Nurse‐led health promotion interventions improve quality of life in frail older home care clients: lessons learned from three randomized trials in Ontario, Canada

Markle‐Reid, Maureen; Browne, Gina; Gafni, Amiram

doi:10.1111/j.1365-2753.2011.01782.x

Cited by 75 publications

(106 citation statements)

References 63 publications

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“…For society, having knowledge of factors associated with less psychological distress is important to promote elderly’s health and detect risk factors [38]. Several health promotion programs are found effective in supporting elderly’s social participation and self-management [9].…”

Section: Discussionmentioning

confidence: 99%

Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study

et al. 2018

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BackgroundThe increasing proportion of people growing old, demands expanded knowledge of how people can experience successful aging. Having a good life while growing old is dependent on several factors such as nutrition, physical health, the ability to perform activities of daily living, lifestyle and psychological health. Furthermore, unhealthy food intake is found to be a modifiable risk factor for depression in elderly people. To promote elderly’s health and wellbeing, the influence of nutrition, lifestyle, physical functioning, and social support on psychological distress needs exploring. Therefore, the purpose of this present study is to investigate the associations between psychological distress and diet patterns when adjusting for other life style behaviors, wellbeing, health status, physical functioning and social support in elderly people.MethodsThe present study is cross sectional, using data from wave three of the Nord-Trøndelag Health Study (2006–2008). Data include psychological distress measured by the Hospital Anxiety and Depression Scale (HADS), sociodemographic information, measurements of lifestyle behaviours (including diet patterns), wellbeing, health status, social support and physical functioning.ResultsThe sample consisted of 11,621 participants, 65 years or older. Cluster analysis categorized the participants in two food clusters based on similarities in food consumption (healthy N = 9128, unhealthy N = 2493). Stepwise multivariable linear regression analyses revealed that lesser psychological distress in the elderly was dependent on gender, diet, smoking, better scores on health and wellbeing, social support and less problems performing instrumental activities of daily living.ConclusionKnowledge about the influence of diet patterns in relation to psychological distress provide valuable insights into how society can promote healthy lifestyles to an ageing population, e.g. by increasing older people’s food knowledge.

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Section: Discussionmentioning

confidence: 99%

Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study

et al. 2018

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“…A restorative approach to care for frail older people living at home has significant advantages over the traditional model of home care maintenance and support [11]. Timely interventions, education and assistive technologies specifically designed to encourage frail older people to resume activity and regain independence may be cost-effective by reducing disability and future demand for services [12]. Therefore we consider that a comprehensive frailty prevention approach should adopt a behavioural health, education and enablement ethos and include interventions such as a home exercise programme, support to regain skills such as cooking or dressing, and to build social networks that reduce isolation, depression and anxiety.…”

Section: Chronic Care + Enablementmentioning

confidence: 99%

Integrated Care: A Collaborative ADVANTAGE for Frailty

Hendry¹,

Cariazo²,

Vanhecke³

et al. 2018

International Journal of Integrated Care

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Frailty is increasingly recognised as a public health priority due to the associated demand for acute and longer term health and social care support, and the impact on the lives of individuals, caregivers and families. Integrated care is widely considered to be most effective when applied to an older population, but there is limited data on outcomes and costs from studies of integrated care to prevent and manage frailty. This paper describes work by the ADVANTAGE Joint Action (JA), co-funded by the European Union and 22 Member States, to develop a common European approach to the prevention and management of frailty. The authors reflect on the emerging evidence and experience of implementing integrated care for frailty, and invite readers to participate in ongoing dialogue on this topic through the ADVANTAGE JA website and IFIC Academy activities.

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“…Collaboration can prevent injury, exacerbations of chronic health issues, and acute care visits while providing effective support to move efficiently and smoothly between providers (de Stampa et a Matthews & Brown, 2013;Ryan eta!., 2013). Collaboration assists with monitoring, preventing, and treating the frail older adult' s chronic and complex health issues, preventing or minimizing disability, preventing or delaying institutionalization, and promoting quality of life (CRNBC , 2015;Hendrix & Wojciechowski, 2005 ;Markle-Reid, Browne, & Gafni, 2013 ;Naylor & Kurtzman, 201 0). Other benefits of collaborative practice include: improved quality of care, better access to health care services, reduced health care utilization and costs, enhanced compliance, and improved health outcomes (Baxter & Markle-Reid, 2009;Burnett, Tucker, & Gagan, 2005;CASHC, 2013;Markle-Reid et al, 2013 ;Naylor & Kurtzman, 2010;Robben et a!., 20 12).…”

Section: Collaboration In Health Carementioning

confidence: 99%

“…Collaboration assists with monitoring, preventing, and treating the frail older adult' s chronic and complex health issues, preventing or minimizing disability, preventing or delaying institutionalization, and promoting quality of life (CRNBC , 2015;Hendrix & Wojciechowski, 2005 ;Markle-Reid, Browne, & Gafni, 2013 ;Naylor & Kurtzman, 201 0). Other benefits of collaborative practice include: improved quality of care, better access to health care services, reduced health care utilization and costs, enhanced compliance, and improved health outcomes (Baxter & Markle-Reid, 2009;Burnett, Tucker, & Gagan, 2005;CASHC, 2013;Markle-Reid et al, 2013 ;Naylor & Kurtzman, 2010;Robben et a!., 20 12). It can ease family and patient frustrations as they become a part of the decision making process, prevent omitted or erroneous care, better utilize scarce resources, and ultimately help sustain our national health care system (CASHC, 2013 ;Keith & Askin, 2008;Markle-Reid et al, 2013 ;Naylor & Kurtzman, 2010;Weberg & Weberg, 2014).…”

Section: Collaboration In Health Carementioning

confidence: 99%

“…The government has invested considerable time and funding into ensuring collaborative practice is developed in a sustainable way through projects such as Enhancing Interdisciplinary Collaboration in Primary Health Care in Canada (EICP, 2005) The word effective is defined as being successful in producing a desired or intended result ("Effective", 201 5). Collaborator' s perceptions or agendas in the joint process may determine the effectiveness of collaboration , but collaborators usually consider collaboration to be successful when common goals have been realized (Keith & Askin, 2008;Markle-Reid et al , 2013 ;Ryan et al , 2013). The intended outcome for effective collaboration varies in specific goal setting, but generally is the stability of the frail older adult's condition in order to maintain quality of life and remain at home.…”

Section: Collaboration In Health Carementioning

confidence: 99%

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Collaboration in a primary care setting: strategies for a family nurse practitioner caring for the frail older adult

Helgeson¹

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Although many older adults live active and dynamic lives we11 into their late years, some become frail and increasingly dependent on the health care system, due to physical, cognitive, and social changes. In order to address these concerns in health care delivery, collaboration among health care providers has been a central focus for government in recent years. Collaboration among health care providers and community agencies are known to contribute to the continuation of support, by assisting the frail older adult person to achieve best health outcomes, as well as the most common goal : to remain in their homes. Nurse practitioners (NP) are one of the health care professionals, that provide quality primary health care to frail older adult patients in British Columbia (BC). The question for this project is:"when a NP is providing primary care for the frail older adult in the community setting, which practice strategies promote effective co11aboration between health care providers?" Background knowledge about co1laboration in health care, effective collaboration, the role of

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Nurse‐led health promotion interventions improve quality of life in frail older home care clients: lessons learned from three randomized trials in Ontario, Canada

Cited by 75 publications

References 63 publications

Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study

Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study

Integrated Care: A Collaborative ADVANTAGE for Frailty

Collaboration in a primary care setting: strategies for a family nurse practitioner caring for the frail older adult

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