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Leicestershire County Council: external evaluation of the home care reablement pilot project
- Authors:
- KENT Julie, et al
- Publisher:
- De Montfort University. Centre for Group Care and Community Studies
- Publication year:
- 2000
- Pagination:
- 35p.
- Place of publication:
- Leicester
This research evaluated the extent to which the home care reablement team achieved its aims in terms of enabling people to achieve their maximum level of independence, thereby remaining in their homes. A qualitative analysis of the pilot project was undertaken, and comparisons were drawn with similar projects elsewhere in the UK. Fewer service users in this home care model were admitted to hospital during the period under examination. Larger packages of home care were commissioned for service user than their counterparts in the comparison groups. The report suggested that the pilot was distinctly different from other home care packages. The report recommended that the home care reablement team’s model of home care be delivered to other areas in Leicestershire. In particular, it was recommended that home care reablement teams act as intake teams for all home care referrals. Essential to successful replication of the pilot was the close involvement and support of multi-disciplinary colleagues with occupational therapy and physiotherapy backgrounds, in conjunction with training and development opportunities for hoe care staff.
Methodological challenges in the implementation and evaluation of social welfare policies
- Authors:
- ANDERSSON Katarina, KALMAN Hildur
- Journal article citation:
- International Journal of Social Research Methodology, 15(1), 2012, pp.69-80.
- Publisher:
- Taylor and Francis
As social reality is quite elusive, even regarding seemingly well-recognised everyday concepts and objects, assessments and evaluations of implementation policies will always present methodological challenges. There is a need to consider such assessments and evaluations in a critical perspective to investigate whether the desired knowledge is really being acquired. The purpose of this article is to address some of the challenges that underlie assessments and evaluations of the implementation of social welfare policies by presenting a rereading and analysis of an empirical study of elderly home care services. The rereading and analysis is described in terms of 4 stages: ecological analysis of institutions; shadowing; focus on common concepts and objects; and applying the analytical concept of boundary objects. The results reveal the emergence of a dissolution of common and professional key concepts and objects in these welfare services to a degree that challenges both the implementation policy and the evaluation of policy. The article concludes that this has methodological implications for the evaluation of implementation policies in general.
How elderly people rank-order the quality characteristics of home services
- Authors:
- EDEBALK Per Gunnar, SAMUELSSON Gillis, INGVAD Bengt
- Journal article citation:
- Ageing and Society, 15(1), March 1995, pp.83-102.
- Publisher:
- Cambridge University Press
Various studies have dealt more or less directly with qualitative questions concerning social services provided in the home. While as a result of such studies the general characteristics of home services of importance to elderly people are quite well known, this is not the case regarding the relative importance assigned to such characteristics. Outlines the findings of research amongst older people in Sweden. The characteristics studied had largely the same relative importance for all older people.
Adherence of home‐based Wu Qin Xi programs during the COVID‐19 epidemic in Shanghai
- Authors:
- XIAO Chunmei, DONG Yu, WANG Yanlin
- Journal article citation:
- International Journal of Geriatric Psychiatry, 35(12), 2020, pp.1470-1472.
- Publisher:
- Wiley
Details of an exercise intervention published in a letter to the editor. Home‐based exercise programs are widely accepted to improve immunity and prevent infection at home. In the COVID‐19 epidemic particular situation, home‐based exercise programs play a key part in immunity enhancement as well as infection prevention. Authorities selected the Wu Qin Xi (WQX) exercises program because it can can improve the cognitive function, anxiety, depression, sleeping, and balance ability in elderly people. This study investigated the exercise adherence with a sample of 1500 participants. Findings: An important component facilitating the optimal effectiveness of exercise programs is a high level of exercise adherence. Conclusion: is that WQX exercise program was found to be an home‐exercise program that achieves high adherence in elderly adults who lived in these communities during outbreak of the COVID‐19 epidemic in Shanghai. (Edited publisher abstract)
Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care
- Authors:
- MAS Miquel A., et al
- Journal article citation:
- Age and Ageing, 46(6), 2017, pp.925-931.
- Publisher:
- Oxford University Press
Objective: To analyse the clinical impact of a home-based Intermediate Care model in the Catalan health system, comparing it with usual bed-based care. Design: Quasi-experimental longitudinal study. Setting: Hospital Municipal de Badalona and El Carme Intermediate Care Hospital, Badalona, Catalonia, Spain. Participants: Older patients with medical and orthopaedic disabling health crises in need of Comprehensive Geriatric Assessment (CGA) and rehabilitation. Methods: A CGA-based hospital-at-home Integrated Care Programme (acute care and rehabilitation) was compared with a propensity score matched cohort of contemporary patients attended by usual inpatient hospital care (acute care plus intermediate care hospitalisation), for the management of medical and orthopaedics processes. Main outcomes measures were: (a) Health crisis resolution (referral to primary care at the end of the intervention); (b) functional resolution: relative functional gain and (c) favourable crisis resolution (health + functional) = a + b. The article compared between-groups outcomes using uni/multivariable logistic regression models. Results: Clinical characteristics were similar between home-based and bed-based groups. Acute stay was shorter in home group: 6.1 (5.3–6.9) versus 11.2 (10.5–11.9) days, P < 0.001. The home-based scheme showed better results on functional resolution and on favourable crisis resolution, with shorter length of intervention, with a reduction of −5.72 (−9.75 and −1.69) days. Conclusions: In the study, the extended CGA-based hospital-at-home programme was associated with shorter stay and favourable clinical outcomes. Future studies might test this intervention to the whole Catalan integrated care system. (Edited publisher abstract)
An evaluation of the effectiveness of engaging Canadian clients as partners in in-home care
- Authors:
- McWILLIAM C.L., et al
- Journal article citation:
- Health and Social Care in the Community, 22(2), 2014, pp.210-224.
- Publisher:
- Wiley
This exploratory quasi-experimental evaluation assessed the effectiveness of the use of a concrete discussion guide to promote organisation-wide application of an approach to engage older home-care clients with chronic disease/disabilities as care partners. The discussion guide was provided to all providers for use with all clients in one home-care programme in Ontario, Canada and this organisation was compared with a similar but geographically distanced organisation, also in Ontario. Seven hundred and ninety-one randomly selected clients (mean age = 72.5 years) receiving 3+ months of in-home care for chronic conditions/disabilities from the two home-care programmes between September 2007 and May 2010 completed a researcher-administered questionnaire at either baseline, 1 year or 2 years. Instruments included the Client's Partnering Experience, Health-Promoting Partnering Effort, a modified version of Locus of Authority in Decision-Making, the Medical Outcomes Survey Self-Rated Health Scale, Health and Social Services Utilization and a modified Functional Independence Measure. Analysis revealed that the use of the concrete discussion guide achieved significantly greater client partnering experience and health-promoting partnering effort over time than did the usual approach to in-home-care interactions. (Edited publisher abstract)
Investing to save: assessing the cost-effectiveness of telecare: summary report
- Authors:
- CLIFFORD Paul, et al
- Publisher:
- Face Recording and Measurement Systems
- Publication year:
- 2012
- Pagination:
- 10p.
- Place of publication:
- Nottingham
This summary report describes the findings of a project evaluating the potential cost savings arising from the use of telecare. Another aim was to develop a methodology that will support routine evaluation and comparison of the cost-effectiveness of local telecare implementations. Evaluation was made of the suitability of telecare for 50 clients for whom Overview Assessments had been completed by FACE Recording & Measuring Systems Ltd. Where telecare appeared suitable, the social care costs of meeting the client’s needs before and after provision of telecare were estimated. Estimates were also made of the total savings achievable by the deployment of telecare. Out of the 50 cases, 33 were identified as potentially benefitting from telecare. The average weekly cost of telecare was £6.25, compared to £167 for the average weekly care package for the sample pre-telecare. The results confirmed previous studies showing that very substantial savings are achievable through the widespread targeted use of telecare. Potential savings lie in the range of £3m to £7.8m for a typical council, or 7.4-19.4% of total older people’s social care budget.
A non-randomised controlled trial of the Home Independence Program (HIP): an Australian restorative programme for older home-care clients
- Authors:
- LEWIN Gill, VANDERMEULEN Suzanne
- Journal article citation:
- Health and Social Care in the Community, 18(1), January 2010, pp.91-99.
- Publisher:
- Wiley
The Home Independence Program is a short-term restorative programme targeted at older home-care clients, who do not have a diagnosis of dementia, when they are first referred for assistance or when they are referred for additional services because their needs have increased. This study compared the outcomes for individuals who participated in the HIP with those of individuals who received the usual home-care services. The study was conducted in Perth, Western Australia between 2001 and 2003 when HIP was being trialled in this region. One hundred clients were recruited into each group and were visited at home at the service start, at 3 months, and at 1 year. The results showed that the HIP group showed improvements on all personal outcomes measures (functional dependency, morale, confidence in performing everyday activities without falling and functional mobility), and that these improvements were, except for the morale scale, significantly associated with group assignment even when baseline differences between the groups were adjusted for. Regarding service outcomes, the odds of the individuals who received HIP still requiring services was 0.07 times those for the individuals in the control group at 3 months and 0.14 times at 12 months. The results of the study support the hypothesis that older individuals referred for home care who participated in a programme to promote their independence had better individual and service outcomes than individuals who received usual home care.
Why family carers matter: a local study of the work of Suffolk Family Carers (part of the Princess Royal Trust Carers Centre Network)
- Authors:
- McDONALD Ann, BAILEY Sue
- Publisher:
- University of East Anglia. School of Social Work and Psychosocial Studies
- Publication year:
- 2008
- Pagination:
- 41p., bibliog.
- Place of publication:
- Norwich
The report is an evaluation of ‘Suffolk Family Carers’ which is a registered charity providing support for people who are caring at home for a family member or friend who is frail, elderly, sick or disabled. The evaluation has a number of different strands. Firstly it will look at who uses their services; where in Suffolk they live, which services they use and with what frequency. Secondly it evaluates whether and how Suffolk Family Carers help carers in their caring role. Thirdly it considers the impact that the organisation has on aspects of carer wellbeing and quality of life, and whether the services enable carers to maintain and develop social and leisure contacts, remain in employment and maintain good health. Fourthly it assesses any preventative impact that the organisation’s services have, in terms of avoiding increased levels of dependency on public services by the carer and the cared-for person. Finally the views of key stakeholders, including commissioning and funding bodies, are sought as to how the organisation is fulfilling its role.
Scoping extra care housing for older people
- Authors:
- NETEN Ann, DAWSON Laura, HOLDER Jaquetta
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Canterbury
Evaluating the Extra Care Housing Initiative is an opportunity to collect research evidence about the process and impact of new approaches to providing accommodation and care for older people. The aims are to evaluate and learn from the extra care schemes from their initial implementation to following older people’s experiences and health in the longer term.