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Cognitive impairment among medicare home health patients: comparing available measures. 医疗保健家庭保健患者的认知障碍：比较现有措施。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-04-01 Epub Date: 2021-11-29 DOI: 10.1080/01621424.2021.2009392
Julia G Burgdorf, Halima Amjad
{"title":"Cognitive impairment among medicare home health patients: comparing available measures.","authors":"Julia G Burgdorf, Halima Amjad","doi":"10.1080/01621424.2021.2009392","DOIUrl":"10.1080/01621424.2021.2009392","url":null,"abstract":"<p><p>There is growing interest in understanding home health utilization and outcomes for those with cognitive impairment (CI). Yet, approaches to measuring CI during home health vary widely across studies, with little known regarding potential implications for findings. Among a nationally representative sample of community-living Medicare beneficiaries receiving home health (2011-2016), we compare estimated CI prevalence using four different measures and evaluate measure-specific strengths and limitations. CI prevalence estimates ranged from 18.4% of the sample with probable dementia from national survey data; to 27.8% with diagnosed dementia, from Medicare claims; to 26.7% with memory deficit and/or impaired decision-making and 43.9% with reduced cognitive function, from OASIS. Researchers must be deliberate in their choice of CI measure and transparent regarding its benefits and limitations. Regardless of the measure used, a sizable percentage of home health patients have CI, supporting the importance of ongoing research in this area.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 2","pages":"139-148"},"PeriodicalIF":1.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018496/pdf/nihms-1766953.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9579307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment for multiple myeloma in hospital at home: clinical characteristics and patient care pathways. 多发性骨髓瘤在家庭医院的治疗:临床特点和患者护理途径。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-04-01 Epub Date: 2022-01-03 DOI: 10.1080/01621424.2021.2023063
Bénédicte Mittaine-Marzac, Matthieu De Stampa, Odile Marquestaut, Alexandre Georges, Joel Ankri, Philippe Aegerter
{"title":"Treatment for multiple myeloma in hospital at home: clinical characteristics and patient care pathways.","authors":"Bénédicte Mittaine-Marzac,&nbsp;Matthieu De Stampa,&nbsp;Odile Marquestaut,&nbsp;Alexandre Georges,&nbsp;Joel Ankri,&nbsp;Philippe Aegerter","doi":"10.1080/01621424.2021.2023063","DOIUrl":"https://doi.org/10.1080/01621424.2021.2023063","url":null,"abstract":"<p><p>While most patients receive anticancer injection in a conventional hospital, some are treated in hospital at home. Given the lack of data, we seek to determine the clinical characteristics and care pathways of patients benefiting from hospital at home (HAH) for anticancer injection. A longitudinal scheme was conducted about patients with multiple myeloma (MM) starting bortezomib-based regimens in HAH in 2015 with a follow-up to September 2019. 154 patients received bortezomib at home with a mean age of 70.6 years, 72.7% over 65y-old and, a median Karnofsky Performans Status of 70. One-third of the elderly lived alone, 16.1% required domestic help. After a 24-month follow-up, 77.9% of patients were alive. The median overall survival was not reached at 4 years. Between 42.1% and 48.1% of patients returned to HAH for a new line of treatment. Patients were mainly independent and \"fit.\" The involvement of HAH was achieved without safety issues nor compromise long-term outcomes. However, the real-world patterns highlighted that only a small proportion of patients returned to HAH for a new treatment line.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"165-181"},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39782727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Belonging through a communicative lens in dementia caregiving: qualitative study of autobiographical caregivers narratives 痴呆症护理中的交际归属：自传体护理者叙事的定性研究
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-03-28 DOI: 10.1080/01621424.2022.2053769
Sabrina Singh
{"title":"Belonging through a communicative lens in dementia caregiving: qualitative study of autobiographical caregivers narratives","authors":"Sabrina Singh","doi":"10.1080/01621424.2022.2053769","DOIUrl":"https://doi.org/10.1080/01621424.2022.2053769","url":null,"abstract":"ABSTRACT This qualitative study examined 23 autobiographical narratives to understand how dementia caregivers discursively construct a sense of belonging through In this study, belonging is understood as an individual feeling valued by a group that is communicatively enacted by both the individual and members of the group. This exploratory study revealed two characteristics of belonging as a communicative concept: (a) two-way street and (b) multi-faceted. Findings suggest that belonging is a more nuanced concept than previously thought.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 1","pages":"183 - 199"},"PeriodicalIF":1.4,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48912728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric properties of the Persian version of the attitude scale for home care: a study of reliability and validity. 波斯语家庭护理态度量表的心理测量特性:信度和效度研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 Epub Date: 2021-09-01 DOI: 10.1080/01621424.2021.1972891
Fatemeh Jafari Pour, Behnam Alizadeh, Pınar Duru, Leila Masoudiyekta, Bita Falahi, Tahereh Toulabi
{"title":"Psychometric properties of the Persian version of the attitude scale for home care: a study of reliability and validity.","authors":"Fatemeh Jafari Pour,&nbsp;Behnam Alizadeh,&nbsp;Pınar Duru,&nbsp;Leila Masoudiyekta,&nbsp;Bita Falahi,&nbsp;Tahereh Toulabi","doi":"10.1080/01621424.2021.1972891","DOIUrl":"https://doi.org/10.1080/01621424.2021.1972891","url":null,"abstract":"<p><p>It is important to evaluate nursing students' attitudes toward home care to improve home health nursing profession and increase the number of nursing students willing to work in home care in the future. However, there is no valid and reliable scale for measuring attitudes toward this care method in Iran. This study aimed to determine the psychometric properties of the Persian version of the Attitude Scale for Home Care (ASHC) for nursing students. Data were collected from 280 nursing students. A methodological study was conducted to assess face, content and construct validity and reliability. The results showed good content validity. Only item 17 was considered unfavorable and was omitted. After excluding three items in the confirmatory factor analysis, a 25-item model with good fit indices was obtained. Cronbach's alpha showed a high internal consistency. This is a valid and reliable scale for assessing nursing students' attitudes toward home care.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"76-90"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39374041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining variation in state spending on medicaid long-term services and supports for older adults. 检查各州在医疗补助长期服务和老年人支持方面的支出差异。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 DOI: 10.1080/01621424.2021.2004286
George Mellgard, Claire Ankuda, Omari-Khalid Rahman, Amy Kelley
{"title":"Examining variation in state spending on medicaid long-term services and supports for older adults.","authors":"George Mellgard,&nbsp;Claire Ankuda,&nbsp;Omari-Khalid Rahman,&nbsp;Amy Kelley","doi":"10.1080/01621424.2021.2004286","DOIUrl":"https://doi.org/10.1080/01621424.2021.2004286","url":null,"abstract":"<p><p>State Medicaid programs are the largest source of funding for long-term services and supports (LTSS). We characterized states across quartiles of mean LTSS spending for individuals ≥65 and used the Health and Retirement Study to examine the demographic, functional, and caregiving characteristics across these quartiles. Individuals in states with lower Medicaid spending on LTSS reported more family and friend caregiving hours and were more likely to be from racial and ethnic minority groups. Continued work is needed to improve Medicaid LTSS policy to better support vulnerable populations, particularly in lower quartile states.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 1","pages":"54-64"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8960329/pdf/nihms-1766954.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10824731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
No thank you to humanized robots: attitudes to care robots in elder care services. 不，感谢人性化机器人:老年人护理服务中对护理机器人的态度。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 Epub Date: 2022-03-20 DOI: 10.1080/01621424.2022.2052221
Rose-Marie Johansson-Pajala, Viktoria Zander, Christine Gustafsson, Annelie Gusdal
{"title":"No thank you to humanized robots: attitudes to care robots in elder care services.","authors":"Rose-Marie Johansson-Pajala,&nbsp;Viktoria Zander,&nbsp;Christine Gustafsson,&nbsp;Annelie Gusdal","doi":"10.1080/01621424.2022.2052221","DOIUrl":"https://doi.org/10.1080/01621424.2022.2052221","url":null,"abstract":"<p><p>The growing older population will increase the demands on the health and welfare systems, including elder care services. One way of meeting these growing service needs is to shift from traditional care services to technologically oriented services. Robotic innovations are gradually being introduced to elder care services. The aim was to explore attitudes toward the use of care robots in elder care services - specifically focusing on situations and interaction, influence, and emotions in interaction with care robots. Data were obtained from visitors at a welfare technology fair (<i>n</i> = 124). The results show that the most negative attitudes concerned if the care robots were humanized and had emotions. The attitudes toward interacting with care robots in general were predominately positive. In conclusion, concrete usage scenarios in elder care services need to be detected, based both on users' needs, digital literacy and on the maturity of the technology itself.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"40-53"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40307491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Effects of activity tracker-based counselling and live-web exercise on breast cancer survivors' sleep and waking time during Italy's COVID-19 lockdown. 在意大利COVID-19封锁期间，基于活动追踪器的咨询和实时网络锻炼对乳腺癌幸存者睡眠和清醒时间的影响。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 Epub Date: 2021-10-15 DOI: 10.1080/01621424.2021.1984362
Andrea Di Blasio, Teresa Morano, Federica Lancia, Gianluca Viscioni, Angelo Di Iorio, Simona Grossi, Ettore Cianchetti, Roberto Pippi, Stefano Gobbo, Marco Bergamin, Anna D'eugenio, Laura Masini, Massimo Rinaldi, Antonino Grassadonia, Anastasios Vamvakis, Giorgio Napolitano
{"title":"Effects of activity tracker-based counselling and live-web exercise on breast cancer survivors' sleep and waking time during Italy's COVID-19 lockdown.","authors":"Andrea Di Blasio,&nbsp;Teresa Morano,&nbsp;Federica Lancia,&nbsp;Gianluca Viscioni,&nbsp;Angelo Di Iorio,&nbsp;Simona Grossi,&nbsp;Ettore Cianchetti,&nbsp;Roberto Pippi,&nbsp;Stefano Gobbo,&nbsp;Marco Bergamin,&nbsp;Anna D'eugenio,&nbsp;Laura Masini,&nbsp;Massimo Rinaldi,&nbsp;Antonino Grassadonia,&nbsp;Anastasios Vamvakis,&nbsp;Giorgio Napolitano","doi":"10.1080/01621424.2021.1984362","DOIUrl":"https://doi.org/10.1080/01621424.2021.1984362","url":null,"abstract":"<p><p>The aim of the study was to compare the effects of weekly personal feedback, based on objectively measured physical activity, on daily sleep in breast cancer survivors (BCS) with those of an intervention that also included online supervised physical exercise sessions (OSPES). BCS benefiting from both personal feedback and OSPES (n = 24), from pre-lockdown (T0) to the first month (T1) of the national lockdown, experienced an increase in both total (p ≤ 0.001) and restorative (p ≤ 0.001) sleep time, inverting their trend from the first month of lockdown to its end (total sleeping time T1 vs. T2 0.01 ≤ <i>p</i> < .001, T1 vs. T3 p ≤ 0.001; restorative sleeping time T1 vs. T2 0.05 ≤ <i>p</i> < .01, T1 vs. T3 p ≤ 0.001). Supportive technology, together with the reception of weekly tailored advice and OSPES seems to improve both quality and quantity of sleep.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-19"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39519750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Community support groups for men living with depression: barriers and facilitators in access and engagement with services. 男性抑郁症社区支持小组:获取和参与服务的障碍和促进因素。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 Epub Date: 2021-10-07 DOI: 10.1080/01621424.2021.1984361
Rebecca Gosling, Sarah Parry, Vasileios Stamou
{"title":"Community support groups for men living with depression: barriers and facilitators in access and engagement with services.","authors":"Rebecca Gosling,&nbsp;Sarah Parry,&nbsp;Vasileios Stamou","doi":"10.1080/01621424.2021.1984361","DOIUrl":"https://doi.org/10.1080/01621424.2021.1984361","url":null,"abstract":"<p><p>Approximately 10% of the general population will experience depression in adulthood. Concerningly, men with depression are more likely to take their own lives and less likely to seek professional support. Given men's preference for community-based support, this study employed interviews with service providers to explore the barriers and facilitators involved in community support groups for men living with depression. Nine interviews were conducted with service providers across Greater Manchester, UK. Data were analyzed via thematic analysis and revealed four themes: 'Mental Health as a Weakness,' 'Empowering Practice,' 'Trust and Security' and 'Group Support as a Gateway to Treatment.' Men living with depression experience identity conflict, which reduces help-seeking. Community support groups facilitate access and engagement with treatment by providing safe spaces to resolve internal conflicts. Gender-specific group support may facilitate access to support and address long waiting lists of statutory services. Implications for practice, policy and future research are discussed.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"20-39"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39492539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Informal family caregiver experiences with publicly funded home care in Ontario. 安大略省公共资助家庭护理的非正式家庭护理经验。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-01-01 Epub Date: 2021-11-29 DOI: 10.1080/01621424.2021.2006849
Alla Yakerson
{"title":"Informal family caregiver experiences with publicly funded home care in Ontario.","authors":"Alla Yakerson","doi":"10.1080/01621424.2021.2006849","DOIUrl":"https://doi.org/10.1080/01621424.2021.2006849","url":null,"abstract":"<p><p>Publicly funded home care in Ontario, Canada, is a critical component of the health care system. Over the last few decades the sector has undergone numerous reforms impacting the funding and provision of services. In light of this, the purpose of this study was to examine the lived experiences of informal family caregivers who seek in-home publicly funded care for their relatives. In doing so, the goal was to understand the circumstances and challenges faced by these individuals in accessing care and obtaining respite from their duties. This knowledge is fundamental to the health care system which seeks to prevent institutionalization as well as to minimize health care costs associated with the physical and psychological outcomes of informal caregiving.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"65-75"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39928059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Caring callers: the impact of the telephone reassurance program on homebound older adults during COVID-19. 关怀的呼叫者:2019冠状病毒病期间电话安抚计划对居家老年人的影响
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-10-01 Epub Date: 2021-11-07 DOI: 10.1080/01621424.2021.1997861
Kathy Lee, Noelle Fields, Jessica Cassidy, Venieca Kusek, Gretchen Feinhals, Melanie Calhoun
{"title":"Caring callers: the impact of the telephone reassurance program on homebound older adults during COVID-19.","authors":"Kathy Lee,&nbsp;Noelle Fields,&nbsp;Jessica Cassidy,&nbsp;Venieca Kusek,&nbsp;Gretchen Feinhals,&nbsp;Melanie Calhoun","doi":"10.1080/01621424.2021.1997861","DOIUrl":"https://doi.org/10.1080/01621424.2021.1997861","url":null,"abstract":"<p><p>During the COVID-19 pandemic, older adults experienced great levels of social isolation and feelings of loneliness. We developed a telephone reassurance program, Caring Callers, to provide a weekly phone call to socially isolated older adults. Dyads were created which comprised of a Senior Companion volunteer and a homebound older adult. Using a mixed methods approach, we examined the program's impact on homebound older adults. The participants were satisfied with the program and showed a significant increase in overall health. They discussed social and emotional benefits of the program and other benefits that they gained from community resources. Due to the vulnerability of the participants, this telephone-based intervention seemed feasible without technological barriers. It is critical that aging service providers recognize the resourcefulness and relatability of older adult volunteers and utilize them to continue to support socially isolated older adults during an unprecedented event affecting people's isolation.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 4","pages":"247-261"},"PeriodicalIF":1.4,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39688321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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