ArticleBMC family practice2014
Nurse-led home visitation programme to improve health-related quality of life and reduce disability among potentially frail community-dwelling older people in general practice: a theory-based process evaluation.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring stakeholders' experiences of comprehensive geriatric assessment in the community and out-patient settings: a qualitative evidence synthesis.BMC primary care · 2023Pooled it
- Stakeholders' experiences of comprehensive geriatric assessment in an inpatient hospital setting: a qualitative systematic review and meta-ethnography.BMC geriatrics · 2023Pooled it
- Process evaluation of a tailored intervention programme of cardiovascular risk management in general practices.Implementation science : IS · 2016Trial
- A hybrid process fidelity assessment in a home-based randomized clinical trial.Home health care services quarterlyTrial
- Key Areas of Preventive Home Visits and Their Importance for Older Adults: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Personalised care planning for older people with frailty: a review of factors influencing implementation.BJGP open · 2025Article
- What makes older adults feel good?Aging clinical and experimental research · 2023Article
- Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review.BMJ open · 2022Review
- Designing a nurse-led assessment and care planning intervention to support frail older people in primary care: An e-Delphi study.Journal of advanced nursing · 2022Article
- Organizational readiness to implement a care model in primary care for frail older adults living at home in Sweden.Frontiers in health services · 2022Article
- Process evaluation of a programme to empower community nurse leadership.BMC nursing · 2021Article
- Assessment of the implementation fidelity of a strategy to scale up integrated care in five European regions: a multimethod study.BMJ open · 2020Article
- Population ageing in South Africa: trends, impact, and challenges for the health sector.South African health review · 2019Article
- Health economic perspective on a community-based intervention for older people at risk of care dependency - results of a prospective quasi-experimental study.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation ageing fosters new models of care delivery for older people that are increasingly integrated into existing care systems. In the Netherlands, a primary-care based preventive home visitation programme has been developed for potentially frail community-dwelling older people (aged ≥75 years), consisting of a comprehensive geriatric assessment during a home visit by a practice nurse followed by targeted interdisciplinary care and follow-up over time. A theory-based process evaluation was designed to examine (1) the extent to which the home visitation programme was implemented as planned and (2) the extent to which general practices successfully redesigned their care delivery.
methodsUsing a mixed-methods approach, the focus was on fidelity (quality of implementation), dose delivered (completeness), dose received (exposure and satisfaction), reach (participation rate), recruitment, and context. Twenty-four general practices participated, of which 13 implemented the home visitation programme and 11 delivered usual care to older people. Data collection consisted of semi-structured interviews with practice nurses (PNs), general practitioners (GPs), and older people; feedback meetings with PNs; structured registration forms filled-out by PNs; and narrative descriptions of the recruitment procedures and registration of inclusion and drop-outs by members of the research team.
resultsFidelity of implementation was acceptable, but time constraints and inadequate reach (i.e., the relatively healthy older people participated) negatively influenced complete delivery of protocol elements, such as interdisciplinary cooperation and follow-up of older people over time. The home visitation programme was judged positively by PNs, GPs, and older people. Useful tools were offered to general practices for organising proactive geriatric care.
conclusionsThe home visitation programme did not have major shortcomings in itself, but the delivery offered room for improvement. General practices received useful tools to redesign their care delivery from reactive towards proactive care, but perceived barriers require attention to allow for sustainability of the home visitation programme over time.
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