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Enhancing Existing Formal Home Care to Improve and Maintain Functional Status in Older Adults: Results of a Feasibility Study on the Implementation of Care to Move (CTM) in an Irish Healthcare Setting

Author

Listed:
  • Frances Horgan

    (School of Physiotherapy, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland)

  • Vanda Cummins

    (Primary Care Physiotherapy Services CHO9, Health Service Executive, D09 C8P5 Dublin, Ireland)

  • Dawn A. Skelton

    (Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK)

  • Frank Doyle

    (Department of Health Psychology, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland)

  • Maria O’Sullivan

    (Department of Clinical Medicine, Trinity College, D02 PN40 Dublin, Ireland)

  • Rose Galvin

    (Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick (UL), V94 T9PX Limerick, Ireland)

  • Elissa Burton

    (School of Allied Health, Curtin University, Bentley, WA 6102, Australia
    enAble Institute, Curtin University, Bentley, WA 6102, Australia)

  • Jan Sorensen

    (Healthcare Outcomes Research Centre (HORC), RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland)

  • Samira Barbara Jabakhanji

    (Healthcare Outcomes Research Centre (HORC), RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland)

  • Bex Townley

    (Later Life Training, Killin, Scotland FK21 8UT, UK)

  • Debbie Rooney

    (North Dublin Home Care (NDHC), D03 A6Y0 Dublin, Ireland)

  • Gill Jackson

    (North Dublin Home Care (NDHC), D03 A6Y0 Dublin, Ireland)

  • Lisa Murphy

    (North Dublin Home Care (NDHC), D03 A6Y0 Dublin, Ireland)

  • Lauren Swan

    (Department of Clinical Medicine, Trinity College, D02 PN40 Dublin, Ireland)

  • Mary O’Neill

    (Graduate School of Healthcare Management, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland)

  • Austin Warters

    (Older Person Services CHO9, Health Service Executive (HSE), D09 C8P5 Dublin, Ireland)

Abstract

Background : Care to Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the feasibility of incorporating CTM approaches in home care settings. Methods : Feasibility study of the CTM approach in older adults receiving home care. Recruitment, retention and attrition (three time points), adherence, costs to deliver and data loss analyzed and differentiated pre and post the COVID-19 pandemic. Secondary outcomes, including functional status, physical activity, balance confidence, quality of life, cost to implement CTM. Results : Fifty-five home care clients (69.6% of eligible sample) participated. Twenty were unable to start due to COVID-19 disruptions and health issues, leaving 35 clients recruited, mostly women (85.7%), mean age 82.8 years. COVID-19 disruption impacted on the study, there was 60% retention to T2 assessments (8-weeks) and 13 of 35 (37.1%) completed T3 assessments (6-months). There were improvements with small to medium effect sizes in quality of life, physical function, balance confidence and self-efficacy. Managers were supportive of the roll-out of CTM. The implementation cost was estimated at EUR 280 per carer and annual running costs at EUR 75 per carer. Conclusion : Embedding CTM within home support services is acceptable and feasible. Data gathered can power a definitive trial.

Suggested Citation

  • Frances Horgan & Vanda Cummins & Dawn A. Skelton & Frank Doyle & Maria O’Sullivan & Rose Galvin & Elissa Burton & Jan Sorensen & Samira Barbara Jabakhanji & Bex Townley & Debbie Rooney & Gill Jackson , 2022. "Enhancing Existing Formal Home Care to Improve and Maintain Functional Status in Older Adults: Results of a Feasibility Study on the Implementation of Care to Move (CTM) in an Irish Healthcare Setting," IJERPH, MDPI, vol. 19(18), pages 1-18, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11148-:d:907586
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    References listed on IDEAS

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    1. Thomas R. Wójcicki & Siobhan M. White & Edward McAuley, 2009. "Assessing Outcome Expectations in Older Adults: The Multidimensional Outcome Expectations for Exercise Scale," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(1), pages 33-40.
    2. Wren, Maev-Ann & Keegan, Conor & Walsh, Brendan & Bergin, Adele & Eighan, James & Brick, Aoife & Connolly, Sheelah & Watson, Dorothy & Banks, Joanne, 2017. "Projections of demand for healthcare in Ireland, 2015-2030: First report from the Hippocrates Model," Research Series, Economic and Social Research Institute (ESRI), number RS67.
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    Cited by:

    1. Lauren Swan & Niamh Martin & N Frances Horgan & Austin Warters & Maria O’Sullivan, 2022. "Assessing Sarcopenia, Frailty, and Malnutrition in Community-Dwelling Dependant Older Adults—An Exploratory Home-Based Study of an Underserved Group in Research," IJERPH, MDPI, vol. 19(23), pages 1-15, December.

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