Developing, implementing, and evaluating the visiting Neighbors' program in rural Appalachia: A quality improvement protocol.

Autor: Piamjariyakul U; West Virginia University School of Nursing, Morgantown, WV, United States of America., McKenrick SR; West Virginia University School of Nursing, Morgantown, WV, United States of America., Smothers A; West Virginia University School of Nursing, Morgantown, WV, United States of America., Giolzetti A; West Virginia University School of Medicine, Morgantown, WV, United States of America., Melnick H; West Virginia University School of Nursing, Morgantown, WV, United States of America., Beaver M; West Virginia University School of Nursing, Morgantown, WV, United States of America., Shafique S; West Virginia University School of Nursing, Morgantown, WV, United States of America., Wang K; West Virginia University School of Nursing, Morgantown, WV, United States of America., Carte KJ; Family & Community Development, West Virginia University-Extension, Kanawha County, Charleston, WV, United States of America., Grimes B; Meredith Center for Career Services and Professional Development, West Virginia University College of Law, Morgantown, WV, United States of America., Haut MW; West Virginia University School of Medicine, Morgantown, WV, United States of America.; Department of Behavioral Medicine/Psychiatry, Director, Memory Health Clinic, Rockefeller Neuroscience Institute, Morgantown, WV, United States of America., Navia RO; West Virginia University School of Medicine, Morgantown, WV, United States of America.; Division Chief of Geriatrics, Palliative Medicine & Hospice and Grace Kinney Mead Chair of Geriatrics, West Virginia University School of Medicine, Morgantown, WV, United States of America., Patrick JH; Life-Span Developmental Psychology, West Virginia University, Morgantown, WV, United States of America., Wilhelmsen K; West Virginia University School of Medicine, Morgantown, WV, United States of America.; Chief Cognitive Neurology, Rockefeller Neuroscience Institute, Morgantown, WV, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Jan 02; Vol. 19 (1), pp. e0296438. Date of Electronic Publication: 2024 Jan 02 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0296438
Abstrakt: Introduction: Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move- 3M's) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months.
Purpose: The purpose of this paper was to describe the 3M's Visiting Neighbors protocol steps guiding the quality improvement procedures relating to program development, implementation, and evaluation.
Methods and Materials: This Visiting Neighbors study used a single-group exploratory quality improvement design. This program was tested using quality improvement standards, including collecting participant questionnaires and visit observations.
Results: Older adults (> 65 years) living alone (N = 30) participants were female (79%) with a mean age of 82.96 (SD = 7.87) years. Volunteer visitor participants (N = 10) were older adult females. Two volunteer visitors implemented each visit, guided by the 3M's activities manual. All visits were verified as being consistently delivered (fidelity). Enrollment and retention data found the program was feasible to conduct. The older adult participants' total program helpfulness ratings (1 to 5) were high (M = 51.27, SD = 3.77). All volunteer visitor's program helpfulness ratings were also high (M = 51.78, SD = 3.73).
Discussion: The Visiting Neighbors program consistently engaged older Appalachian adults living alone in the 3M's activities. The feasibility and fidelity of the 3M's home visits were verified. The quality improvement processes included engaging the expert advisory committee and rural county stakeholders to ensure the quality of the program development, implementation, and evaluation.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Piamjariyakul et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje