P4-347: Efficacy of a multidimensional home-based care coordination intervention for elders with memory disorders: The Maximizing Independence at Home (MIND at Home) trial

2012 ◽  
Vol 8 (4S_Part_21) ◽  
pp. S780-S780 ◽  
Author(s):  
Quincy Samus ◽  
Deirdre Johnston ◽  
Ed Hess ◽  
Ann Morrison ◽  
Peter Rabins ◽  
...  
2014 ◽  
Vol 22 (4) ◽  
pp. 398-414 ◽  
Author(s):  
Quincy M. Samus ◽  
Deirdre Johnston ◽  
Betty S. Black ◽  
Edward Hess ◽  
Christopher Lyman ◽  
...  

2018 ◽  
Vol 71 ◽  
pp. 103-112 ◽  
Author(s):  
Quincy M. Samus ◽  
Betty S. Black ◽  
Melissa Reuland ◽  
Jeannie-Marie S. Leoutsakos ◽  
Laura Pizzi ◽  
...  

2020 ◽  
pp. 106409
Author(s):  
Cara Kiernan Fallon ◽  
Madison K. Kilbride

2021 ◽  
Author(s):  
Mouhamadou Faly Ba ◽  
Valéry Ridde ◽  
Amadou Ibra Diallo ◽  
Jean Augustin Diégane Tine ◽  
Babacar Kane ◽  
...  

ABSTRACTIntroductionIn mid-2020, due to the health system challenges from increased COVID-19 cases, the Ministry of Health and Social Action in Senegal opted for contact management and care of simple cases at home. The study’s objective was to determine the acceptability of contact management, home care of simple cases of COVID-19, and its associated factors.MethodThis was a sequential mixed-method study. We collected data from June 11, 2020, to July 10, 2020, for the quantitative survey (N=813) and from August 24 to September 16, 2020, for the qualitative survey (N=30). We carried out a sampling strategy using marginal quotas at the national level. We collected data using a structured questionnaire in a telephone interview for the quantitative survey and using an interview guide formulated from the quantitative survey’s initial results for the qualitative data. We assessed acceptability using binomial logistic regression combined with content analysis.ResultsThe care of simple cases of COVID-19 at home was well accepted (78.5%). This result was justified for some (saturation of the health system) but not for others (risk of contamination). The use of home contact management was less accepted (51.4%), with risk limitation as the main reason given. The acceptability of home-based care for simple cases was positively associated with knowledge of the modes of transmission of the virus (ORaj: 1.55 [95%CI: 1.04,2.28]), regular research into COVID-19 (ORaj: 2.12 [95%CI: 1.45,3.12]), belief in the existence of treatment (ORaj: 1.82 [95%CI: 1.19,2.83]), and confidence in institutional information (ORaj: 2.10 [95%CI: 1.43,3.10]). The acceptability of home-based contact management was positively associated with knowledge of the modes of transmission of the virus (ORaj: 1.77 [95%CI: 1.27,2.48]), regular research for information on COVID-19 (ORaj: 2.39 [95%CI: 1.76,3.26]), and confidence in the government in the fight against the epidemic (ORaj: 1.51 [95%CI: 1.10,2.08]).ConclusionRegular information on the disease, knowledge of its mode of transmission and trust in institutions are factors in accepting COVID-19 management at the community level. Authorities should take these factors into account for better communication to improve the acceptability of home-based care.


1999 ◽  
Vol 5 (2) ◽  
pp. 247-254
Author(s):  
F. Al Nasir ◽  
M. K. Al Haddad

We compared the levels of disability between the elderly admitted to an institution and those cared for at home. Of the 74 elderly people in this study, 56 were institutionalized and 18 were living at home. The Clifton Assessment Procedure for the Elderly [CAPE]was used to assess and compare the behavioural disabilities between the two groups. In addition to their younger age, the home-cared elderly were less incontinent, more social, better communicators and less confused than the institutionalized group, despite the fact that they had more physical disabilities with regard to bathing and walking


1991 ◽  
Vol 16 (2) ◽  
pp. 3-7 ◽  
Author(s):  
Sharon Moore

Caring is the central activity for many women who care for children with disabilities and other dependent relatives and it circumscribes virtually all of the other activities they carry out. This paper will compare the daily experiences of such women (who have been participants in the author’s recent research into home-based care) with what has been written in social work literature about women who ‘care’.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 326-327
Author(s):  
Inga Antonsdottir ◽  
Quincy Samus ◽  
Melissa Reuland ◽  
Deirdre Johnston ◽  
Morgan Spliedt ◽  
...  

Abstract MIND at Home is a home-based care coordination program for persons living with dementia (PLWD) and their informal care partners (CP). Assessments, care planning and coordination is delivered by trained non-clinical Memory Care Coordinators (MCCs), working together on an interdisciplinary team with nurses and geriatric psychiatrists. We report qualitative results from program staff (two nurses and eight MCCs) who implemented the program in the context of two clinical trials. Care team respondents answered open-ended questions covering 5 domains pertaining to: helpful skillsets; positive and challenging factors aspects of care coordination; barriers to care coordination for clients; and improvements suggestions/resources to strengthen the program. Compassion, finding common ground, listening, organization, and time management were reported as critical skills. Staff enjoyed team collaboration, being in and learning about the community, increasing CP confidence and mastery when caring for a PLWD. Reported challenges included documentation in EHR, accessing/navigating resources, driving long distances, unsafe neighborhoods, ambiguous assessment tools, and working with low engagement clients. Common barriers faced by clients (as reported by staff) were financial struggles/poverty, and lack of insurance coverage for needed services. Staff suggested several improvements: better communication strategies, integration with LTSS services and medical providers, 24-hour program hotline, continuous education for staff, simplified data collection and care delivery tracking process. This presentation on the experience of MIND at Home trained nurses and MCCs provides deep insight on how this and similar care coordination programs might be successfully implemented or strengthened.


Author(s):  
Loreto Gesualdo ◽  
Valeria Caggiano ◽  
Andrea Bellezza ◽  
Claudio Mastropaolo

Abstract.Telemedicine, defined by the World Health Organization as ‘integrative part of telecommunication systems in the promotion of public health’, generates different positive results: more efficiency, less costs, better patient’s quality of life. Thanks to the advances in diagnostic technologies, information technologies, remote monitoring and long-distance care, telemedicine have increased the viability of home-based care, even for patients with serious conditions. At the same time we observe the increase in the elderly population suffering from pluripatologyand chronic diseases, that causes an increasing recourse to medical and hospital care; but prolonged hospital stay can determine loss of function and psychophysical disorders. Telemedicine is 'the investigation, monitoring and management of patients and education of patients and staff using systems which allow ready access to expert advice and patient information, no matter where the patient or relevant information is located'. We are empowering in different areas new biomedical and information technology as a support to clinical practice. The goal is to make a case study and to use for future analysis. In the experimental phase 4 patients were followed on hemodialysis and 4 in peritoneal dialysis, previously evaluated for clinical, social, logistical and psychological conditions. It is estimated that today there are 50.000 patients on dialysis and about 10.000 new cases a year only in Italy. Naturally there are threats to solve because users face difficulties, in terms of interaction with robots, in their usual context of life.The right methodology needs to coordinate the entire hospital, different professionals, patients, providing tools for care givers that follow patients, training technicians, aligning data collection and communication.The project reached great results in relation to the indicators: efficiency in dialysis, compliance with health protocols, impact on patient quality of life. Telemedicine and telecardiology projects are active at the ‘Hospital at Home Service of Bari’.Key words: health, telemedicine, home-based care,hospital at home, robotics, ict.


2014 ◽  
Vol 926-930 ◽  
pp. 2582-2585
Author(s):  
Cheng Bo Yin ◽  
Shou Qiang Sun ◽  
Peng Ren

With the development of society, the problem of aging will be taken more and more seriously by every country. China has been entered into the aging society in the year of 2000. Children always felt helpless in taking care of the aged dues to the nuclear families become more and more prevalent since the reform and open policy. In order to prolong the Chinese traditional culture and answer for the security of elderly living at home possibly, looking for a new system of taking care of the aged has profound significance. In this paper, falling back on the intelligence of Internet of Things (IoT)[, a solution is introduced to solve the security problems of elderly living at home. The solution can contribute to a situation satisfied by elderly, children and society, due to that it cannot only disturb childrens work as little as possible but also ease the burden of country.


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