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An evaluation of the effectiveness of engaging Canadian clients as partners in in-home care.
- Source :
- Health & Social Care in the Community; Mar2014, Vol. 22 Issue 2, p210-224, 15p, 1 Illustration, 1 Diagram, 7 Charts
- Publication Year :
- 2014
-
Abstract
- This exploratory quasi-experimental evaluation assessed the effectiveness of the use of a concrete discussion guide to promote organisation-wide application of a partnering approach to engage older home-care clients with chronic disease/disabilities as care partners. A post-test-only design with an independent pre-test sample was used to compare selected outcomes with those of standard in-home care. The theoretically informed discussion guide portrayed how to go about the process of empowering partnering by using language and open-ended conversational leads to construct partnering, partnering effort and health as a resource for everyday living through social interaction. 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 of covariance revealed that the use of the concrete discussion guide to promote organisation-wide application of a partnering approach achieved significantly greater client partnering experience and health-promoting partnering effort over time than did the usual approach to in-home-care interactions. Using the discussion guide enhanced client/provider partnering, hence, interdependence, contributing positively to promoting clients' health as a resource for everyday living. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOME care services
ANALYSIS of covariance
CHRONIC diseases
CONCEPTUAL structures
STATISTICAL correlation
FISHER exact test
HEALTH promotion
RESEARCH methodology
PATIENT-professional relations
PEOPLE with disabilities
RESEARCH
RESEARCH funding
SCALE analysis (Psychology)
SELF-efficacy
STATISTICS
T-test (Statistics)
DATA analysis
PRE-tests & post-tests
PATIENTS' attitudes
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 22
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 94279438
- Full Text :
- https://doi.org/10.1111/hsc.12082