The prevalence of non-pharmacological interventions in older homecare recipients: an overview from six European countries.

Autor: Kooijmans ECM; Department of General Practice, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands. e.c.m.kooijmans@amsterdamumc.nl.; Amsterdam Public Health, Ageing and Later Life, Amsterdam, The Netherlands. e.c.m.kooijmans@amsterdamumc.nl., Hoogendijk EO; Department of General Practice, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Amsterdam Public Health, Ageing and Later Life, Amsterdam, The Netherlands.; Department of Epidemiology and Data Science, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands., Pokladníková J; Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Prague, Czech Republic., Smalbil L; Department of Computer Science, Vrije Universiteit Amsterdam, De Boelelaan 1111, 1081 HV, Amsterdam, The Netherlands., Szczerbińska K; Chair of Epidemiology and Preventive Medicine, Laboratory for Research on Aging Society, Medical Faculty, Jagiellonian University Medical College, ul. Skawińska 8, Kraków, Poland., Barańska I; Chair of Epidemiology and Preventive Medicine, Laboratory for Research on Aging Society, Medical Faculty, Jagiellonian University Medical College, ul. Skawińska 8, Kraków, Poland., Ziuziakowska A; Chair of Epidemiology and Preventive Medicine, Laboratory for Research on Aging Society, Medical Faculty, Jagiellonian University Medical College, ul. Skawińska 8, Kraków, Poland., Fialová D; Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Prague, Czech Republic.; Department of Geriatrics and Gerontology, 1st Faculty of Medicine in Prague, Charles University, Prague, Czech Republic., Onder G; Fondazione Policlinico Gemelli IRCCS and Università Cattolica del Sacro Cuore, Rome, Italy., Declercq A; LUCAS-Center for Care Research and Consultancy and Ceso-Center for Sociological Research, KU Leuven, Leuven, Belgium., Finne-Soveri H; Finnish Institute for Health and Welfare, Helsinki, Finland., Hoogendoorn M; Department of Computer Science, Vrije Universiteit Amsterdam, De Boelelaan 1111, 1081 HV, Amsterdam, The Netherlands., van Hout HPJ; Department of General Practice, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.; Amsterdam Public Health, Ageing and Later Life, Amsterdam, The Netherlands., Joling KJ; Amsterdam Public Health, Ageing and Later Life, Amsterdam, The Netherlands.; Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: European geriatric medicine [Eur Geriatr Med] 2024 Feb; Vol. 15 (1), pp. 243-252. Date of Electronic Publication: 2023 Oct 04.
DOI: 10.1007/s41999-023-00868-w
Abstrakt: Purpose: Non-pharmacological interventions (NPIs) play an important role in the management of older people receiving homecare. However, little is known about how often specific NPIs are being used and to what extent usage varies between countries. The aim of the current study was to investigate the prevalence of NPIs in older homecare recipients in six European countries.
Methods: This is a cross-sectional study of older homecare recipients (65+) using baseline data from the longitudinal cohort study 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care' (IBenC). The analyzed NPIs are based on the interRAI Home Care instrument, a comprehensive geriatric assessment instrument. The prevalence of 24 NPIs was analyzed in Belgium, Germany, Finland, Iceland, Italy and the Netherlands. NPIs from seven groups were considered: psychosocial interventions, physical activity, regular care interventions, special therapies, preventive measures, special aids and environmental interventions.
Results: A total of 2884 homecare recipients were included. The mean age at baseline was 82.9 years and of all participants, 66.9% were female. The intervention with the highest prevalence in the study sample was 'emergency assistance available' (74%). Two other highly prevalent interventions were 'physical activity' (69%) and 'home nurse' (62%). Large differences between countries in the use of NPIs were observed and included, for example, 'going outside' (range 7-82%), 'home health aids' (range 12-93%), and 'physician visit' (range 24-94%).
Conclusions: The use of NPIs varied considerably between homecare users in different European countries. It is important to better understand the barriers and facilitators of use of these potentially beneficial interventions in order to design successful uptake strategies.
(© 2023. The Author(s).)
Databáze: MEDLINE
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