A continuum of care for frail elderly people

Creator/Principal investigator(s):

Katarina Wilhelmson - University of Gothenburg, Institute of Neuroscience and Physiology

Synneve Dahlin-Ivanoff - University of Gothenburg, Institute of Neuroscience and Physiology

Description:

The intervention “A continuum of care for frail elderly people” takes place in the municipality of Mölndal, Sweden, including municipal health and social care, the hospital of Mölndal, and primary care. The study has a descriptive analytical and experimental design. The intervention is performed as a randomised controlled trial. The participants were randomised to two study arms, one intervention group and one control group.

Intervention group: The intervention includes an early geriatric assessment, early family support, a case manager in the community with a multi-professional team and the involvement of the elderly people and their relatives in the planning process.
Control group: The control group received conventional care and follow up.

The study group included 161 elderly people who sought care at the emergency department at Mölndal Hospital during the period October 2008 to June 2010 and who were discharged to their own homes in the municipality of Mölndal. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in at least one activity

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Responsible department/unit:

University of Gothenburg, Institute of Neuroscience and Physiology

Creator/Principal investigator(s):

Katarina Wilhelmson - University of Gothenburg, Institute of Neuroscience and Physiology

Synneve Dahlin-Ivanoff - University of Gothenburg, Institute of Neuroscience and Physiology

Identifiers:

SND-ID: EXT 0134

Description:

The intervention “A continuum of care for frail elderly people” takes place in the municipality of Mölndal, Sweden, including municipal health and social care, the hospital of Mölndal, and primary care. The study has a descriptive analytical and experimental design. The intervention is performed as a randomised controlled trial. The participants were randomised to two study arms, one intervention group and one control group.

Intervention group: The intervention includes an early geriatric assessment, early family support, a case manager in the community with a multi-professional team and the involvement of the elderly people and their relatives in the planning process.
Control group: The control group received conventional care and follow up.

The study group included 161 elderly people who sought care at the emergency department at Mölndal Hospital during the period October 2008 to June 2010 and who were discharged to their own homes in the municipality of Mölndal. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in at least one activity

... Show more..

Time period(s) investigated:

2008-10 — 2011-07

Geographic spread:

Geographic description: Mölndal municipality

Population:

The population is based on elderly people who sought care at the emergency department at Mölndal Hospital during the period October 2008 to June 2010 and who were discharged to their own homes in the municipality of Mölndal.

Sampling procedure:

Probability

Ethics Review:

Gothenburg — Ref. 413-08

Contact for questions about the data:

Katarina Wilhelmson

Available documentation:

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Publications

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Eklund K, Wilhelmson K, Gustafsson H, Landahl S, Dahlin-Ivanoff S. One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial: "Continuum of care for frail older people". BMC Geriatr. 2013 Jul 22;13:76. doi: 10.1186/1471-2318-13-76.
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Ebrahimi Z, Dahlin-Ivanoff S, Ekund K, Jakobsson A, Wilhelmson K. Self-rated health and health strengthens factors in community living frail elders. Accepted for publication in Journal of Advanced Nursing.

Ekelund, C, Dahlin-Ivanoff, S, Eklund, K. Self-determination and older people--a concept analysis. Scand J Occup Ther. 2014 Mar;21(2):116-24. doi: 10.3109/11038128.2013.853832.

Berglund H, Wilhelmson K, Blomberg S, Dunér A, Kjellgren K, Hasson H. Older people's views of quality of care: a randomised controlled study of continuum of care. J Clin Nurs. 2013 Oct;22(19-20):2934-44. doi: 10.1111/jocn.12276.

Berglund H, Hasson H, Kjellgren K, Wilhelmson K. Effects of a continuum of care intervention on frail older persons' life satisfaction: a randomized controlled study. J Clin Nurs. 2014 Oct 8. doi: 10.1111/jocn.12699.

Dunér A, Blomberg S, Hasson H. Implementing a continuum of care model for older people-results from a Swedish case study. Int J Integr Care. 2011 Oct;11:e136. Epub 2011 Nov 18.

Berglund H, Blomberg S, Dunér A, Kjellgren K (accepted) Organizing integrated care for older persons: strategies in Sweden during the past decade. Journal of Health Organization and Management.

Wilhelmson K, Duner A, Eklund K, Gosman-Hedström G, Blomberg S, Hasson H, Gustafsson H, Landahl S, Dahlin-Ivanoff S. Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people. BMC Geriatr. 2011 May 14;11:24. doi: 10.1186/1471-2318-11-24.
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Ebrahimi Z, Wilhelmson K, Moore CD, Jakobsson A. Frail elders' experiences with and perceptions of health. Qual Health Res. 2012 Nov;22(11):1513-23. doi: 10.1177/1049732312457246.

Wilhelmson K, Fritzell E, Eklund K, Dahlin-Ivanoff S. Life satisfaction and frailty among older adults. Health Psychology Research 2013 1 (3): 167-172. doi: 10.4081/hpr.2013.e32
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Fornazar R, Spak F, Dahlin-Ivanoff S, Wilhelmson K. Alcohol consumption among the oldest old and how it changes during two years. ISRN Geriatrics 2013. Article ID 671218, 10 pages. doi:10.1155/2013/671218.

Wilhelmson K, Dunér A, Eklund K, Gosman-Hedström, G, Gustafsson H, Dahlin-Ivanoff S. Bättre vård och omsorg för multisjuka äldre kräver samverkan och ansvariga vårdgivare. Läkartidningen 2009; 48: 3273-4.

Ottenvall Hammar I, Dahlin-Ivanoff S, Wilhelmson K, Eklund K. Shifting between self-governing and being governed: a qualitative study of older persons' self-determination. BMC Geriatrics 2014,14:126 doi:10.1186/1471-2318-14-126.

Dunér A. Care planning and decision making in teams in Swedish elderly care - a study of interprofessional collaboration and professional boundaries. J Interprof Care. 2013 May;27(3):246-53. doi: 10.3109/13561820.2012.757730.

Wilhelmson K, Eklund K, Gustafsson H, Larsson A-C, Landahl S, Dahlin-Ivanoff S. Skörhet bra begrepp för att hitta äldre stort behov av vård och omsorg. Läkartidningen 2012; 109 (16): 826-827.

Berglund H, Dunér A, Blomberg S, Kjellgren K. Care planning at home: a way to increase the influence of older people? Int J Integr Care. 2012 Aug 10;12:e134.
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Bångsbo A, Dunér A, Lidén E. Patient participation in the discharge planning conference. Int J Integr Care. 2014 Nov 6;14:e030.
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Ottenvall-Hammar I, Ekelund C, Wilhelmson K, Eklund K. Impact on Participation and Autonomy for older persons and its Validity and Reliability. In press Health Psychology Research. Doi 10.4081/hpr.2014.1825

Ebrahimi Z, Wilhelmson K, Eklund K, Moore CD, Jakobsson A Health despite frailty: exploring influences on frail older adults' experiences of health. Geriatr Nurs. 2013 Jul-Aug;34(4):289-94. doi: 10.1016/j.gerinurse.2013.04.008.

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A continuum of care for frail elderly people

Creator/Principal investigator(s):

Katarina Wilhelmson - University of Gothenburg, Institute of Neuroscience and Physiology

Synneve Dahlin-Ivanoff - University of Gothenburg, Institute of Neuroscience and Physiology

Description:

The dataset includes the participants in the intervention group and the control group, a total of 161 participants. The baseline intervention was carried out between October 2008 and June 2010, and follow ups at 3, 6 and 12 months.

Data format / data structure:

Numeric

Data collection:

Mode of collection: Physical measurements and tests

Time period(s) for data collection: 2008-10 — 2011-07

Source of the data: Population group

Mode of collection: Face-to-face interview

Time period(s) for data collection: 2008-10 — 2011-07

Source of the data: Population group

Mode of collection: Observation

Time period(s) for data collection: 2008-10 — 2011-07

Source of the data: Population group

Time period(s) investigated:

2008-10 — 2011-07

Number of individuals/objects:

161

Published: 2014-12-12
Last updated: 2017-10-12