Enable Change |
Promote empowerment(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
-1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
-1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
,2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Promote health education(1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
) Facilitate the development of skills(1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Professional training(2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
)
|
Advocate for Health |
Improve health(2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Enable therapeutic adherence(2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Facilitate access to community assets(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Enable cost reduction(1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
) Influence stakeholders for change(1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
,2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Raise awareness on health issues(1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
) Stimulus for the use of social resources(1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
)
|
Mediate through Partnership |
Partnership with older people and caregivers(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
,1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
,2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Collaborative working(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Partnership with the community(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Partnership with other professionals(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
) Partnership with municipalities and administrators(2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
)
|
Communication |
Visits at home(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
17 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
18 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
-1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
,2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
22 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Written recommendations and illustrated material(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
,1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
,2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Use of information technology(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Communication instruments (telephone, tape recorder)(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
-2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Motivational interview(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Use of telehealth technology(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
) Meetings(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
)
|
Leadership |
Incorporate new knowledge(2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
22 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Supervision and training(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
-1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
) Encourage participants to make changes(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
) Facilitate empowerment and participation(2121 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
)
|
Assessment |
Identify existing limitations(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Identifying the health needs of patients(1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
,2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Identify priorities for health promotion actions(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
-1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Multidimensional and individualized evaluation(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
-1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
) Daily assessment of patient data(1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
,2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
)
|
Planning |
Develop a feasible action plan(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
-1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Schedule actions(1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
,2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
)
|
Implementation |
Develop empowerment actions(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
,2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Implement behavioral intervention(2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Promote strategies for access to community services(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Employ assets (scales, instruments)(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
16 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
-1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
,1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
-2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
,2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
) Develop custom asset(2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Repeat instructions for therapy maintenance activities(2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
) Follow-up over a certain time period(1717 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
,1919 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
-2020 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
) Use of telehealth technology(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
,1818 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
) Management and treatment of depression(1616 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
)
|
Evaluation and Research |
Evaluate interventions' results(1515 Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 [cited 2017 Nov 8];15:145. Available from: https://doi.org/10.1186/s12877-015-0142-9
https://doi.org/10.1186/s12877-015-0142-...
16 Gellis ZD, Kenaley BL, Have TT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am Geriatr Soc. [Internet]. 2014 [cited 2017 Nov 8];62(5):889-95. Available from: https://doi.org/10.1111/jgs.12776
https://doi.org/10.1111/jgs.12776...
17 Kono A, Kanaya Y, Tsumura C, Rubenstein LZ. Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial. Aging Clin Exp Res [Internet]. 2013 [cited 2017 Nov 8];25(5):575-81. Available from: https://doi.org/10.1007/s40520-013-0128-4
https://doi.org/10.1007/s40520-013-0128-...
18 Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Have TT. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist [Internet]. 2012 [cited 2017 Nov 8];52(4):541-52. Available from: https://doi.org/10.1093/geront/gnr134
https://doi.org/10.1093/geront/gnr134...
19 Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res [Internet]. 2010 [cited 2017 Nov 8];59(3):203-11. Available from: https://doi.org/10.1097/NNR.0b013e3181dbbd4a
https://doi.org/10.1097/NNR.0b013e3181db...
20 Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med [Internet]. 2008 [cited 2017 Nov 8];23(5):536-42. Available from: https://doi.org/10.1007/s11606-008-0529-9
https://doi.org/10.1007/s11606-008-0529-...
21 Vass M, Avlund K, Siersma V, Hendriksen C. A feasible model for prevention of functional decline in older home - dwelling people - the GP role. A municipality-randomized intervention trial. Fam Pract [Internet]. 2009 [cited 2017 Nov 8];26(1):56-64. Available from: https://doi.org/10.1093/fampra/cmn094
https://doi.org/10.1093/fampra/cmn094...
22 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
-2323 McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc [Internet]. 1999 [cited 2017 Nov 8];47(3):309-18. Available from: https://doi.org/10.1111/j.1532-5415.1999.tb02994.x
https://doi.org/10.1111/j.1532-5415.1999...
) Reassessment of participants at end of treatment(2222 Engberg S, Sereika SM, McDowell BJ, Weber E, Brodak I. Effectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults. J Wound Ostomy Continence Nurs [Internet]. 2002 [cited 2017 Nov 8];29(5):252-65. Available from: https://doi.org/10.1067/mjw.2002.127207
https://doi.org/10.1067/mjw.2002.127207...
)
|