ArticleBMC geriatrics2019
Explaining experiences of community-dwelling older adults with a pro-active comprehensive geriatric assessment program - a thorough evaluation by interviews.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Exploring stakeholders' experiences of comprehensive geriatric assessment in the community and out-patient settings: a qualitative evidence synthesis.BMC primary care · 2023Pooled it
- Pooled it
- "Making an effort for the very elderly": The acceptability of a multidisciplinary intervention to retirement village residents.Health & social care in the community · 2022Trial
- Interventions to Improve Clinician Implementation of and Patient Adherence to Recommendations on Geriatric Assessment and Management: A Scoping Review.Journal of the American Geriatrics Society · 2026Article
- Exploring patient-centered care delivery in outpatient settings for older adults: a scoping review and recommendations for implementation in countries with low and middle income.BMC geriatrics · 2025Article
- Enablers and constraints influencing implementation of a novel, multi-site community-based frailty programme: perspectives of leaders and implementers.BMC geriatrics · 2025Article
- Veteran comfort and satisfaction with comprehensive geriatric assessment via video telehealth to home.Journal of the American Geriatrics Society · 2025Article
- Perspectives on which health settings geriatricians should staff: a qualitative study of patients, care providers and health administrators.BMC geriatrics · 2025Article
- Issues and Challenges of Older Persons and Research and Health Facility-based Assessors in the Conduct of Comprehensive Geriatric Assessment in the Philippines: A Descriptive Study.Acta medica Philippina · 2025Article
- Training healthcare professionals in assessment of health needs in older adults living at home: a scoping review.BMC medical education · 2024Article
- Article
- Article
- Development and validation of retrospective electronic frailty index using operational data of aged care homes.BMC geriatrics · 2022Article
- Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial.Methods and protocols · 2021Article
- Experiences with and attitudes towards geriatric screening among older emergency department patients: a qualitative study.BMC geriatrics · 2021Article
- Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation.Journal of aging and healthArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPro-active assessment programs are increasingly used to improve care for older adults. These programs include comprehensive geriatric tailored to individual patient preferences. Evidence for the effects of these programs on patient outcomes is nevertheless scarce or ambiguous. Explaining these dissatisfying results is difficult due to the multi-component nature of the programs. The objective of the current study was to explore and explain the experience of older adults participating in a pro-active assessment program, to help to clarify the effects.
methodsSemi-structured in-depth interviews were held with 25 participants of a pro-active assessment program for frail community-dwelling adults aged 65+. This study was part of an evaluation study on the effects of the program. Transcripts were analysed with thematic analysis and cross-case analysis.
resultsThe participants' mean age was 78.5 (SD 6.9) and 56% was female. The majority of the participants were satisfied with the program but based this on communication aspects, since only a few of them expressed real program benefits. Participant experiences could be clustered in six themes: (1) All participants expressed the need for a holistic view which was covered in the program, (2) the scope of the CGA was broader than expected or unclear, (3) the program delivered unexpected but valued help, (4) participants described a very low sense of ownership, (5) timing of the program implementation or the CGA was difficult and(6), participants and care workers had a different view on what to consider as a problem. These experiences could be explained by three program components: the degree of (the lack of) integration of the program within usual care, the pro-active screening method and the broader than expected, but appreciated multi-domain approach.
conclusionOlder adults' need for a holistic view is covered by this outpatient assessment program. However, their engagement and the correct timing of the program are hampered by the pro-active recruitment and the limited integration of the program within existing care. Furthermore, satisfaction seems an insufficient guiding factor when evaluating CGA programs for older adults because it does not reflect the impact of the program.
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