Enhancing existing formal home care to improve and maintain functional status in older adults: Results of a feasibility study on the implementation of Care to Move (CTM) in an Irish healthcare setting

Frances Horgan, Vanda Cummins, Dawn A. Skelton, Frank Doyle, Maria O'Sullivan, Rose Galvin, Elissa Burton, Jan Sorensen, Samira Barbara Jabakhanji, Bex Townley, Debbie Rooney, Gill Jackson, Lisa Murphy, Lauren Swan, Mary O'Neill, Austin Warters

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Abstract

Background: Care To Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the feasibility of incorporating CTM ap-proaches in home care settings. Methods: Feasibility study of the CTM approach in older adults receiving home care. Recruitment, retention and attrition (three time points), adherence, costs to deliver and data loss analyzed and differentiated pre-and post-the Covid-19 pandemic. Second-ary outcomes, including functional status, physical activity, balance confidence, quality of life, cost to implement CTM. Results: Fifty-five home care clients (69.6% of eligible sample) partici-pated. Twenty were unable to start due to Covid-19 disruptions and health issues, leaving 35 cli-ents recruited, mostly women (85.7%), mean age 82.8 years. Covid disruption impacted on the study, there was 60% retention to T2 assessments (8-weeks) and 13 of 35 (37.1%) completed T3 assessments (6-months). There were improvements with small to medium effect sizes in quality of life, physical function, balance confidence and self-efficacy. Managers were supportive of the roll out of CTM. The implementation cost was estimated at €280 per carer and annual running costs at €75 per carer. Conclusion: Embedding CTM within home support services is acceptable and feasible. Data gathered can power a definitive trial.
Original languageEnglish
Article number11148
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number18
DOIs
Publication statusPublished - 6 Sep 2022

Keywords

  • feasibility study
  • older adults
  • home care services
  • community dwelling
  • physical activity
  • intervention
  • care staff
  • training
  • care to move

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