Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation
Abstract Background: As people age, the risk of becoming frail increases, often leading to negative outcomes and less well-being. Within the light of prevention, early detection and guidance to the right care and support is crucial. This study aimed to give an overview of the descriptive results of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03504-7 |
| _version_ | 1811291734357835776 |
|---|---|
| author | Eva Dierckx Daan Duppen Sylvia Hoens Lise Switsers An-Sofie Smetcoren Liesbeth De Donder D-SCOPE |
| author_facet | Eva Dierckx Daan Duppen Sylvia Hoens Lise Switsers An-Sofie Smetcoren Liesbeth De Donder D-SCOPE |
| author_sort | Eva Dierckx |
| collection | DOAJ |
| description | Abstract Background: As people age, the risk of becoming frail increases, often leading to negative outcomes and less well-being. Within the light of prevention, early detection and guidance to the right care and support is crucial. This study aimed to give an overview of the descriptive results of the D-SCOPE program and evaluate the process. Methods: The D-SCOPE program was developed as a detection and prevention program for frail community-dwelling older adults. The program creates a continuum of care and support, consisting of 6 steps: (1) Targeted case-finding using risk profiles for purposeful selection, (2) Preventive home-visit by an older volunteer, (3) Home visits by a professional, (4), Warm referral, (5) Monthly follow-up and (6) Long-term follow-up by home visit. The effectiveness of this program, in terms of satisfaction and meaningfulness, was studied quantitatively by means of a randomized controlled trial amongst 869 people with a frailty risk profile and qualitatively by 15 focus groups interviews. Results: The quantitative study revealed that 83.9% of the participants found the different home visits within the D-SCOPE program useful. The focus group interviews shed light on several issues and advantages: a more efficient case finding due to the applied risk factors for frailty, a more intensive tailor-made care and support due to the warm referral, the importance of both small-scaled and larger interventions based on the wishes irrespective of the state of frailty of the older persons, the focus on a strengths-based instead of a deficit-based approach and the follow up as being one of the greatest strengths of the project. However, to fully understand the benefits of the program a shift in mind from intervention to prevention is necessary. Conclusions: Our quantitative data show that most participants found the home visits meaningful and were satisfied with the intervention. The qualitative findings provided more insights into the experiences of the participants with the process. Based on these insights of the 6-step model of preventive home visits, municipalities and organizations can apply this model to carry out more targeted home visits. Trial registration: This trial was registered at ClinicalTrials.gov, on 30/05/2017, identifier: NCT03168204. |
| first_indexed | 2024-04-13T04:34:43Z |
| format | Article |
| id | doaj.art-0cde1c8dd40b494f963e4b8dd66713b1 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-13T04:34:43Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-0cde1c8dd40b494f963e4b8dd66713b12022-12-22T03:02:13ZengBMCBMC Geriatrics1471-23182022-12-0122111310.1186/s12877-022-03504-7Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluationEva Dierckx0Daan Duppen1Sylvia Hoens2Lise Switsers3An-Sofie Smetcoren4Liesbeth De Donder5D-SCOPEFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB)Abstract Background: As people age, the risk of becoming frail increases, often leading to negative outcomes and less well-being. Within the light of prevention, early detection and guidance to the right care and support is crucial. This study aimed to give an overview of the descriptive results of the D-SCOPE program and evaluate the process. Methods: The D-SCOPE program was developed as a detection and prevention program for frail community-dwelling older adults. The program creates a continuum of care and support, consisting of 6 steps: (1) Targeted case-finding using risk profiles for purposeful selection, (2) Preventive home-visit by an older volunteer, (3) Home visits by a professional, (4), Warm referral, (5) Monthly follow-up and (6) Long-term follow-up by home visit. The effectiveness of this program, in terms of satisfaction and meaningfulness, was studied quantitatively by means of a randomized controlled trial amongst 869 people with a frailty risk profile and qualitatively by 15 focus groups interviews. Results: The quantitative study revealed that 83.9% of the participants found the different home visits within the D-SCOPE program useful. The focus group interviews shed light on several issues and advantages: a more efficient case finding due to the applied risk factors for frailty, a more intensive tailor-made care and support due to the warm referral, the importance of both small-scaled and larger interventions based on the wishes irrespective of the state of frailty of the older persons, the focus on a strengths-based instead of a deficit-based approach and the follow up as being one of the greatest strengths of the project. However, to fully understand the benefits of the program a shift in mind from intervention to prevention is necessary. Conclusions: Our quantitative data show that most participants found the home visits meaningful and were satisfied with the intervention. The qualitative findings provided more insights into the experiences of the participants with the process. Based on these insights of the 6-step model of preventive home visits, municipalities and organizations can apply this model to carry out more targeted home visits. Trial registration: This trial was registered at ClinicalTrials.gov, on 30/05/2017, identifier: NCT03168204.https://doi.org/10.1186/s12877-022-03504-7Multidimensional frailtyDetectionPreventionRisk factorsWarm referralFollow up |
| spellingShingle | Eva Dierckx Daan Duppen Sylvia Hoens Lise Switsers An-Sofie Smetcoren Liesbeth De Donder D-SCOPE Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation BMC Geriatrics Multidimensional frailty Detection Prevention Risk factors Warm referral Follow up |
| title | Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation |
| title_full | Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation |
| title_fullStr | Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation |
| title_full_unstemmed | Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation |
| title_short | Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation |
| title_sort | effectiveness satisfaction and meaningfulness of a 6 step detection and prevention program for frail community dwelling older adults a mixed method evaluation |
| topic | Multidimensional frailty Detection Prevention Risk factors Warm referral Follow up |
| url | https://doi.org/10.1186/s12877-022-03504-7 |
| work_keys_str_mv | AT evadierckx effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT daanduppen effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT sylviahoens effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT liseswitsers effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT ansofiesmetcoren effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT liesbethdedonder effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation AT dscope effectivenesssatisfactionandmeaningfulnessofa6stepdetectionandpreventionprogramforfrailcommunitydwellingolderadultsamixedmethodevaluation |