ArticleBMC geriatrics2021
Effects of a person-centred and health-promoting intervention in home care services- a non-randomized controlled trial.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02846246 (The Effects and Meaning of a Person-centred and Health-promoting Intervention in Home Care Services), which is not on this map. Cited by 6 papers.
What it found
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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.
The trial behind it
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.
The Effects and Meaning of a Person-centred and Health-promoting Intervention in Home Care Services: Study Protocol of a Non-randomised Controlled Trial
Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Feasibility of a standardised National induction programme for Home Support Workers (HSWs) in the Republic of Ireland? Results from a National consultation with stakeholders from the sector.BMC health services research · 2025Article
- Hindering and Facilitating Factors While Implementing the Family and Community Nursing Model in Italy: Findings from a Qualitative Study.Healthcare (Basel, Switzerland) · 2025Article
- Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Older adults' experiences of self-determination when needing homecare services-an interview study.BMC geriatrics · 2023Article
- Stakeholder perspectives on the preferred service ecosystem for senior citizens living at home: a qualitative interview study.BMC geriatrics · 2023Article
- What constitutes a quality community aged care service-client perspectives: An international scoping study.Health & social care in the community · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHome care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff.
methodsThis is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses.
resultsEighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: - 4, p 0.026, CI: - 10. 766, - 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: - 7 control: + - 0, p 0.048, CI: - 17.435, - 0.098). No significant effects were found among staff.
conclusionsThe intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS.
trial registrationNCT02846246. Date of registration: 27 July 2016.
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