Pregled bibliografske jedinice broj: 1048520
A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components
A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components // Journal of advanced nursing, 75 (2019), 12; 3689-3701 doi:10.1111/jan.14181 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 1048520 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
A coordinated preventive care approach for healthy
ageing in five European cities: A mixed methods
study of process evaluation components
Autori
Franse, Carmen B. ; Zhang, Xuxi ; Grieken, Amy ; Rietjens, Judith ; Alhambra‐Borrás, Tamara ; Durá, Estrella ; Garcés‐Ferrer, Jorge ; Staveren, Rob ; Rentoumis, Tasos ; Markaki, Athina ; Bilajac, Lovorka ; Vasiljev Marchesi, Vanja ; Rukavina, Tomislav ; Verma, Arpana ; Williams, Greg ; Clough, Gary ; Koppelaar, Elin ; Martijn, Rens ; Mattace Raso, Francesco ; Voorham, Antonius J. J. ; Raat, Hein
Izvornik
Journal of advanced nursing (0309-2402) 75
(2019), 12;
3689-3701
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
coordinated care ; frailty ; mixed methods study ; nurses ; older persons ; prevention ; primary care ; process evaluation
Sažetak
Aims To evaluate specific process components of the Urban Health Centres Europe (UHCE) approach ; a coordinated preventive care approach aimed at healthy ageing by decreasing falls, polypharmacy, loneliness and frailty among older persons in community settings of five cities in the United Kingdom, Greece, Croatia, the Netherlands and Spain. Design Mixed methods evaluation of specific process components of the UHCE approach: reach of the target population, dose of the intervention actually delivered and received by participants and satisfaction and experience of main stakeholders involved in the approach. Methods The UHCE approach intervention consisted of a preventive assessment, shared decision- making on a care plan and enrolment in one or more of four coordinated care-pathways that targeted falls, polypharmacy, loneliness and frailty. Quantitative data from a questionnaire and quantitative/qualitative data from logbooks were collected among older persons involved in the approach. Qualitative data from focus groups were collected among older persons, informal caregivers and professionals involved in the approach. Quantitative data were analysed by means of descriptive statistics and multilevel logistic regression models. Qualitative data were analysed through thematic analysis. Results Having limited function was associated with non- enrolment in falls and loneliness care-pathways (both p < .01). The mean rating of the approach was 8.3/10 (SD 1.9). Feeling supported by a care professional and meeting people were main benefits for older persons. Mistrust towards unfamiliar care providers, lack of confidence to engage in care activities and health constraints were main barriers towards engagement in care. Conclusions Although the UHCE approach was received generally positively, health constraints and psychosocial barriers prevented older person's engagement in care. Impact Coordinated preventive care approaches for older community- dwelling persons should address health constraints and psychosocial barriers that hinder older person's engagement in care.
Izvorni jezik
Engleski
Znanstvena područja
Javno zdravstvo i zdravstvena zaštita
POVEZANOST RADA
Ustanove:
Medicinski fakultet, Rijeka,
Fakultet zdravstvenih studija u Rijeci
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- Social Science Citation Index (SSCI)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE