Promoting Seniors' Health with Home Care Aides: A Randomized Controlled Trial

与家庭护理人员一起促进老年人的健康：随机对照试验

• 批准号: 9922207
• 负责人: NAOKO MURAMATSU
• 金额: $ 99.1万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9922207
• 关键词: Activities of Daily Living; Admission activity; Adopted; Adoption; Aging; Bathing; Behavioral; Caregivers; Caring; Chronic Disease; Client; Communities; Drops; Effectiveness; Elderly; Evidence based program; Frail Elderly; Funding; Future; Goals; Guidelines; Health; Health Promotion; Healthcare Systems; Home; Home Care Agencies; Home Health Aides; Housekeeping; Intervention; Knowledge; Life; Long-Term Care; Managed Care; Measures; Medicaid; Modeling; Motivation; Nursing Homes; Outcome; Participant; Personal Satisfaction; Physical activity; Pilot Projects; Population; Positioning Attribute; Program Appropriateness; Psyche structure; Randomized Controlled Trials; Recommendation; Research; Risk; Self Care; Service delivery model; Services; Target Populations; Testing; Visit; Walking; Work; active duty; active lifestyle; attentional control; base; care providers; care systems; community organizations; cost effectiveness; design; disability; exercise intervention; financial incentive; improved; improved functioning; instrument; patient home care; physical conditioning; physical inactivity; preservation; program costs; programs; randomized controlled study

Abstract Regular physical activity benefits older adults physically and mentally. However, the availability and the evidence for physical activity programs that are safe and appropriate for home-bound seniors at risk for nursing home admission are severely limited. The long-term goal of this project is to develop a sustainable health promotion program led by home care aides that can be used by community-based organizations, such as home care agencies and state units on aging, to maintain independence among nursing home-eligible older adults living in their homes. The proposed project will examine the effectiveness of a safe physical activity program, led by home care aides who regularly help hard-to-reach older home care clients with housekeeping and routine personal care services in the home. The primary objective is to test whether the safe physical activity program with a built-in motivational enhancement component, performed in a seated position, preserves the function and well-being of home care clients. The secondary objective is to understand for whom the program is efficacious, the extent to which the program can reach the target population, the extent to which participants drop out of the program, the extent to which program participants maintain the behavioral change introduced by the intervention, and what the program's cost-effectiveness is. Building on a pilot project that demonstrated the program's feasibility in a large Medicaid home care program, this randomized controlled trial will inform future expansion of the physical activity program into real-world home care settings. This research will provide evidence and guidelines for a new model of home care, which will facilitate older home care clients and their home care aides to work together to maintain or improve the function of nursing home-eligible seniors so that they can remain in the community.

抽象的 定期的体育活动对老年人的身心都有好处。然而，可用性和 对于有护理风险的居家老年人来说安全且合适的体育活动计划的证据 家庭入场受到严格限制。该项目的长期目标是发展可持续的健康 由家庭护理助理领导的推广计划可供社区组织使用，例如 家庭护理机构和国家有关老龄问题的单位，以保持符合疗养院资格的老年人的独立性 住在自己家里的成年人。拟议项目将检查安全体育活动的有效性 该计划由家庭护理助理领导，他们定期帮助难以接触到的老年家庭护理客户进行家政服务 以及家庭日常个人护理服务。主要目的是测试是否安全 具有内置激励增强成分的活动计划，以坐姿进行， 保护家庭护理客户的功能和福祉。第二个目标是了解为谁 该计划是否有效、该计划能够到达目标人群的程度、 参与者退出计划，计划参与者维持行为改变的程度 干预措施所引入的内容，以及该计划的成本效益是什么。以试点项目为基础 这项随机对照试验证明了该计划在大型医疗补助家庭护理计划中的可行性 将为未来将体育活动计划扩展到现实世界的家庭护理环境提供信息。这项研究 将为新的家庭护理模式提供证据和指南，这将有利于老年家庭护理客户 及其家庭护理助手共同努力维持或改善符合疗养院资格的老年人的功能 以便他们能够留在社区。