Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study
BackgroundIn Finland, at least 1 in 4 residents will be >75 years of age in 2030. The national aging policy has emphasized the need to improve supportive services to enable older people to live in their own homes for as long as possible. ObjectiveThis study aim...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-10-01
|
| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e48753 |
| _version_ | 1797666679281418240 |
|---|---|
| author | Jonna Carita Kanninen Anu Holm Anna-Liisa Koivisto Pauliina Hietasalo Anna-Maija Heikkilä Susanna Kunvik Jussi Bergman Marja Airaksinen Juha Puustinen |
| author_facet | Jonna Carita Kanninen Anu Holm Anna-Liisa Koivisto Pauliina Hietasalo Anna-Maija Heikkilä Susanna Kunvik Jussi Bergman Marja Airaksinen Juha Puustinen |
| author_sort | Jonna Carita Kanninen |
| collection | DOAJ |
| description |
BackgroundIn Finland, at least 1 in 4 residents will be >75 years of age in 2030. The national aging policy has emphasized the need to improve supportive services to enable older people to live in their own homes for as long as possible.
ObjectiveThis study aimed to develop a preventive health screening procedure for home-dwelling older adults aged 75 years to enable the use of clinical patient data for purposes of strategic planning of supportive services in primary care.
MethodsThe action research method was applied to develop the health screening procedure with selected validated health measures in cooperation with the local practicing interprofessional health care teams from 10 primary care centers in the Social Security Center of Pori, Western Finland (99,485 residents, n=11,938, 12% of them >75 years). The selection of evidence-based validated health measures was based on the national guide to screen factors increasing fall risk and the national functioning measures database. The cut-off points of the selected health measures and laboratory tests were determined in consecutive consensus meetings with the local primary care physicians, with decisions based on internationally validated measures, national current care guidelines, and local policies in clinical practice.
ResultsThe health screening procedure for 75-year-old residents comprised 30 measures divided into three categories: (1) validated self-assessments (9 measures), (2) nurse-conducted screenings (14 measures), and (3) laboratory tests (7 measures). The procedure development process comprised the following steps: (1) inventory and selection of the validated health measures and laboratory tests, (2) training of practical nurses to perform screenings for the segment of 75-year-old residents and to guide them to possible further medical actions, (3) creation of research data from clinical patient data for secondary use purposes, (4) secondary data analysis, and (5) consensus meeting after the pilot test of the health screening procedure for 75-year-old residents procedure in 2019 based on the experiences of health care professionals and collected research data.
ConclusionsThe developed preventive health screening procedure for 75-year-old residents enables the use of clinical patient data for purposes of strategic planning of supportive services in primary care if the potential bias by a low participation rate is controlled.
International Registered Report Identifier (IRRID)DERR1-10.2196/48753 |
| first_indexed | 2024-03-11T20:01:54Z |
| format | Article |
| id | doaj.art-df804f6a4b64453e84b135b354edaa90 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-11T20:01:54Z |
| publishDate | 2023-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-df804f6a4b64453e84b135b354edaa902023-10-04T08:27:04ZengJMIR PublicationsJMIR Research Protocols1929-07482023-10-0112e4875310.2196/48753Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research StudyJonna Carita Kanninenhttps://orcid.org/0000-0002-7978-5677Anu Holmhttps://orcid.org/0000-0003-4282-6479Anna-Liisa Koivistohttps://orcid.org/0009-0009-3649-0551Pauliina Hietasalohttps://orcid.org/0009-0005-9194-5871Anna-Maija Heikkilähttps://orcid.org/0009-0000-4276-463XSusanna Kunvikhttps://orcid.org/0000-0002-9090-098XJussi Bergmanhttps://orcid.org/0000-0002-5254-4910Marja Airaksinenhttps://orcid.org/0000-0002-6077-5671Juha Puustinenhttps://orcid.org/0000-0002-4033-1539 BackgroundIn Finland, at least 1 in 4 residents will be >75 years of age in 2030. The national aging policy has emphasized the need to improve supportive services to enable older people to live in their own homes for as long as possible. ObjectiveThis study aimed to develop a preventive health screening procedure for home-dwelling older adults aged 75 years to enable the use of clinical patient data for purposes of strategic planning of supportive services in primary care. MethodsThe action research method was applied to develop the health screening procedure with selected validated health measures in cooperation with the local practicing interprofessional health care teams from 10 primary care centers in the Social Security Center of Pori, Western Finland (99,485 residents, n=11,938, 12% of them >75 years). The selection of evidence-based validated health measures was based on the national guide to screen factors increasing fall risk and the national functioning measures database. The cut-off points of the selected health measures and laboratory tests were determined in consecutive consensus meetings with the local primary care physicians, with decisions based on internationally validated measures, national current care guidelines, and local policies in clinical practice. ResultsThe health screening procedure for 75-year-old residents comprised 30 measures divided into three categories: (1) validated self-assessments (9 measures), (2) nurse-conducted screenings (14 measures), and (3) laboratory tests (7 measures). The procedure development process comprised the following steps: (1) inventory and selection of the validated health measures and laboratory tests, (2) training of practical nurses to perform screenings for the segment of 75-year-old residents and to guide them to possible further medical actions, (3) creation of research data from clinical patient data for secondary use purposes, (4) secondary data analysis, and (5) consensus meeting after the pilot test of the health screening procedure for 75-year-old residents procedure in 2019 based on the experiences of health care professionals and collected research data. ConclusionsThe developed preventive health screening procedure for 75-year-old residents enables the use of clinical patient data for purposes of strategic planning of supportive services in primary care if the potential bias by a low participation rate is controlled. International Registered Report Identifier (IRRID)DERR1-10.2196/48753https://www.researchprotocols.org/2023/1/e48753 |
| spellingShingle | Jonna Carita Kanninen Anu Holm Anna-Liisa Koivisto Pauliina Hietasalo Anna-Maija Heikkilä Susanna Kunvik Jussi Bergman Marja Airaksinen Juha Puustinen Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study JMIR Research Protocols |
| title | Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study |
| title_full | Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study |
| title_fullStr | Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study |
| title_full_unstemmed | Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study |
| title_short | Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study |
| title_sort | development of a preventive health screening procedure enabling supportive service planning for home dwelling older adults pori75 protocol for an action research study |
| url | https://www.researchprotocols.org/2023/1/e48753 |
| work_keys_str_mv | AT jonnacaritakanninen developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT anuholm developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT annaliisakoivisto developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT pauliinahietasalo developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT annamaijaheikkila developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT susannakunvik developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT jussibergman developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT marjaairaksinen developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy AT juhapuustinen developmentofapreventivehealthscreeningprocedureenablingsupportiveserviceplanningforhomedwellingolderadultspori75protocolforanactionresearchstudy |