Comprehensive geriatric care for frail elderly at home: a feasibility study

Jonneke Kroes, Laura van Buul, Ruth Veenhuizen, Aafke de Groot, Marja Depla, Winfried Vergeer, Cees Hertogh

Research output: Contribution to journalArticleProfessional

Abstract

OBJECTIVE: To evaluate the feasibility of a study on the content and effect of comprehensive geriatric care (CGC) at home for frail elderly.

METHOD: Case managers invited new CGC patients of one care organization for participation in the study. At two moments, questionnaires were conducted on (social) functioning, quality of life, perceived problems, perceived informal caregiver burden, and self-management. Information on received care was collected from the patients' medical records, In addition, a questionnaire was administered to the referring physician. Feasibility was evaluated descriptively on three domains; inclusion, follow up, and data collection.

RESULTS: The intended number of 25 participants was not reached, mostly because clients did not comply with inclusion criteria, and because case managers felt uncomfortable asking patients for participation in the study. Of the 14 participants, 12 were followed until the follow-up measurement. Several questionnaire domains appeared difficult to answer for participants. It also appeared difficult to collect information on received care from the medical records. Questionnaire response among general practitioners was 6 out of 11.

CONCLUSION: Due to the vulnerability of the targeted group and logistical challenges, the inclusion of participants for the study was more difficult than originally thought. In combination with the difficulties in data collection, this suggests that a large-scale study on the content and effect of CGC is not feasible. Qualitative research methodologies, preferably combined with quantitative methods, offer better opportunities to understand the value of CGC for frail elderly living at home.

Translated title of the contributionComprehensive geriatric care for frail elderly at home: a feasibility study
Original languageDutch
Pages (from-to)81-89
Number of pages9
JournalTijdschrift voor Gerontologie en Geriatrie
Volume49
Issue number2
Early online date29 Nov 2017
DOIs
Publication statusPublished - 1 Apr 2018

Cite this

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title = "Ambulante geriatrische zorg voor kwetsbare thuiswonende ouderen: een haalbaarheidsonderzoek",
abstract = "OBJECTIVE: To evaluate the feasibility of a study on the content and effect of comprehensive geriatric care (CGC) at home for frail elderly.METHOD: Case managers invited new CGC patients of one care organization for participation in the study. At two moments, questionnaires were conducted on (social) functioning, quality of life, perceived problems, perceived informal caregiver burden, and self-management. Information on received care was collected from the patients' medical records, In addition, a questionnaire was administered to the referring physician. Feasibility was evaluated descriptively on three domains; inclusion, follow up, and data collection.RESULTS: The intended number of 25 participants was not reached, mostly because clients did not comply with inclusion criteria, and because case managers felt uncomfortable asking patients for participation in the study. Of the 14 participants, 12 were followed until the follow-up measurement. Several questionnaire domains appeared difficult to answer for participants. It also appeared difficult to collect information on received care from the medical records. Questionnaire response among general practitioners was 6 out of 11.CONCLUSION: Due to the vulnerability of the targeted group and logistical challenges, the inclusion of participants for the study was more difficult than originally thought. In combination with the difficulties in data collection, this suggests that a large-scale study on the content and effect of CGC is not feasible. Qualitative research methodologies, preferably combined with quantitative methods, offer better opportunities to understand the value of CGC for frail elderly living at home.",
keywords = "English Abstract, Journal Article",
author = "Jonneke Kroes and {van Buul}, Laura and Ruth Veenhuizen and {de Groot}, Aafke and Marja Depla and Winfried Vergeer and Cees Hertogh",
year = "2018",
month = "4",
day = "1",
doi = "10.1007/s12439-017-0242-4",
language = "Dutch",
volume = "49",
pages = "81--89",
journal = "Tijdschrift voor Gerontologie en Geriatrie",
issn = "0167-9228",
publisher = "Nederlands Instituut voor Gerontologie (NIG)",
number = "2",

}

Ambulante geriatrische zorg voor kwetsbare thuiswonende ouderen : een haalbaarheidsonderzoek. / Kroes, Jonneke; van Buul, Laura; Veenhuizen, Ruth; de Groot, Aafke; Depla, Marja; Vergeer, Winfried; Hertogh, Cees.

In: Tijdschrift voor Gerontologie en Geriatrie, Vol. 49, No. 2, 01.04.2018, p. 81-89.

Research output: Contribution to journalArticleProfessional

TY - JOUR

T1 - Ambulante geriatrische zorg voor kwetsbare thuiswonende ouderen

T2 - een haalbaarheidsonderzoek

AU - Kroes, Jonneke

AU - van Buul, Laura

AU - Veenhuizen, Ruth

AU - de Groot, Aafke

AU - Depla, Marja

AU - Vergeer, Winfried

AU - Hertogh, Cees

PY - 2018/4/1

Y1 - 2018/4/1

N2 - OBJECTIVE: To evaluate the feasibility of a study on the content and effect of comprehensive geriatric care (CGC) at home for frail elderly.METHOD: Case managers invited new CGC patients of one care organization for participation in the study. At two moments, questionnaires were conducted on (social) functioning, quality of life, perceived problems, perceived informal caregiver burden, and self-management. Information on received care was collected from the patients' medical records, In addition, a questionnaire was administered to the referring physician. Feasibility was evaluated descriptively on three domains; inclusion, follow up, and data collection.RESULTS: The intended number of 25 participants was not reached, mostly because clients did not comply with inclusion criteria, and because case managers felt uncomfortable asking patients for participation in the study. Of the 14 participants, 12 were followed until the follow-up measurement. Several questionnaire domains appeared difficult to answer for participants. It also appeared difficult to collect information on received care from the medical records. Questionnaire response among general practitioners was 6 out of 11.CONCLUSION: Due to the vulnerability of the targeted group and logistical challenges, the inclusion of participants for the study was more difficult than originally thought. In combination with the difficulties in data collection, this suggests that a large-scale study on the content and effect of CGC is not feasible. Qualitative research methodologies, preferably combined with quantitative methods, offer better opportunities to understand the value of CGC for frail elderly living at home.

AB - OBJECTIVE: To evaluate the feasibility of a study on the content and effect of comprehensive geriatric care (CGC) at home for frail elderly.METHOD: Case managers invited new CGC patients of one care organization for participation in the study. At two moments, questionnaires were conducted on (social) functioning, quality of life, perceived problems, perceived informal caregiver burden, and self-management. Information on received care was collected from the patients' medical records, In addition, a questionnaire was administered to the referring physician. Feasibility was evaluated descriptively on three domains; inclusion, follow up, and data collection.RESULTS: The intended number of 25 participants was not reached, mostly because clients did not comply with inclusion criteria, and because case managers felt uncomfortable asking patients for participation in the study. Of the 14 participants, 12 were followed until the follow-up measurement. Several questionnaire domains appeared difficult to answer for participants. It also appeared difficult to collect information on received care from the medical records. Questionnaire response among general practitioners was 6 out of 11.CONCLUSION: Due to the vulnerability of the targeted group and logistical challenges, the inclusion of participants for the study was more difficult than originally thought. In combination with the difficulties in data collection, this suggests that a large-scale study on the content and effect of CGC is not feasible. Qualitative research methodologies, preferably combined with quantitative methods, offer better opportunities to understand the value of CGC for frail elderly living at home.

KW - English Abstract

KW - Journal Article

U2 - 10.1007/s12439-017-0242-4

DO - 10.1007/s12439-017-0242-4

M3 - Article

VL - 49

SP - 81

EP - 89

JO - Tijdschrift voor Gerontologie en Geriatrie

JF - Tijdschrift voor Gerontologie en Geriatrie

SN - 0167-9228

IS - 2

ER -