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Multi-Modal Home Sleep Monitoring in Older Adults

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The Safe Home Care Intervention Study: Implementation Methods and Effectiveness Evaluation.

Susan R Sama¹, Margaret M Quinn¹, Rebecca J Gore¹

¹Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society

|April 23, 2024

Summary

This summary is machine-generated.

Nurse managers coaching clients on home safety during assessments significantly improved home conditions. This client coaching approach proved effective in enhancing safety within home care environments.

Keywords:

home care aide safety home care aides home care safety home safety checklist motivational interviewing occupational health intervention study occupational safety and health patient safety

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Area of Science:

Gerontology
Public Health
Nursing

Background:

Home care (HC) aides and clients face numerous safety hazards in residential settings.
Existing safety protocols may not adequately address environmental risks within clients' homes.

Purpose of the Study:

To test the effectiveness of nurse manager (NM)-led safety coaching for improving home safety.
To determine if motivational interviewing (MI) during initial assessments prompts clients to enhance home safety.

Main Methods:

A 2-arm proof-of-concept study design was employed.
Intervention group NMs utilized MI, a safety handbook, and video to coach clients on home safety.
Control group NMs followed usual assessment practices.

Main Results:

Nurse managers coached 97% of clients, with 94% engagement reported.
Sixty-three percent of clients implemented recommended safety improvements.
Client resistance to safety changes correlated with higher aide-reported hazard scores.

Conclusions:

Client coaching by nurse managers is an effective strategy for improving home safety.
Motivational interviewing can successfully engage clients in home safety modifications.
Interventions targeting client behavior can mitigate home safety hazards in HC settings.