Strategies to engage older adults with behavioral and psychological symptoms of dementia in exercise: A multiple case study

Purpose Older adults are at a high risk of falling. The consequences of falls are worse when the person is unable to get up afterward. Thus, an intelligent video monitoring system (IVS) was developed to detect falls and send alerts to a respondent. This study aims to explore the implementation of the IVS at home. Design/methodology/approach A multiple case study was conducted with four dyads: older adults and informal caregivers. The IVS was implemented for two months at home. Perceptions of the IVS and technical variables were documented. Interviews were thematically analyzed, and technical data were descriptively analyzed. Findings The rate of false alarms was 0.35 per day. Participants had positive opinions of the IVS and mentioned its ease of use. They also made suggestions for improvement. Originality/value This study showed the feasibility of a two-month implementation of this IVS. Its development should be continued and tested with a larger experimental group.

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What are the factors associated with the implementation of a peer-led health promotion program? Insights from a multiple-case study

Health Education Research ◽

10.1093/her/cyz028 ◽

2019 ◽

Vol 34 (6) ◽

pp. 578-591

Author(s):

A Lorthios-Guilledroit ◽

J Filiatrault ◽

L Richard

Keyword(s):

Older Adults ◽

Health Promotion ◽

Conceptual Framework ◽

Program Implementation ◽

Organizational Context ◽

Multiple Case Study ◽

Health Promotion Program ◽

Structured Interviews ◽

Multiple Case

Abstract Peer education is widely used as a health promotion strategy. However, few efforts have been undertaken to understand the implementation of peer-led health promotion programs (HPPs). This multiple-case study identifies factors facilitating the implementation of a peer-led HPP for older adults presenting with fear of falling (Vivre en ï¿½quilibre) and their mechanisms of action. It used a conceptual framework postulating factors that may influence peer-led HPPs implementation and mechanisms through which such factors may generate implementation outcomes. Six independent-living residences for older adults in Quebec (Canada) implemented Vivre en ï¿½quilibre as part of a quasi-experimental study. Implementation factors and outcomes were documented through observation diaries, attendance sheets, peers’ logbooks, questionnaires administered to participants and semi-structured interviews conducted among peers, activity coordinators of residences and a subgroup of participants. The analysis revealed three categories of factors facilitating program implementation, related to individuals, to the program and to the organizational context. Three action mechanisms identified in the framework (interaction, self-organization and adaptation) were facilitated by some of these factors. These findings support the application of the peer-led program implementation conceptual framework used in this study and provide insights for practitioners and researchers interested in implementing peer-led HPPs.

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Understanding transitions of care in older adults with hip fractures: A qualitative multiple-case study in Ontario

International Journal of Integrated Care ◽

10.5334/ijic.s3283 ◽

2019 ◽

Vol 19 (4) ◽

pp. 283

Author(s):

Sara J.T. Guilcher ◽

Amanda Everall ◽

Walter Wodchis ◽

Joanna DeGraaf-Dunlop ◽

Stacey Bar-Ziv ◽

...

Keyword(s):

Older Adults ◽

Hip Fractures ◽

Multiple Case Study ◽

Transitions Of Care ◽

Multiple Case ◽

Qualitative Multiple Case Study

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Die Problematik der Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege – Eine Multiple Case-Study

Pflege ◽

10.1024/1012-5302/a000780 ◽

2020 ◽

pp. 1-9

Author(s):

Carola Maurer ◽

Heidrun Gattinger ◽

Hanna Mayer

Keyword(s):

Multiple Case Study ◽

Multiple Case

Zusammenfassung. Hintergrund: Einrichtungen der stationären Langzeitpflege investieren seit Jahren Ressourcen in die Entwicklung der Kinästhetikkompetenz der Pflegenden. Aus aktuellen Studien geht hervor, dass die Implementierung, bzw. die nachhaltige Förderung der Kinästhetikkompetenz problematisch ist, vertiefte Erkenntnisse zu den Ursachen fehlen jedoch. Fragestellung: Welche Hemmnisse verhindern eine nachhaltige Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege? Methode: Es wurde eine Multiple Case-Study in drei Einrichtungen der deutschsprachigen Schweiz durchgeführt. Aus leitfadengestützten Interviews und (fallbezogener) Literatur zum externen Kontext wurden in den Within-Case-Analysen die Daten induktiv verdichtet und diese Ergebnisse in der Cross-Case-Synthese miteinander verglichen und abstrahierend zusammengeführt. Ergebnisse: Die Synthese zeigt, dass die Implementierung von Kinästhetik innerhalb der Einrichtung auf drei verschiedenen Ebenen – der Leitungs-, Pflegeteam- und Pflegeperson-Ebene – als auch durch externe Faktoren negativ beeinflusst werden kann. Schlussfolgerungen: In der Pflegepraxis und -wissenschaft sowie im Gesundheitswesen benötigt es ein grundlegendes Verständnis von Kinästhetik und wie dieses im Kontext des professionellen Pflegehandelns einzuordnen ist. Insbesondere Leitungs- und implementierungsverantwortliche Personen müssen mögliche Hemmnisse kennen, um entsprechende Strategien entwickeln zu können.

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