Toward improved homecare of frail older adults: A focus group study synthesizing patient and caregiver perspectives

Aging Medicine

Grace Park¹  Andrew P. McDonald²  Joanna M. Rivera²  Ryan C. N. D'Arcy²  Xiaowei Song²  Rowena Rizzotti³ 

[1] Community Actions and Resources Empowering Seniors (CARES)Fraser Health Surrey British Columbia Canada;Health Sciences and Innovation Surrey Memorial HospitalFraser Health Surrey British Columbia Canada;Health and Technology District Surrey British Columbia Canada;

关键词: aging in place;    focus group;    frailty;    homecare;    technology;    telehealth;   

DOI  :  10.1002/agm2.12144

来源: DOAJ

【 摘 要 】

Abstract Background Adopting a better understanding of how both older adults and health care providers view the community management of frailty is necessary for improving home health, especially facing the coronavirus disease 2019 (COVID‐19) pandemic. We conducted a qualitative focus group study to assess how both older adults and health care providers view frailty and virtual health care in home health. Methods Two focus groups enrolled home‐living older adults and health care professionals, respectively (n = 15). Questions targeting the use of virtual / telehealth technologies in‐home care for frail older adults were administered at audio‐recorded group interviews. Transcribed discussions were coded and analyzed using NVivo software. Results The older adult group emphasized the autonomy related to increasing frailty and social isolation and the need for transparent dissemination of health care planning. They were optimistic about remote technology‐based supports and suggested that telehealth / health‐monitoring/tracking were in high demand. Health care professionals emphasized the importance of a holistic biopsychosocial approach to frailty management. They highlighted the need for standardized early assessment and management of frailty. Conclusions The integrated perspectives provided an updated understanding of what older adults and practitioners value in home‐living supports. This knowledge is helpful to advancing virtual home care, providing better care for frail individuals with complex health care needs.

【 授权许可】

Unknown