Person‐ and family‐centred goal‐setting for older adults in Canadian home care: A solution‐focused approach

Giosa, Justine; Byrne, Kerry; Stolee, Paul

doi:10.1111/hsc.13685

Cited by 11 publications

(17 citation statements)

References 74 publications

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“… 16 , 30 , 56 However, research in other countries (eg Scandinavia, Ireland, Canada) presents family members differently. Here the family is typically presented as a resource for reablement staff to draw on and work with, 27 , 29 or family resistance is downplayed or presented as a minor issue. 26 , 78 For example, a recent Norwegian study reported that adult children encourage their parents to receive reablement services, feel responsible for service delivery, and have a strong will to initiate cooperation with services.…”

Section: Discussionmentioning

confidence: 99%

“… 13 , 16 , 24 , 54–56 The need for effective information and communication strategies has therefore been highlighted both by research and implementation guidance. 8 , 22 , 25 , 27 , 29 , 30 , 55 , 57 , 58 However, less is understood about what those information and communication strategies need to look like.…”

Section: Introductionmentioning

confidence: 99%

“…However, whilst indicating the potential range and diversity of factors which may affect an older person’s engagement with reablement, the existing evidence base remains relatively sparse, 16 , 54 , 55 with much of it focused on the initial stages of the reablement process. 13 , 29 , 63 Care must also be taken when interpreting research findings across countries given differences in delivery models, health and social care integration, and culture. 1 , 3 …”

Section: Introductionmentioning

confidence: 99%

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Factors Impacting User Engagement in Reablement: A Qualitative Study of User, Family Member and Practitioners’ Views

Chen¹,

Beresford²

2023

JMDH

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Background The challenges of population aging have fostered the adoption of reablement as a core pillar of older people’s care in many developed economies. Aligning with wider literature on the association between “patient” engagement and outcomes, emerging evidence points to the impact user engagement may have on reablement outcomes. To date, existing research on the factors implicated in engagement with reablement is rather limited. Objective To identify and describe factors which impact user engagement in reablement from the perspectives of reablement staff, staff in interfacing services, service users and family members. Sample and Methods A total of 78 staff were recruited from five sites across England and Wales. Twelve service users and five family members were recruited from three of these sites. Data were collected via focus groups with staff and interviews with service users and families, and subject to thematic analysis. Results The data revealed a complex picture of factors potentially impacting user engagement, ranging from user-, family-, and staff-centered factors, the nature of the relationship between staff and users, and aspects of service organization and delivery across referral and intervention pathways. Many are amenable to intervention. As well as offering a more fine-grained understanding of factors reported by previous research, new factors impacting engagement were identified. These included staff morale, equipment provision systems, assessment and reviewing processes, and attention to social reablement needs. Aspects of the wider service context (eg, degree of integration of health and social care) played a role in determining which factors were pertinent. Conclusion Findings highlight the complexity of factors influencing engagement with reablement, and the need to ensure features of the wider service context (eg delivery models, referral pathways) do not work against securing and sustaining older people’s engagement with reablement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Impacting User Engagement in Reablement: A Qualitative Study of User, Family Member and Practitioners’ Views

Chen¹,

Beresford²

2023

JMDH

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“…Goal setting for older individuals can be quite challenging; in the home health environment this process is often hindered by a lack of structure in personal and family-based care planning, inconsistent decision making involving various family members, and the difficulties of coordinating multiple task-oriented health care delivery models. 24 Success for the home health care professional in this domain likely depends on early identification of the key decision makers within the care recipient’s family structure (however far-flung it may be) and folding their respective input into the short term and long term goals which comprise the individual’s plan of care. Such early identification and integration into the plan of care conceivably may help greatly to reduce the emotional and physical toll experienced by the informal caregiver or caregivers who provide the majority of assistance on a day-to-day basis for the care recipient.…”

Section: Begin With the End In Mind: Evidence-based Strategies For Re...mentioning

confidence: 99%

Providing Physical Assistance for Family or Friends: An Overview for the Home Health Care Professional—Part 2

Weir

Hoover

2022

Home Health Care Management & Practice

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This article is Part 2 of a 2-part series of articles addressing the needed educational and training support for informal caregivers who provide physical assistance in the home. Part 1, which was presented in a previous edition of Home Health Care Management & Practice (HHCMP), covered contemporary research on informal caregiver burden and addressed special challenges linked to provision of physical mobility assistance. Part 2, presented here, offers specific training recommendations for informal caregivers that may be provided by home health care professionals.

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“…Ageist assumptions likely influence gerontological health care workers’ perceptions of personal goal setting in older people in that they may falsely believe that they are not intent on pursuing goals beyond those related to functional abilities (e.g., improved mobility) [ 1 ]. However, “new paradigms are needed to provide guidance and support as adults move into the later decades of life, strive to maintain their independence, intent upon aging in place” [ 2 , p.205].…”

Section: Introductionmentioning

confidence: 99%

Goal setting in later life: an international comparison of older adults’ defined goals

Burton,

Chonody,

Teater

et al. 2024

BMC Geriatr

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Background Studies of goal setting in later life tend to focus on health-related goal setting, are pre-determined by the researcher (i.e., tick box), and/or are focused on a specific geographical area (i.e., one country). This study sought to understand broader, long-term goals from the perspective of older adults (65 + years) from Australia, New Zealand (NZ), United Kingdom (UK), Ireland, Canada, and the United States of America (USA). Methods Through a cross-sectional, online survey (N = 1,551), this exploratory study examined the qualitative goal content of older adults. Thematic analysis was used to analyze the qualitative data, and bivariate analyses were used to compare thematic differences between regions and by participants’ sex. Results Over 60% of the participants reported setting goals, and participants from the Australia-NZ and Canada-USA regions were more likely to set goals than the UK-Ireland region. The following six overarching themes were identified from the 946 goals reported: health and well-being; social connections and engagement; activities and experiences; finance and employment; home and lifestyle; and attitude to life. Conclusions This study supports previous research that demonstrates that older adults can and do set personal goals that are wide ranging. These findings support the need for health professionals to consider different methods for elucidating this important information from older adults that builds rapport and focuses on aspects viewed as more important by the older adult and therefore potentially produces improved health outcomes.

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Person‐ and family‐centred goal‐setting for older adults in Canadian home care: A solution‐focused approach

Abstract: With growing evidence supporting person-and family-centred care (PFCC), there is increasing demand for healthcare providers to partner directly with patients and caregivers in care planning and delivery (

Cited by 11 publications

References 74 publications

Factors Impacting User Engagement in Reablement: A Qualitative Study of User, Family Member and Practitioners’ Views

Factors Impacting User Engagement in Reablement: A Qualitative Study of User, Family Member and Practitioners’ Views

Providing Physical Assistance for Family or Friends: An Overview for the Home Health Care Professional—Part 2

Goal setting in later life: an international comparison of older adults’ defined goals

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