The Safe Home Care Intervention Study: Implementation Methods and Effectiveness Evaluation.

Autor:	Sama SR; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Quinn MM; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Gore RJ; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Galligan CJ; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Kriebel D; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Markkanen PK; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Lindberg JE; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA., Fallon PJ; Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.; Employee Health and Wellness, Southern New Hampshire Health, Nashua, NH, USA.
Jazyk:	angličtina
Zdroj:	Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Nov; Vol. 43 (11), pp. 1595-1604. Date of Electronic Publication: 2024 Apr 23.
DOI:	10.1177/07334648241246472
Abstrakt:	Home care (HC) aides experience numerous safety hazards in clients' homes; many hazards also put clients at risk. We hypothesized that safety coaching led by nurse managers (NMs) during their initial HC needs assessment could prompt clients to improve safety conditions in their homes. Following a 2-arm proof-of-concept intervention study design, intervention NMs used motivational interviewing (MI), facilitated by a safety handbook and video, to coach clients on home safety improvements. Control arm NMs performed intake assessments with no changes to usual practices. Intervention effectiveness was assessed by NMs and aides. Three HC agencies and two elder services contributed 35 intervention and 23 control homes. NMs coached 97% of clients and reported that 94% were engaged; 63% implemented improvements. NMs' and aides' assessments were consistent; homes with clients reported by NMs as resistant to safety changes had higher aides' hazard scores. Client coaching can be effective for improving HC safety. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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