Bridging the intergenerational gap: the outcomes of a student-initiated, longitudinal, inter-professional, inter-generational home visit program

Autor: Ka Shing Yow, Angeline Jie-Yin Tey, Kennedy Yao Yi Ng, Nerice Heng Wen Ngiam, Sweet Fun Wong, Gloria Yao Chi Leung, Si Min Lee, Gerald Choon-Huat Koh, Tang Ching Lau, Chek Hooi Wong, Amrish Soundararajan, Jia Quan Chaung
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Interprofessional
Students
Health Occupations
Students
Medical
Adolescent
Attitude of Health Personnel
media_common.quotation_subject
Interprofessional Relations
education
lcsh:Medicine
Education
Ageism
03 medical and health sciences
Young Adult
0302 clinical medicine
Health care
Medicine
Humans
030212 general & internal medicine
Longitudinal Studies
media_common
Medical education
lcsh:LC8-6691
030504 nursing
lcsh:Special aspects of education
Intergeneration interactions
business.industry
Soft skills
lcsh:R
Loneliness
General Medicine
Emergency department
Community medicine
House Calls
Home visits
Feeling
Family medicine
Intergenerational Relations
Hospital admission
Female
medicine.symptom
0305 other medical science
business
Older people
Research Article
Zdroj: BMC Medical Education
BMC Medical Education, Vol 20, Iss 1, Pp 1-19 (2020)
ISSN: 1472-6920
Popis: BackgroundOlder persons consume disproportionately more healthcare resources than younger persons. Tri-Generational HomeCare (TriGen), a service-learning program, aims to reduce hospital admission rates amongst older patients with frequent admissions. The authors evaluated the educational and patient outcomes of TriGen.MethodsTeams consisting of healthcare undergraduates and secondary school (SS) students - performed fortnightly home visits to patients over 6 months. Self-administered scales were used to evaluate the educational outcomes in knowledge and attitudes towards the older people and nine domains of soft skills pre- and post-intervention. Patients’ reported satisfaction and clinical outcomes were also assessed.ResultsTwo hundred twenty-six healthcare undergraduates and 359 SS students participated in the program from 2015 to 2018. Response rates were 80.1 and 62.4% respectively. One hundred six patients participated in TriGen. There was a significant increase in Kogan’s Attitudes towards Old People Scale (KOP) scores for healthcare undergraduates and SS students with a mean increase of 12.8 (95%CI: 9.5–16.2,p p p = 0.006) and emergency department visits (p = 0.004) during the 6-month period before and after the program. Fifty-one patients answered the patient feedback survey. Of this, more than 80% reported feeling less lonely and happier.ConclusionTriGen, a student-initiated, longitudinal, inter-generational service-learning program consisting of SS students and healthcare undergraduates can reduce ageism, develop soft skills, inculcate values amongst SS students and healthcare undergraduates. In addition, TriGen potentially reduces hospital admissions and emergency department visits, and loneliness amongst frequently admitted older patients.
Databáze: OpenAIRE
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