Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study

BackgroundConducting a health needs assessment for older adults is important, particularly for early detection and management of frailty. Such assessments can help to improve health outcomes, maintain overall well-being, and support older adults in retaining their independenc...

Full description

Bibliographic Details
Main Authors: Fifi Kvalsvik, Bente Hamre Larsen, Grethe Eilertsen, Helle K Falkenberg, Ingvild Dalen, Stine Haaland, Marianne Storm
Format: Article
Language:English
Published: JMIR Publications 2024-04-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2024/1/e55192
_version_ 1797201660486877184
author Fifi Kvalsvik
Bente Hamre Larsen
Grethe Eilertsen
Helle K Falkenberg
Ingvild Dalen
Stine Haaland
Marianne Storm
author_facet Fifi Kvalsvik
Bente Hamre Larsen
Grethe Eilertsen
Helle K Falkenberg
Ingvild Dalen
Stine Haaland
Marianne Storm
author_sort Fifi Kvalsvik
collection DOAJ
description BackgroundConducting a health needs assessment for older adults is important, particularly for early detection and management of frailty. Such assessments can help to improve health outcomes, maintain overall well-being, and support older adults in retaining their independence as they age at home. ObjectiveIn this study, a systematic approach to health needs assessment is adopted in order to reflect real-world practices in municipal health care and capture the nuances of frailty. The aim is to assess changes in frailty levels in home-living older adults over 5 months and to examine the observable functional changes from a prestudy baseline (t1) to a poststudy period (t2). Additionally, the study explores the feasibility of conducting the health needs assessment from the perspective of home-living older adults and their informal caregivers. MethodsInterprofessional teams of registered nurses, physiotherapists, and occupational therapists will conduct 2 health needs assessments covering physical, cognitive, psychological, social, and behavioral domains. The study includes 40 home-living older adults of 75 years of age or older, who have applied for municipal health and care services in Norway. A quantitative approach will be applied to assess changes in frailty levels in home-living older adults over 5 months. In addition, we will examine the observable functional changes from t1 to t2 and how these changes correlate to frailty levels. Following this, a qualitative approach will be used to examine the perspectives of participants and their informal caregivers regarding the health needs assessment and its feasibility. The final sample size for the qualitative phase will be determined based on the participant’s willingness to be interviewed. The quantitative data consist of descriptive statistics, simple tests, and present plots and correlation coefficients. For the qualitative analysis, we will apply thematic analysis. ResultsThe initial baseline assessments were completed in July 2023, and the second health needs assessments are ongoing. We expect the results to be available for analysis in the spring of 2024. ConclusionsThis study has potential benefits for not only older adults and their informal caregivers but also health care professionals. Moreover, it can be used to inform future studies focused on health needs assessments of this specific demographic group. The study also provides meaningful insights for local policy makers, with potential future implications at the national level. Trial RegistrationClinicalTrials.gov NCT05837728; https://clinicaltrials.gov/study/NCT05837728 International Registered Report Identifier (IRRID)DERR1-10.2196/55192
first_indexed 2024-04-24T07:51:04Z
format Article
id doaj.art-5ba91a814c3e45108508ec1d236f6765
institution Directory Open Access Journal
issn 1929-0748
language English
last_indexed 2024-04-24T07:51:04Z
publishDate 2024-04-01
publisher JMIR Publications
record_format Article
series JMIR Research Protocols
spelling doaj.art-5ba91a814c3e45108508ec1d236f67652024-04-18T12:30:32ZengJMIR PublicationsJMIR Research Protocols1929-07482024-04-0113e5519210.2196/55192Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post StudyFifi Kvalsvikhttps://orcid.org/0000-0002-0014-9855Bente Hamre Larsenhttps://orcid.org/0009-0000-7459-3193Grethe Eilertsenhttps://orcid.org/0000-0002-5882-2600Helle K Falkenberghttps://orcid.org/0000-0001-7532-442XIngvild Dalenhttps://orcid.org/0000-0002-8160-3211Stine Haalandhttps://orcid.org/0009-0001-3269-4284Marianne Stormhttps://orcid.org/0000-0002-1139-5947 BackgroundConducting a health needs assessment for older adults is important, particularly for early detection and management of frailty. Such assessments can help to improve health outcomes, maintain overall well-being, and support older adults in retaining their independence as they age at home. ObjectiveIn this study, a systematic approach to health needs assessment is adopted in order to reflect real-world practices in municipal health care and capture the nuances of frailty. The aim is to assess changes in frailty levels in home-living older adults over 5 months and to examine the observable functional changes from a prestudy baseline (t1) to a poststudy period (t2). Additionally, the study explores the feasibility of conducting the health needs assessment from the perspective of home-living older adults and their informal caregivers. MethodsInterprofessional teams of registered nurses, physiotherapists, and occupational therapists will conduct 2 health needs assessments covering physical, cognitive, psychological, social, and behavioral domains. The study includes 40 home-living older adults of 75 years of age or older, who have applied for municipal health and care services in Norway. A quantitative approach will be applied to assess changes in frailty levels in home-living older adults over 5 months. In addition, we will examine the observable functional changes from t1 to t2 and how these changes correlate to frailty levels. Following this, a qualitative approach will be used to examine the perspectives of participants and their informal caregivers regarding the health needs assessment and its feasibility. The final sample size for the qualitative phase will be determined based on the participant’s willingness to be interviewed. The quantitative data consist of descriptive statistics, simple tests, and present plots and correlation coefficients. For the qualitative analysis, we will apply thematic analysis. ResultsThe initial baseline assessments were completed in July 2023, and the second health needs assessments are ongoing. We expect the results to be available for analysis in the spring of 2024. ConclusionsThis study has potential benefits for not only older adults and their informal caregivers but also health care professionals. Moreover, it can be used to inform future studies focused on health needs assessments of this specific demographic group. The study also provides meaningful insights for local policy makers, with potential future implications at the national level. Trial RegistrationClinicalTrials.gov NCT05837728; https://clinicaltrials.gov/study/NCT05837728 International Registered Report Identifier (IRRID)DERR1-10.2196/55192https://www.researchprotocols.org/2024/1/e55192
spellingShingle Fifi Kvalsvik
Bente Hamre Larsen
Grethe Eilertsen
Helle K Falkenberg
Ingvild Dalen
Stine Haaland
Marianne Storm
Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
JMIR Research Protocols
title Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
title_full Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
title_fullStr Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
title_full_unstemmed Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
title_short Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study
title_sort health needs assessment in home living older adults protocol for a pre post study
url https://www.researchprotocols.org/2024/1/e55192
work_keys_str_mv AT fifikvalsvik healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT bentehamrelarsen healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT gretheeilertsen healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT hellekfalkenberg healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT ingvilddalen healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT stinehaaland healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy
AT mariannestorm healthneedsassessmentinhomelivingolderadultsprotocolforaprepoststudy