Transition from home to nursing home, planning the future care situation of older persons in need of care
Conditions
Interventions
Group 1: Structured counselling approach on the topic of future care planning for older people in need of care and their informal caregivers, carried out by home care nursing services and nursing home
Sponsors
Technische Hochschule Rosenheim
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Older adults in need of care (= 65 years) who either 1) are cared for at least once a week by a home care nursing service participating in the study or 2) have moved from home to a nursing home participating in the study in the last 6 weeks or will move to a nursing home.
Exclusion criteria
Exclusion criteria: Not able to give written informed consent themselves and no consent of legal guardian • If no informal caregiver participates in the study: Insufficient command of the German language, severe cognitive impairments according to the assessment of the nursing professionals (an existing standardised cognition assessment is not to be expected and the new survey to check inclusion is not adequate due to the burden on the persons) • Limited life expectancy (= 1 year), persons in need of palliative care • Transition to a NH from a setting other than from home (e.g. from hospital to NH) • Transition from home to a form of care other than a NH (e.g. assisted living) is certain
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-perceived participation and autonomy (older adults): Impact on Participation and Autonomy Questionnaire (IPA) Caregiver reaction (informal caregivers): German Caregiver Reaction Assessment (G-CRA) We will collect data for the primary and secondary outcomes at three measurement points: At baseline before the intervention (t0), 2-3 weeks after intervention (t1) and after 3 months (t2). | — |
Secondary
| Measure | Time frame |
|---|---|
| Health-related quality of life (older adults): European Quality of Life Five-Dimension Five-Level Scale Caregiver guilt after placement (caregivers of persons, who have moved or will move into the NH): Guilt after Placement Questionaire (GAP-Q) Mental well-being (older adults and informal caregivers): Warwick-Edinburgh Mental Well-being Scale (WEMWBS) We will collect data for the primary and secondary outcomes at three measurement points: At baseline before the intervention (t0), 2-3 weeks after intervention (t1) and after 3 months (t2). | — |
Countries
Germany
Contacts
Public ContactKatharina Lüftl
Technische Hochschule Rosenheim
Outcome results
None listed