Health promotion for mild frailty based on behaviour change: Perceptions of older people and service providers.

Autor: Avgerinou C; Department of Primary Care and Population Health, University College London, London, UK., Gardner B; Department of Psychology, King's College London, London, UK., Kharicha K; Department of Primary Care and Population Health, University College London, London, UK., Frost R; Department of Primary Care and Population Health, University College London, London, UK., Liljas A; Department of Primary Care and Population Health, University College London, London, UK., Elaswarapu R; Age UK Ealing (Patient and Public Involvement and Engagement representative), London, UK., Manthorpe J; Social Care Workforce Research Unit, King's College London, London, UK., Drennan VM; Centre for Health and Social Care Research, Kingston University and St George's, University of London, London, UK., Goodman C; Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK., Iliffe S; Department of Primary Care and Population Health, University College London, London, UK., Walters K; Department of Primary Care and Population Health, University College London, London, UK.
Jazyk: angličtina
Zdroj: Health & social care in the community [Health Soc Care Community] 2019 Sep; Vol. 27 (5), pp. 1333-1343. Date of Electronic Publication: 2019 May 31.
DOI: 10.1111/hsc.12781
Abstrakt: Mild frailty is common among older people, but it is potentially reversible with health promotion interventions. Behaviour change may be a key to preventing progression of frailty; however, we know little about what interventions work best and how a behaviour change approach would be perceived by this group. The aim of this study was to explore how mildly frail older people perceive health promotion based on behaviour change and what factors affect engagement with this approach. We conducted semi-structured interviews with 16 older people with mild frailty who received a pilot home-based behaviour change health promotion service, including a dyad of older person/family carer, and two service providers delivering the service in two diverse areas of South England. Interviews were audio-recorded, transcribed and thematically analysed. The concept of goal setting was acceptable to most participants, though the process of goal setting needed time and consideration. Goals on maintaining independence, monitoring of progress and receiving feedback were reported to increase motivation. Physical/mental capability and knowledge/perception of own needs were main determinants of the type of goals chosen by participants as well as the approach used by the project workers. Older people with complex needs benefited from care coordination, with a combination of goal setting and elements of social, practical and emotional support in varying proportions. Mildly frail older people responded well to a behaviour change approach to promote health and well-being. Further consideration is needed of the most effective strategies based on complexity of needs, and how to overcome barriers among people with cognitive impairment.
(© 2019 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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