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Centre for Policy on Ageing | |
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| An investigation into which individual instrumental activities of daily living are affected by a home visiting nurse intervention | | Author(s) | Yanen Li, Dianne Veronica Liebel, Bruce Friedman |
| Journal title | Age and Ageing, vol 42, no 1, January 2013 |
| Publisher | Oxford University Press, January 2013 |
| Pages | pp 27-33 |
| Source | http://ageing.oxfordjournals.org/ http://www.bgs.org.uk/ |
| Keywords | Self care capacity ; Independence ; Nurses ; Home care services. |
| Annotation | The present study aimed to investigate the effects of a home visiting nurse (HVN) intervention on individual instrumental activities of daily living (IADL). The research included a secondary analysis of a randomised controlled study comparing an HVN intervention with usual care at 22 months after study entry. Study participants comprised of 499 Medicare patients needing or receiving help with at least three IADLs or two ADLs, who had recent significant health-care use. The intervention consisted of monthly home visits by trained nursing staff. Unadjusted and adjusted (binary and multinomial logistic regression) analyses were performed. Unadjusted analyses found less difficulty or dependence for the HVN group for meal preparation, telephone use, shopping and ordinary housework, and more difficulty or dependence for medication management. After adjustment, in addition to an effect through health-care services use, the HVN group had less difficulty or dependence for meal preparation and shopping and more difficulty or dependence for medication management. In conclusion the HVN intervention had mixed results for individual IADLs. The negative effect on medication management questions the validity of a total IADL score as an outcome measure, and implies that other medication management measures should be considered for outcome evaluation. Future research is needed to confirm and better understand these findings. (JL). |
| Accession Number | CPA-130104204 A |
| Classmark | CA: C3: QTE: NH |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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