Patient Characteristics Associated With a Successful Response to Nurse-Led Care Programs Targeting the Oldest-Old

A Comparison of Two RCTs

Auteur(s) Nienke Bleijenberg; Lorenz Imhof; Romy Mahrer-Imhof; Margaret Wallhagen; Niek Wit, de; Marieke J. Schuurmans
Publicatiedatum 2017
Publicatietype Artikel
Kenniscentrum Hogeschool Utrecht, Kenniscentrum Gezond en Duurzaam Leven
Lectoraat Chronisch Zieken
Samenvatting Background: To improve the effectiveness of community-based care programs, especially those targeting the oldest-old population (80+), data are needed that elucidate those factors associated with a successful response to the intervention. Two comparable nurse-led care programs have been evaluated in two large randomized controlled trials (RCTs), one in Switzerland and one in the Netherlands. Aims: To identify common patient characteristics that are related to a successful response to proactive nurse-led care, we explored if and to what extent, identical factors were present in both study populations. Methods: A secondary data analysis using trial data from the intervention group of both RCTs was conducted. The study sample consisted 461 older adults, 230 from the U-PROFIT trial (the Netherlands) and 231 from the HPC trial (Switzerland). The mean age of the total sample was 85.1 years (SD 3.7). The UPROFIT intervention, delivered by registered nurses, included a frailty assessment and a comprehensive geriatric assessment (CGA) at home followed by an individualized evidence-based care plan, care coordination, and follow-up. The HCP intervention was delivered by advanced practice nurses consisting of four home visits and three phone calls, and was guided by the principles of health promotion, empowerment, partnership, and family-centeredness. A successful response was defined as “stable” or “no decline” in daily functioning at follow-up. Daily functioning was measured with 13 items of activities of daily living and instrumental activities of daily living. Multivariate logistic regression models were applied to calculate the association between individual characteristics and a successful response.
Trefwoorden ouderen, verzorgingshuizen, verpleegkundige zorg, patiëntenzorg
Taal Engels
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Gepubliceerd in Worldviews on Evidence-Based Nursing
Jaargang/Volume 14 nr. 3
Paginabereik 210-222