A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and supportReport as inadecuate




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BMC Health Services Research

, 14:140

Organization, structure and delivery of healthcare

Abstract

BackgroundThis study explored the effects of an integrated care model for the frail elderly on informal caregivers’ satisfaction with care and support services.

MethodsA 62-item instrument was developed and deployed in an evaluative before-after study using a quasi-experimental design and enrolling a control group. The definitive study population n = 63 consisted mainly of female informal caregivers who did not live with the care recipient. Analysis of separate items involved group comparisons, using paired and unpaired tests, and regression analyses, with baseline measurements, control variables sex, age and living together with care recipient and the intervention as independent variables. Subsequently, the underlying factor structure of the theoretical dimensions was investigated using primary component analysis. Group comparisons and regression analyses were performed on the resulting scales.

ResultsSatisfaction with the degree to which care was provided according to the need for care of the recipients increased, while satisfaction with the degree to which professionals provided help with administrative tasks, the understandability of the information provided and the degree to which informal caregivers knew which professionals to call, decreased. Primary component analysis yielded 6 scales for satisfaction with care and 5 scales for satisfaction with caregiver support, with sufficient reliability.

ConclusionsThe results suggest that expectations regarding the effects of integrated care on informal caregiver satisfaction may not be realistic. However, the results must be seen in light of the small sample size and should therefore be considered as preliminary. Nonetheless, this study provides guidance for further research and integrated care interventions involving informal caregivers.

Trial registrationCurrent Controlled Trials ISRCTN05748494. Date of registration: 14-03-2013.

KeywordsIntegrated care Frail elderly Informal caregivers Satisfaction Care and support Services AbbreviationsWICMWalcheren Integrated Care Model

GPGeneral practitioner

PCPPrimary care practice

CSQClient Satisfaction Questionnaire

PCAPrimary component analysis

SIPASystème de services intégrés pour personnes âgées en perte d’antonomie.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-14-140 contains supplementary material, which is available to authorized users.

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Author: Benjamin Janse - Robbert Huijsman - Isabelle Natalina Fabbricotti

Source: https://link.springer.com/







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