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

: 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. : Feasibility study of the CTM approach in older adults receiving home care. Recruitm...

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Published inInternational journal of environmental research and public health Vol. 19; no. 18; p. 11148
Main Authors Horgan, Frances, Cummins, Vanda, Skelton, Dawn A, Doyle, Frank, O'Sullivan, Maria, Galvin, Rose, Burton, Elissa, Sorensen, Jan, Jabakhanji, Samira Barbara, Townley, Bex, Rooney, Debbie, Jackson, Gill, Murphy, Lisa, Swan, Lauren, O'Neill, Mary, Warters, Austin
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 06.09.2022
MDPI
Subjects
Adults
Aged
Aged, 80 and over
Assessments
Coronaviruses
COVID-19
COVID-19 - epidemiology
Data loss
Delivery of Health Care
Empowerment
Exercise
Feasibility Studies
Female
Frailty
Functional Status
Health care
Home Care Services
Humans
Intervention
Male
Older people
Palliative care
Pandemics
Physical activity
Physical fitness
Quality of Life
Support services
Ireland
feasibility
older adult
home care
care staff
training
community-dwelling
intervention
physical activity
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Abstract : 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. : 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. : 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. : Embedding CTM within home support services is acceptable and feasible. Data gathered can power a definitive trial.
AbstractList AbstractBackground: 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.
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.
: 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. : 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. : 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. : Embedding CTM within home support services is acceptable and feasible. Data gathered can power a definitive trial.
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.
Author O'Sullivan, Maria
Horgan, Frances
Warters, Austin
Cummins, Vanda
Burton, Elissa
Sorensen, Jan
Jabakhanji, Samira Barbara
Skelton, Dawn A
Jackson, Gill
Doyle, Frank
Galvin, Rose
Murphy, Lisa
Rooney, Debbie
Townley, Bex
Swan, Lauren
O'Neill, Mary
AuthorAffiliation 8 enAble Institute, Curtin University, Bentley, WA 6102, Australia
9 Healthcare Outcomes Research Centre (HORC), RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland
2 Primary Care Physiotherapy Services CHO9, Health Service Executive, D09 C8P5 Dublin, Ireland
13 Older Person Services CHO9, Health Service Executive (HSE), D09 C8P5 Dublin, Ireland
4 Department of Health Psychology, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland
6 Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick (UL), V94 T9PX Limerick, Ireland
3 Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK
7 School of Allied Health, Curtin University, Bentley, WA 6102, Australia
10 Later Life Training, Killin, Scotland FK21 8UT, UK
1 School of Physiotherapy, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland
5 De
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Keywords feasibility
older adult
home care
care staff
training
community-dwelling
intervention
physical activity
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Snippet : Care to Move (CTM) provides a series of consistent 'movement prompts' to embed into existing movements of daily living. We explored the feasibility of...
Background: Care to Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the feasibility...
AbstractBackground: Care to Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the...
Background : Care to Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the...
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pubmed
SourceType Open Access Repository
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Index Database
StartPage 11148
SubjectTerms Adults
Aged
Aged, 80 and over
Assessments
Coronaviruses
COVID-19
COVID-19 - epidemiology
Data loss
Delivery of Health Care
Empowerment
Exercise
Feasibility Studies
Female
Frailty
Functional Status
Health care
Home Care Services
Humans
Intervention
Male
Older people
Palliative care
Pandemics
Physical activity
Physical fitness
Quality of Life
Support services
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Title 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
URI https://www.ncbi.nlm.nih.gov/pubmed/36141422
https://www.proquest.com/docview/2716548040/abstract/
https://search.proquest.com/docview/2717688561
https://pubmed.ncbi.nlm.nih.gov/PMC9517683
Volume 19
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