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Direct Care Provider Innovation to Improve the Implementation of Age-Friendly 4Ms Care in a Retail Health Clinic
Anna E Bender1, Heba Aldossary2,3, Sutthinee Thorngthip2
1Department of Pediatrics, University of Washington, Seattle, Washington.
Purpose:
The Age-Friendly Health Systems (AFHS) is a national initiative that ensures evidence-based care for older adults. To facilitate implementation, direct care providers created a questionnaire for older adults to complete before a clinic visit. The current mixed methods study evaluated the questionnaire's acceptability using the Theoretical Framework of Acceptability and explored provider perceptions of the questionnaire.
Method:
In 2022, the questionnaire was sent to 1,100 retail health clinics. After 4 weeks of use, an online survey was sent to 3,300 direct care providers (e.g., nurse practitioners, physician assistants) at these clinics.
Results:
Higher-than-average acceptability of the questionnaire in most of the Theoretical Framework of Acceptability domains was reported and self-reported implementation, completion, and documentation of all AFHS 4Ms improved. In open-ended responses, direct care providers described how the questionnaire was user-friendly and improved clinic visit efficiency.
Conclusion:
Direct care provider innovations help overcome real-world challenges, improving the effective implementation and delivery of evidence-based practices in a retail health clinic setting.
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