scholarly journals Urban Expansion of the SAFE-Home Opioid Management Education (SAFE-HOME) Naloxone Awareness Initiative for Home Health Workers and Older Adults

Pharmacy ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 200
Author(s):  
Abigail T. Elmes ◽  
Brianna M. McQuade ◽  
Michael Koronkowski ◽  
Erin Emery-Tiburcio ◽  
Jennie B. Jarrett
Keyword(s):  
Older Adults ◽  
Management Education ◽  
Health Workers ◽  
Urban Expansion ◽  
Knowledge Score ◽  
Home Health ◽  
Community Dwelling ◽  
Repeated Measure ◽  
Opioid Overdose ◽  
Community Dwelling Older Adults

The SAFE-Home Opioid Management Education (SAFE-HOME) Naloxone Awareness pilot program utilized home health workers (HHWs) in rural settings to educate older adults prescribed opioids on naloxone access and use. This work expands the SAFE-HOME program to urban settings to prepare HHWs to educate community-dwelling older adults on opioid risks and life-saving naloxone. This prospective, interventional cohort study evaluated 60-min synchronous, virtual HHW educational training sessions describing opioid risks in older adults, opioid overdose signs and symptoms, and naloxone access and use. Knowledge assessments were conducted pre- and post-intervention via a pre-developed assessment tool in a repeated measure model. Outcomes included change in total opioid and naloxone knowledge, and baseline total and individual opioid and naloxone knowledge. Six educational sessions were held (n = 154). The average pre- and post-education scores were 62.7% (n = 108) and 83.5% (n = 82), respectively (p < 0.001). Of the 69 participants who completed both pre- and post-education assessments, the average change in total score was +19.6% (p < 0.001), opioid knowledge score −0.4% (p = 0.901), and naloxone knowledge score +32.9% (p < 0.001). At baseline, HHWs were knowledgeable on opioid risks, but lacked familiarity with naloxone access and use. Targeting HHWs with opioid and naloxone training positions them to effectively educate at-risk community-dwelling older adults.

scholarly journals SAFE – Home Opioid Management Education (SAFE-HOME) in older adults: a naloxone awareness program for home health workers

2021 ◽  
Vol 10 ◽  
pp. 1-7
Author(s):  
Brianna M McQuade ◽  
Mike Koronkowski ◽  
Erin Emery-Tiburcio ◽  
Robyn Golden ◽  
Jennie B Jarrett
Keyword(s):  
Older Adults ◽  
Management Education ◽  
Health Workers ◽  
Home Health ◽  
Awareness Program

scholarly journals FAMILY CAREGIVER CONTRIBUTIONS TO HOME HEALTH FOR OLDER ADULTS: PREDICTORS OF ADEQUATE SUPPORT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S206-S206
Author(s):  
Julia Burgdorf ◽  
Julia Burgdorf ◽  
Judith D Kasper ◽  
Jennifer L Wolff
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Medication Management ◽  
Home Health ◽  
Community Dwelling ◽  
Assessment Data ◽  
Caregiver Support ◽  
Factors Affecting ◽  
Nationally Representative ◽  
Community Dwelling Older Adults

Abstract Family caregivers play a crucial role in supporting older adults through home health (HH) episodes; yet no prior research examines factors affecting the adequacy of caregiver support during HH. We use a novel dataset linking nationally-representative survey data with HH assessment data for community-dwelling older adults (n=2,128) to identify older adult characteristics associated with adequate caregiver support in four task categories (Activities of Daily Living, medication management, medical tasks, and safety/oversight) during a subsequent HH episode. Weighted, multivariable logistic regression is used to model the likelihood of adequate caregiver support in each category. Multiple older adult characteristics prior to the HH episode were associated with greater likelihood of adequate caregiver support during HH, including: prior caregiver assistance with mobility, self-care, and health care tasks, living with others, and cognitive impairment. These findings reveal new risk factors for consideration in risk assessment and payment adjustments related to social determinants of health.

scholarly journals Protein Knowledge of Older Adults and Identification of Subgroups with Poor Knowledge

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 1006
Author(s):  
Marjolein Visser ◽  
Yung Hung ◽  
Wim Verbeke
Keyword(s):  
Older Adults ◽  
Knowledge Score ◽  
Risk Groups ◽  
Community Dwelling ◽  
Health Determinants ◽  
Objective Knowledge ◽  
False Statement ◽  
True Statement ◽  
Poor Knowledge ◽  
Community Dwelling Older Adults

The aim was to investigate the protein knowledge of community-dwelling older adults. A survey was conducted among 1825 adults aged ≥65 years and living in Finland, Netherlands, Poland, Spain and United Kingdom in 2017. Protein knowledge was measured with nine objective knowledge statements provided only to participants who indicated to know what the nutrient "protein" is (64.7% of sample). Demographic, socioeconomic and health determinants of poor protein knowledge were investigated using multiple logistic regression analyses. The sample was 49.6% female and 87.0% reported no walking difficulties. Participants scored best on the true statement "You need protein in the diet for repairing bones and muscles" (89.3% correct), and worst on the false statement "One meal per day with a good protein source is sufficient" (25.4% correct). Median knowledge score was 5.0 (scale 0–9) and poor knowledge was present in 49.4% of the sample. Males (Odds Ratio 1.57), those unable to walk for 5 min (2.66), not always making their own food decision (1.36) and having lower income (1.44) were more likely to have poor knowledge. Large differences were observed across countries. In conclusion, poor protein knowledge is present in about half of community-dwelling older adults. Communication strategies should be tailored to target the identified risk groups with poor knowledge.

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