scholarly journals Reducing the use of physical restraints in home care - Development and feasibility testing of a multicomponent program to support the implementation of a guideline

2020 ◽  
Author(s):  
Sara Vandervelde ◽  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Theo van Achterberg ◽  
Ellen Vlaeyen ◽  
...  
Keyword(s):  
Home Care ◽  
Feasibility Study ◽  
Online Survey ◽  
Cognitive Theory ◽  
Intervention Mapping ◽  
Physical Restraint ◽  
Care Providers ◽  
Physical Restraints ◽  
Practical Applications ◽  
Multicomponent Program

Abstract Background: A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care.Methods: Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of eight months was organized in one primary care district in Flanders, Belgium. A concurrent mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey. Results: The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n = 15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers.Conclusions: The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

scholarly journals Reducing the use of physical restraints in home care: development and feasibility testing of a multicomponent program to support the implementation of a guideline

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Vandervelde ◽  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Theo van Achterberg ◽  
Ellen Vlaeyen ◽  
...  
Keyword(s):  
Home Care ◽  
Feasibility Study ◽  
Online Survey ◽  
Cognitive Theory ◽  
Intervention Mapping ◽  
Physical Restraint ◽  
Care Providers ◽  
Physical Restraints ◽  
Practical Applications ◽  
Multicomponent Program

Abstract Background A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care. Methods Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of 8 months was organized in one primary care district in Flanders, Belgium. A concurrent triangulation mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey. Results The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n = 15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers. Conclusions The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

scholarly journals Reducing the use of physical restraints in home care - Development and evaluation of a multicomponent program to support the implementation of a guideline

2020 ◽  
Author(s):  
Sara Vandervelde ◽  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Theo van Achterberg ◽  
Ellen Vlaeyen ◽  
...  
Keyword(s):  
Home Care ◽  
Feasibility Study ◽  
Online Survey ◽  
Cognitive Theory ◽  
Intervention Mapping ◽  
Physical Restraint ◽  
Care Providers ◽  
Physical Restraints ◽  
Practical Applications ◽  
Multicomponent Program

Abstract Background: A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care.Methods: Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of eight months was organized in one primary care district in Flanders, Belgium. A concurrent mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey.Results: The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n =15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers.Conclusions: The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

scholarly journals Reducing the use of physical restraints in home care - Development and feasibility testing of a multicomponent program to support the implementation of a guideline

2020 ◽  
Author(s):  
Sara Vandervelde ◽  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Theo van Achterberg ◽  
Ellen Vlaeyen ◽  
...  
Keyword(s):  
Home Care ◽  
Feasibility Study ◽  
Online Survey ◽  
Cognitive Theory ◽  
Intervention Mapping ◽  
Physical Restraint ◽  
Care Providers ◽  
Physical Restraints ◽  
Practical Applications ◽  
Multicomponent Program

Abstract Background: A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care.Methods: Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of eight months was organized in one primary care district in Flanders, Belgium. A concurrent mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey. Results: The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n = 15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers.Conclusions: The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

scholarly journals Development and feasibility testing of a multicomponent program to support the implementation of a guideline

2020 ◽  
Author(s):  
Sara Vandervelde ◽  
Kristien Scheepmans ◽  
Koen Milisen ◽  
Theo van Achterberg ◽  
Ellen Vlaeyen ◽  
...  
Keyword(s):  
Home Care ◽  
Feasibility Study ◽  
Online Survey ◽  
Cognitive Theory ◽  
Intervention Mapping ◽  
Physical Restraint ◽  
Care Providers ◽  
Physical Restraints ◽  
Practical Applications ◽  
Multicomponent Program

Abstract Background: A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reducing the use of physical restraints in home care.Methods: Intervention Mapping was used to develop a multicomponent program. This method contains six steps. Each step comprises several tasks towards the design, implementation and evaluation of an intervention; which is theory and evidence informed, as well as practical. To ensure that the multicomponent program would support the implementation of the guideline in home care, a feasibility study of eight months was organized in one primary care district in Flanders, Belgium. A concurrent mixed methods design was used to evaluate the multicomponent program consisting of a knowledge test, focus groups and an online survey. Results: The Social Cognitive Theory and the Theory of Planned Behavior are the foundations of the multicomponent program. Based on modeling, active learning, guided practice, belief selection and resistance to social pressure, eight practical applications were developed to operationalize these methods. The key components of the program are: the ambassadors for restraint-free home care (n = 15), the tutorials, the physical restraint checklist and the flyer. The results of the feasibility study show the necessity to select uniform terminology and definition for physical restraints, to involve all stakeholders from the beginning of the process, to take time for the implementation process, to select competent ambassadors and to collaborate with other home care providers.Conclusions: The multicomponent program shows promising results. Prior to future use, further research needs to focus on the last two steps of Intervention Mapping (program implementation plan and developing an evaluation plan), to guide implementation on a larger scale and to formally evaluate the effectiveness of the multicomponent program.

scholarly journals Physical Restraint of Older Adults at Home: Preliminary Analysis of a Prospective Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 683-683
Author(s):  
Asa Inagaki ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Mariko Sakka ◽  
Chie Fukui ◽  
...  
Keyword(s):  
Older Adults ◽  
Online Survey ◽  
Physical Restraint ◽  
Community Dwelling ◽  
Physical Restraints ◽  
Care Nurse ◽  
Factors Associated ◽  
Home Care Nurse ◽  
Community Dwelling Older Adults ◽  
At Home

Abstract Our study aimed to explore the prevalence and factors of physical restraints among frail to dependent older adults living at home. We conducted an online survey to ask about the physical/mental conditions, demographics, service utilization, and physical restraints of community-dwelling older adults. Either home care nurse or care managers who were responsible for the older adult answered the survey that were conducted at baseline and one month later. We obtained data from 1,278 individuals. Physical restraint was reported for 53 (4.1%) participants. Multiple logistic regression revealed the factors associated with physical restraints at home: having been restrained at baseline, having pneumonia or heart failure, receiving home bathing, or using rental assistive devices were associated with physical restraints at one month. The findings could be used to promote discussion about which services prevent physical restraints and what we should do to support clients and their family to stay at home safely.

scholarly journals Just-in-time, but still planned development of an online intervention to promote COVID-19 vaccination among university students; an Intervention Mapping approach

2021 ◽  
Author(s):  
Gill A. ten Hoor ◽  
Tugce Varol ◽  
Ilse Mesters ◽  
Francine Schneider ◽  
Gerjo Kok ◽  
...  
Keyword(s):  
University Students ◽  
Online Survey ◽  
Time Pressure ◽  
Intervention Mapping ◽  
Online Intervention ◽  
Time Frame ◽  
Just In Time ◽  
Practical Applications ◽  
Asking Questions ◽  
The University

We describe the just-in-time, planned development of an online intervention promoting COVID-19-vaccination among University students, just before they were eligible for being vaccinated. We applied the six steps of Intervention Mapping within a time frame much shorter than usual, without losing scientific rigor. In step 1, we created a logic model of the problem. In step 2, we defined the behavioral outcome: taking the vaccination. We selected relevant determinants in an online survey and formulated change objectives. In step 3, we linked the objectives to theory- and evidence-based change methods and translated those into practical applications, taking into account the parameters for effectiveness. Students indicated preferring science-based information from experts; therefore, the final webpage, step 4, included four video-interviews, with a student asking questions to experts; the first two about worries & trust, and the second two on attitudes and perceived norms. In step 5, the intervention was fully implemented by the leadership of the University. Ideally in step 6, first-time interventions are systematically evaluated; however, not in times of COVID-19. This project was executed under unavoidable time pressure. Nevertheless, Intervention Mapping helped us developing an intervention that hopefully will positively affect students’ vaccination behavior in times of need.

Nursing professionals’ attitudes toward use of physical restraints in Styrian nursing homes Austria

Pflege ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 57-63
Author(s):  
Hannes Mayerl ◽  
Tanja Trummer ◽  
Erwin Stolz ◽  
Éva Rásky ◽  
Wolfgang Freidl
Keyword(s):  
Nursing Homes ◽  
Large Scale ◽  
Critical Role ◽  
Physical Restraint ◽  
Care Practice ◽  
Physical Restraints ◽  
Convenience Sample ◽  
Restraint Use ◽  
Positive Attitudes ◽  
Nursing Professionals

Abstract. Background: Given that nursing staff play a critical role in the decision regarding use of physical restraints, research has examined nursing professionals’ attitudes toward this practice. Aim: Since nursing professionals’ views on physical restraint use have not yet been examined in Austria to date, we aimed to explore nursing professionals’ attitudes concerning use of physical restraints in nursing homes of Styria (Austria). Method: Data were collected from a convenience sample of nursing professionals (N = 355) within 19 Styrian nursing homes, based on a cross-sectional study design. Attitudes toward the practice of restraint use were assessed by means of the Maastricht Attitude Questionnaire in the German version. Results: The overall results showed rather positive attitudes toward the use of physical restraints, yet the findings regarding the sub-dimensions of the questionnaire were mixed. Although nursing professionals tended to deny “good reasons” for using physical restraints, they evaluated the consequences of physical restraint use rather positive and considered restraint use as an appropriate health care practice. Nursing professionals’ views regarding the consequences of using specific physical restraints further showed that belts were considered as the most restricting and discomforting devices. Conclusions: Overall, Austrian nursing professionals seemed to hold more positive attitudes toward the use of physical restraints than counterparts in other Western European countries. Future nationwide large-scale surveys will be needed to confirm our findings.

Developing a novel diabetes distress e-learning program for diabetes educators: an intervention mapping approach

2021 ◽  
Author(s):  
Jennifer A Halliday ◽  
Jane Speight ◽  
Sienna Russell-Green ◽  
Eric O ◽  
Virginia Hagger ◽  
...  
Keyword(s):  
Cognitive Theory ◽  
Tertiary Education ◽  
Emotional Health ◽  
Intervention Mapping ◽  
Diabetes Distress ◽  
Learning Program ◽  
Program Outcomes ◽  
Mapping Approach ◽  
E Learning ◽  
Diabetes Educators

Abstract Diabetes distress is a common negative emotional response to the ongoing burden of living with diabetes. Elevated diabetes distress is associated with impaired diabetes self-management and quality of life yet rarely identified and addressed in clinical practice. Health professionals report numerous barriers to the provision of care for diabetes distress, including lack of skills and confidence, but few diabetes distress training opportunities exist. The purpose of this paper is to describe how we utilized Intervention Mapping to plan the development, implementation, and evaluation of a novel diabetes distress e-learning program for diabetes educators, to meet a well-documented need and significant gap in diabetes care. A multidisciplinary team (combining expertise in research, health and clinical psychology, diabetes education, nursing, tertiary education, and website architecture) developed a diabetes distress e-learning program. We followed a six-step process (logic model of the problem, program outcomes and objectives, program design, program production, program implementation plan, and evaluation plan) known as Intervention Mapping. The program is underpinned by educational and psychological theory, including Bloom’s Taxonomy of Educational Objectives and social cognitive theory. We developed a short (estimated 4 h) e-learning program for diabetes educators, which draws on the content of the Diabetes and Emotional Health handbook and toolkit. It integrates a 7As model, which provides a stepwise approach to identifying and addressing diabetes distress. Our diabetes distress e-learning program has been developed systematically, guided by an Intervention Mapping approach. In the next phase of the project, we will trial the e-learning.

scholarly journals Paramedics assessing patients with complex comorbidities in community settings: results from the CARPE study

CJEM ◽  
2021 ◽  
Author(s):  
Matthew S. Leyenaar ◽  
Brent McLeod ◽  
Aaron Jones ◽  
Audrey-Anne Brousseau ◽  
Eric Mercier ◽  
...  
Keyword(s):  
Home Care ◽  
Support Services ◽  
Home Visit ◽  
Community Care ◽  
Community Support ◽  
Community Dwelling ◽  
Living Alone ◽  
Care Providers ◽  
Community Paramedicine ◽  
Community Support Services

Abstract Objectives The aim for this study was to provide information about how community paramedicine home visit programs best “navigate” their role delivering preventative care to frequent 9-1-1 users by describing demographic and clinical characteristics of their patients and comparing them to existing community care populations. Methods Our study used secondary data from standardized assessment instruments used in the delivery of home care, community support services, and community paramedicine home visit programs in Ontario. Identical assessment items from each instrument enabled comparisons of demographic, clinical, and social characteristics of community-dwelling older adults using descriptive statistics and z-tests. Results Data were analyzed for 29,938 home care clients, 13,782 community support services clients, and 136 community paramedicine patients. Differences were observed in proportions of individuals living alone between community paramedicine patients versus home care clients and community support clients (47.8%, 33.8%, and 59.9% respectively). We found higher proportions of community paramedicine patients with multiple chronic disease (87%, compared to 63% and 42%) and mental health-related conditions (43.4%, compared to 26.2% and 18.8% for depression, as an example). Conclusion When using existing community care populations as a reference group, it appears that patients seen in community paramedicine home visit programs are a distinct sub-group of the community-dwelling older adult population with more complex comorbidities, possibly exacerbated by mental illness and social isolation from living alone. Community paramedicine programs may serve as a sentinel support opportunity for patients whose health conditions are not being addressed through timely access to other existing care providers. Protocol registration ISRCTN 58273216.

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