scholarly journals Early detection of malnutrition in community dwelling older people An evidence based integrated care approach

2019 ◽  
Vol 19 (4) ◽  
pp. 348
Author(s):  
Roelof Ettema ◽  
Marian De vander Schueren ◽  
Ben Witteman ◽  
Elke Nauman ◽  
Getty Huisman-De Waal
Keyword(s):  
Early Detection ◽  
Older People ◽  
Integrated Care ◽  
Community Dwelling ◽  
Evidence Based ◽  
Care Approach ◽  
Community Dwelling Older People

scholarly journals Early Detection of Malnutrition in Community Dwelling Older People, an Evidence Based Integrated Care Approach

2018 ◽  
Vol 18 (s2) ◽  
pp. 295
Author(s):  
Roelof Ettema ◽  
Marian De van der Schueren ◽  
Ben Witteman ◽  
Elke Naumann ◽  
Getty Huisman
Keyword(s):  
Early Detection ◽  
Older People ◽  
Integrated Care ◽  
Community Dwelling ◽  
Evidence Based ◽  
Care Approach ◽  
Community Dwelling Older People

scholarly journals Effect of an integrated care model for pre-frail and frail older people living in community

2020 ◽  
Vol 49 (6) ◽  
pp. 1048-1055
Author(s):  
Ruby Yu ◽  
Cecilia Tong ◽  
Jean Woo
Keyword(s):  
Health Services ◽  
Older People ◽  
Integrated Care ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Care Model ◽  
Health And Social Care ◽  
Community Dwelling Older People

Abstract Objectives to evaluate the effect of an integrated care model for pre-frail and frail community-dwelling older people. Design a quasi-experimental design. Setting and participants we enrolled people aged ≥60 years from a community care project. An inclusion criterion was pre-frailty/frailty, as measured by a simple frailty questionnaire (FRAIL) with a score of ≥1. Methods we assigned participants to an intervention group (n = 183) in which they received an integrated intervention (in-depth assessment, personalised care plans and coordinated care) or a control group (n = 270) in which they received a group education session on frailty prevention. The outcomes were changes in frailty, individual domains of frailty (‘fatigue’, ‘resistance’, ‘ambulation’, ‘illnesses’ and ‘loss of weight’) and health services utilisation over 12 months. Assessments were conducted at baseline and at the 12-month follow-up. Results the mean age of the participants (n = 453) at baseline was 76.1 ± 7.5 years, and 363 (80.1%) were women. At follow-up, the intervention group showed significantly greater reductions in FRAIL scores than the control group (P < 0.033). In addition, 22.4% of the intervention and 13.7% of the control participants had reverted from pre-frail/frail to robust status, with the difference reaching significance when the intervention was compared with the control group (odds ratio [OR] 1.6, 95% confidence interval [CI] 1.0–2.4) after adjustments for age, sex, living arrangement/marital status and hypercholesterolemia. For individual domains of frailty, the adjusted OR for improved ‘resistance’ was 1.7 (95% CI 1.0–2.8). However, no effects were found on reducing use of health services. Conclusion the integrated health and social care model reduced FRAIL scores in a combined population of pre-frail/frail community-dwelling older people attending older people’s centres.

scholarly journals Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hilde Worum ◽  
Daniela Lillekroken ◽  
Kirsti Skavberg Roaldsen ◽  
Birgitte Ahlsen ◽  
Astrid Bergland
Keyword(s):  
Older People ◽  
Fall Prevention ◽  
Evidence Based Practice ◽  
Exercise Program ◽  
Community Dwelling ◽  
Evidence Based ◽  
Structured Interviews ◽  
Effective Interventions ◽  
Collective Negotiation ◽  
Community Dwelling Older People

Abstract Background Evidence-based practice (EBP) ensures that clinicians use effective interventions to achieve desired outcomes, thereby contributing to the best quality of care. The perspective of the participants is fundamental in EBP, as they have their own individual and meaningful rationale for participating in fall prevention. This study aims to explore community-dwelling older people reflections about their reflections about EBP in physiotherapy based on their experiences of a fall prevention exercise program. Methods We conducted semi-structured interviews with 16 community-dwelling older people (men = 7; women = 9). Data were analyzed using thematic analysis. Results The analysis revealed three themes: 1) the tension between knowing and doing, 2) the power of the therapist-participant relationship and the process of putting knowledge into action, and 3) research is interwoven with successful therapy and is an integral component of it. EBP was considered as a collective negotiation and learning process of creating knowledge for clinical practice. The negotiation between different types of knowledge must be performed in a transparent dialogue and through interactive collaboration between the persons involved. The participants appreciated that the research findings indicate that practice gives results. Conclusions EBP was understood and utilized as a seal of approval and a “guarantee of high quality” treatment, and its effects varied based on older people’s preferences, needs, and skills. The therapist’s relational competence appeared to be crucial for the negotiation of various sources of knowledge relative to the older people’s preferences.

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