Elderly Care in Transition - the Older Persons' and the Staff's Perspective
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age70+
SponsorUniversity of Gavle
About this trial
Elderly care has and is facing several challenges with an increasing number of older people and fewer of working age. Strengthening the positive aspects will be central and creating good conditions for older people and staff for high quality care. Elderly care where both staff and the older people enjoy a health-promoting, preventive and person-centered approach and with good accessibility to services that facilitate faster transitions.
In one of the municipalities in this research project, they will introduce measures without individual needs assessment by an social welfare officer and they will carry out a training program for staff. The training will focus on changes in legislation (SoL 2025:400), changed working methods with a focus on the person and their needs (person-centered approach, participation, accessibility, health promotion and prevention) and motivational interviews. Every person with elderly care will have a permanent care contact who has undergone the training. A new preventive unit will be formed. The project is part of a larger program at the University of Gävle where the focus is on person-centered care for older people.
In the other municipality (comparison) certain changes are also taking place but to a lesser extent, interventions without individual needs assessment are not planned within the next year on any large scale. On the other hand, preventive and health-promoting activities are being expanded, but on a smaller scale.
The changes are the responsibility of the municipalities and the researchers intend to follow the changes that are taking place and has nothing to do with the changes themselves. Questionnaires will be given to older people covered by home care in two municipalities (one where the changes are taking place and a comparison municipality) and to the staff working in home care before and after the changes have taken place.
The overall aim of the study is to investigate 1) the experience of older people and 2) staff of a changed way of working in home care in one of the municipalities and compare it with a municipality where smaller changes are taking place. In addition, to study the relationship between estimates of person-centered care/service, quality of care, health and well-being in elderly care for the older people and the relationship between estimates of person-centered care/service, quality of care and quality of working life for the staff.
• What changes occur over time
1. in older peoples' rating of person-centered care/service, quality of care/service, health and well-being before and after the introduction of the new working method in one of the municipalities and are there any differences in these variables over time compared to another municipality where minor changes are implemented? 2. in staff-rated person-centered care/service, quality of care/service, and quality of working life, and are there any differences compared to a comparison municipality?
The main question that the study aims to answer is: are there any changes in person-centered care, as rated by older people and staff, over time in the municipality with changed working methods within home care and compared to a comparison group/municipality?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
age 70+
having home care and
able to respond to a survey.
Disqualifiers
those with only food distribution and/or
those with only alarms.
those on leave and
those on short-term/hourly employees.
Trial population
1. Older people 70 years or more in two municipalities who have home care/service. 2. staff working in home care/service in these two municipalities
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
1,980 Participants
are grouped into 4 trial groupsGroup A: Older people intervention group
Group B: Older people comparison group
Group C: Staff intervention group
Group D: Staff comparison group
Trial outcomes
Primary outcomes
1
Older peoples' rating of Person-centered care
The scale Person-Centred Practice Inventory - Care \[PCPI-C\] will be used to measure older peoples' ratings of person-centered care,18 items, each rated on a 5- point Likert scale from strongly disagree (1) to strongly agree (5), mean score is calculated and a higher score means more person-centred care.
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).2
Staff-rated person-centered care
The Person-Centred Practice Inventory - Staff (PCPI-S) will be used to measure staff-rated person-centred care, 59 items, 5-point response alternatives, mean score is calculated and a higher score represents a more person-centred care.
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).Secondary outcomes
1
Older peoples' rating of their health/wellbeing -EQ-VAS
Survey, scale for health EuroQol - (EQ)- VAS, scores 0-100, higher scores better health
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).2
Older peoples' rating of their health/wellbeing - Life satisfaction
Survey, the Life Satisfaction Questionnaire with scores 0-100, higher scores a more desirable outcome for wellbeing
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).3
Older peoples' rating of their health/wellbeing - Depression
Survey, the Patient Health Questionnaire PHQ-2 will be used that gives a score for depression 0-6, higher score more depressive symptoms, each item rated from 0 ( "not at all") to 3 ( "nearly every day"),
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).4
Older peoples' rating of their health/wellbeing - Anxiety
Survey, the Generalized anxiety disorder scale GAD-2 will be used that gives a score for anxiety 0-6, higher score more anxiety symptoms, each item rated from 0 ( "not at all") to 3 ( "nearly every day").
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).Other outcomes
1
Older peoples' rating on Quality of care
Study specific questions on how the older people rate the care they receive
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).2
Staff-rated quality of care
Study-specific questions are used for self-efficacy, accessibility, preventive measures, health promotion, and satisfaction with care/service.
Time frame
Data collection before the changes (pre-), and thereafter 12 and 24 months after the first data collection (post data collection).Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: