Related Experiment Video
Updated: Jun 9, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Evaluating Age-Friendly Health Care Approaches in Rural Primary Care Settings: A Multi-Case, Mixed-Methods Hybrid
Kathleen Brasher1, Rachel Winterton1, Clare Wilding1
1John Richards Centre for Rural Ageing Research, La Trobe Rural Health School, Wodonga 3550, Australia.
This study evaluates the Indigo 4Ms Tool, a rural-specific approach to integrated care for older adults, to improve health outcomes and care planning in Australian rural communities.
Area of Science:
- Gerontology
- Rural Health
- Health Services Research
Background:
- Older adults in rural communities face unique challenges, including frailty, necessitating tailored integrated care solutions.
- The Indigo 4Ms Tool is a health worker-focused intervention designed for rural settings to manage common age-related conditions.
- Effective implementation strategies are crucial for the adoption and sustainability of new healthcare tools in diverse rural environments.
Purpose of the Study:
- To describe the protocol for a hybrid type 2 implementation-effectiveness study.
- To evaluate the impact of the Indigo 4Ms Tool on multidisciplinary comprehensive care planning for older adults.
- To identify implementation strategies that promote the adoption and sustainability of the tool in rural health services.
Main Methods:
- A hybrid type 2 implementation-effectiveness study design.
- Implementation of the Indigo 4Ms Tool across five small rural health services in Australia.
- Evaluation of the tool's impact on care planning processes and assessment of implementation strategies.
Main Results:
- The study protocol is detailed, outlining the methodology for evaluating the Indigo 4Ms Tool.
- The implementation of the tool aims to enhance multidisciplinary comprehensive care planning.
- Key implementation strategies for adoption and sustainability in rural settings will be identified.
Conclusions:
- The study will provide insights into the effectiveness of the Indigo 4Ms Tool in improving integrated care for rural older adults.
- Findings will inform the successful implementation and long-term sustainability of the tool in diverse rural healthcare contexts.
- This research addresses the critical need for evidence-based interventions to support the health and well-being of aging rural populations.
Related Concept Videos
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Nursing Evaluation

