Goal setting as a feature of homecare services for older people: does it make a difference?

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dc.contributor.author Parsons, John en
dc.contributor.author Rouse, Antony en
dc.contributor.author Robinson, Elizabeth en
dc.contributor.author Sheridan, Nicolette en
dc.contributor.author Connolly, Martin en
dc.date.accessioned 2012-03-12T18:30:34Z en
dc.date.accessioned 2014-09-11T20:58:22Z en
dc.date.issued 2012 en
dc.identifier.citation Age and Ageing, 2012, 41 (1), pp. 24 - 29 (6) en
dc.identifier.issn 0002-0729 en
dc.identifier.uri http://hdl.handle.net/2292/22902 en
dc.description.abstract Introduction: health services delivered in an older person's home are often implemented at a critical juncture in an individual's functional status. Although homecare has potential to improve this situation, it often focuses on treating disease and taking care of the patient rather than promoting independence. The aim of restorative homecare is to change the philosophy from one where delivery of care may create dependency to provision of care which maximises independence, self-esteem, self-image and quality of life, and reduces the care required. Aims: to assess impact of a designated goal facilitation tool on health-related quality of life (HRQoL), social support and physical function among community-dwelling older people referred for homecare. Methods: a total of 205 participants [mean age 79.1 years, 71.3 female (intervention group) and 76.9 years with 60.8 female (control group)] were cluster randomised to an intervention or control assessor. The intervention arm involved participants completing a goal facilitation tool with assessors. This established rehabilitation aims. Control participants received a standard needs assessment. Clients from both groups were then referred to a homecare organisation for service delivery. Results: there was greater change over time in HRQoL [measured by Short Form 36 Survey (SF-36)] in the intervention group (P0.0001). There was a marked variation across homecare providers in types of services provided (P<0.001). Identification of a goal did not predict completion of a formalised review of participants' needs by the homecare organisation. Conclusions: use of a goal facilitation tool in assessment of an older person's needs on referral for homecare leads to significant improvements in HRQoL. This may be through a higher proportion of individualised activities tailored to a successful identification of the person's goals. The findings contribute to greater understanding of factors necessary to implement improvements in homecare services for older people. en
dc.language ENG en
dc.publisher The Author(s) and British Geriatrics Society. en
dc.relation.ispartofseries Age and Ageing en
dc.relation.replaces http://hdl.handle.net/2292/13936 en
dc.relation.replaces 2292/13936 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0002-0729/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Goal setting as a feature of homecare services for older people: does it make a difference? en
dc.type Journal Article en
dc.identifier.doi 10.1093/ageing/afr118 en
pubs.issue 1 en
pubs.begin-page 24 en
pubs.volume 41 en
dc.rights.holder Copyright: The Author(s) and British Geriatrics Society. en
dc.identifier.pmid 21896558 en
pubs.end-page 29 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 224880 en
pubs.org-id Business and Economics en
pubs.org-id Accounting and Finance en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
dc.identifier.eissn 1468-2834 en
dc.identifier.pii afr118 en
pubs.record-created-at-source-date 2011-09-26 en
pubs.dimensions-id 21896558 en

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