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Implementation of the Telecare N - Intervention

Implementation of the Telecare N - Intervention. Authors : Kristel De Vliegher , Carmela Arteaga , Kari Sundsli, Titilayo Oshodi , Cecilia Olsson, Dorthe Soerensen , Astrid Tuinman , Josephine Attard , Martin Dichter. Background.

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Implementation of the Telecare N - Intervention

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  1. ImplementationoftheTelecare N - Intervention Authors: Kristel De Vliegher, Carmela Arteaga, Kari Sundsli, TitilayoOshodi, Cecilia Olsson, Dorthe Soerensen, Astrid Tuinman, Josephine Attard, Martin Dichter

  2. Background • In Norway the number of people with the age 65+ years will increase to 1.4 million until 2050 (Statistics Norway, 2012) • Most of them are singles, females and with at least one physical or nonphysical disability (WHO 2010) • A decrease in self care abilities is the major predictor to move in a nursing home for Norwegians in the age 75+ (Bruyneel 2008) • Telephone based self-care talks are effective to improve the self-care ability in people 75+ (Sundsli 2013)

  3. Intervention • Self-care intervention program based on the model of Teel (2005) among individuals 75+ • Core content of talks: practicing healthy habits, building self-esteem, focusing on the positive, avoiding role overload, communicating, building meaning (Teel 2005) • Operationalisation • Public health nurses after a specialized training program (3 days) • 1 coordinating public health nurse for every health center (1 day additional training). • Prioritized to the risk factors age and living alone, the people will be called first time • 6 talks in 3 months at 6 months

  4. Facilitators and barriers of the intervention • Training program is based on the social learning theory – Attention, Retention, Reproduction, Motivation (Bandura 1989)

  5. Implementation-Strategy

  6. Study Design Cluster randomized controlled trial Settings and Participants • People on the age 75+ in rural areas in Norway • 10 Community Health Centers (5 Control group; 5 Intervention group) • 5 nurses each CHC • 580 participants age 75+ (58 per health center, 11 participants/nurse)

  7. Data Collection & Analysis

  8. Recruitment of a random sample of 10 (Primary centered care) Random Location Intervention 5CHC, 290 participants Random Location Baseline Line -Appraisal of Self-care Agency (ASA) -Self-care Ability Scale for the Elderly -Personal caracteristiques (age, gender,...) -Cognitive ability MMSE • EQ-5D (QUALYS) Baseline Line • - Appraisal of Self-care Agency (ASA) • -Self-care Ability Scale for the Elderly • -Personal caracteristiques (age, gender,...) • -Cognitive ability MMSE • - EQ-5D (QUALYS) Intervention 3 monthsintervention.: • Specialized training program • Coordinating public health nurse training At 6 months and 12 months after baseline -Appraisal of Self-care Agency (ASA) -Self-care Ability Scale for the Elderly -Cognitive ability MMSE -Admission to hospital/nursing homes &-Contacts Health professional (nº visits) • EQ-5D (QUALYS). PE: Focus groups interviews with nurses; Nursing records of telephone calls / implementation. At 6 months and 12 months after baseline -Appraisal of Self-care Agency (ASA) -Self-care Ability Scale for the Elderly -Cognitive ability MMSE -Admission to hospital/nursing homes -Contacts Health professional (nº visits) • EQ-5D (QUALYS)

  9. Dissemination

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