1. An evaluation of the effectiveness of engaging Canadian clients as partners in in-home care.
- Author
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McWilliam, C. L., Vingilis, E., Ward‐Griffin, C., Higuchi, K., Stewart, M., Mantler, T., and Gao, R.
- Subjects
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HOME care services , *ANALYSIS of covariance , *CHRONIC diseases , *CONCEPTUAL structures , *STATISTICAL correlation , *FISHER exact test , *HEALTH promotion , *RESEARCH methodology , *PATIENT-professional relations , *PEOPLE with disabilities , *RESEARCH , *RESEARCH funding , *SCALE analysis (Psychology) , *SELF-efficacy , *STATISTICS , *T-test (Statistics) , *DATA analysis , *PRE-tests & post-tests , *PATIENTS' attitudes , *DESCRIPTIVE statistics - Abstract
This exploratory quasi-experimental evaluation assessed the effectiveness of the use of a concrete discussion guide to promote organisation-wide application of a partnering approach to engage older home-care clients with chronic disease/disabilities as care partners. A post-test-only design with an independent pre-test sample was used to compare selected outcomes with those of standard in-home care. The theoretically informed discussion guide portrayed how to go about the process of empowering partnering by using language and open-ended conversational leads to construct partnering, partnering effort and health as a resource for everyday living through social interaction. The discussion guide was provided to all providers for use with all clients in one home-care programme in Ontario, Canada and this organisation was compared with a similar but geographically distanced organisation, also in Ontario. Seven hundred and ninety-one randomly selected clients (mean age = 72.5 years) receiving 3+ months of in-home care for chronic conditions/disabilities from the two home-care programmes between September 2007 and May 2010 completed a researcher-administered questionnaire at either baseline, 1 year or 2 years. Instruments included the Client's Partnering Experience, Health-Promoting Partnering Effort, a modified version of Locus of Authority in Decision-Making, the Medical Outcomes Survey Self-Rated Health Scale, Health and Social Services Utilization and a modified Functional Independence Measure. Analysis of covariance revealed that the use of the concrete discussion guide to promote organisation-wide application of a partnering approach achieved significantly greater client partnering experience and health-promoting partnering effort over time than did the usual approach to in-home-care interactions. Using the discussion guide enhanced client/provider partnering, hence, interdependence, contributing positively to promoting clients' health as a resource for everyday living. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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