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Goal setting as a feature of homecare services for older people
 — does it make a difference?
Author(s)John Parsons, Paul Rouse, Elizabeth M Robinson
Journal titleAge and Ageing, vol 41, no 1, January 2012
Pagespp 24-29
Sourcehttp://ageing.oxfordjournals.org/ http://www.bgs.org.uk/
KeywordsHome care services ; Independence ; Quality of life ; Evaluation.
AnnotationHome care services often have a tendency to focus on treating disease and `taking care' of the patient rather than promoting independence. The aim of restorative homecare is to change the philosophy from one where delivery of care may create dependency to provision of care which maximises independence, self-esteem, self-image and quality of life, and reduces the care required. The present study aimed to assess impact of a designated goal facilitation tool on health-related quality of life (HRQoL), social support and physical function among community-dwelling older people referred for homecare. 205 participants in their late seventies were cluster randomised to an intervention or control assessor. The intervention arm involved participants completing a goal facilitation tool with assessors. This established rehabilitation aims. Control participants received a standard needs assessment. Clients from both groups were then referred to a homecare organisation for service delivery. Results of the study showed that there was greater change over time in HRQoL in the intervention group. There was a marked variation across homecare providers in types of services provided. Identification of a goal did not predict completion of a formalised review of participants' needs by the homecare organisation. The authors conclude that the use of a goal facilitation tool in assessment of an older person's needs on referral for homecare leads to significant improvements in HRQoL. (JL).
Accession NumberCPA-120503004 A
ClassmarkNH: C3: F:59: 4C

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