overcoming information, psychological and societal barriers to assistive technology.

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Correction to: Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF)

Abstract: Reference 1. Abdi, et al. Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF).

Cited by 20 publications

References 1 publication

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

Exploring the barriers to using assistive technology for individuals with chronic conditions: a meta-synthesis review

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