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Effect, economic and process-evaluation of a generic function focused care program for long-term care; study protocol
Stan Vluggen1,2, Silke Metzelthin3,4, Valeria Lima Passos5
1Department of Health Services Research, Maastricht University, Care and Public Health Research Institute, Duboisdomein 30, Maastricht, 6229 GT, The Netherlands. stan.vluggen@maastrichtuniversity.nl.
BMC Nursing
|May 19, 2022
Summary
The SELF-program enhances nurses' activity stimulation behavior to improve older adults' self-reliance in daily activities. This study evaluates its effectiveness, cost-effectiveness, and feasibility in long-term care settings.
Area of Science:
- Geriatric care
- Nursing interventions
- Behavioral science
Background:
- Nurses can optimize older adults' independence by focusing on their capabilities.
- Current Function-Focused Care (FFC) interventions often lack behavioral change effectiveness.
- The advanced SELF-program aims to improve nurses' behavior and geriatric clients' self-reliance.
Purpose of the Study:
- To evaluate the effectiveness of the SELF-program on nurses' activity stimulation behavior.
- To assess the impact on geriatric clients' self-reliance in activities of daily living (ADL).
- To determine the program's cost-effectiveness and feasibility.
Main Methods:
- A multicenter cluster-randomized trial (CRT) comparing the SELF-program to usual care.
- Measurements at baseline, immediately post-program, and long-term.
- A parallel process evaluation to assess implementation, impact mechanisms, and context.
Main Results:
- Effectiveness regarding nurses' behavior and clients' ADL self-reliance.
- Cost-effectiveness from a societal perspective, including quality of life and healthcare use.
- Feasibility, implementation, mechanisms of impact, and contextual factors.
Conclusions:
- The SELF-program was systematically developed using the Medical Research Council framework.
- A feasibility study preceded the program's development.
- Results from this protocol are anticipated from late 2022.
Keywords:
Activities of daily livingBehavior changeFunction focused careGeriatric clientsLong-term careNursesMore Related Videos
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