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Assessing the impact of a restorative home care service in New Zealand
 — a cluster randomised controlled trial
Author(s)Anna I I King, Matthew Parsons, Elizabeth Robinson, Diane Jorgensen
Journal titleHealth and Social Care in the Community, vol 20, no 4, July 2012
PublisherWiley-Blackwell, July 2012
Pagespp 365-374
Sourcewileyonlinelibrary.com/journals/hsc
KeywordsLiving in the community ; Independence ; Home care services ; Quality of life ; Evaluation ; Longitudinal surveys ; New Zealand.
AnnotationDue to the ageing population there is an increased demand for home care services. Restorative care is one approach to improving home care services, although there is little evidence to support its use in the community setting. The objective of this trial was to evaluate the impact of a restorative home care service for community-dwelling older people. The study was a cluster randomised controlled trial undertaken at a home care agency in New Zealand. The study period was from December 2005 to May 2007. Older people were interviewed face-to-face at baseline, and at four and seven months respectively. A total of 186 older people who received assistance from a home care agency participated in the study, 93 received restorative home care and 93 older people received usual home care. The primary outcome measure was change in health-related quality of life. Secondary outcomes were the physical, mental, and social well-being of older people. Findings revealed that compared with usual care, the intervention demonstrated a statistically significant benefit in health-related quality of life at seven months for older people. There were no changes in other scale measurements for older people in either group over time. There was a statistically significant difference in the number of older people in the intervention group identified for reduced hours or discharge (29%) compared with the control group. In conclusion, a restorative home care service may be of benefit to older people and improves home care service efficacy. (JL).
Accession NumberCPA-130405210 A
ClassmarkK4: C3: NH: F:59: 4C: 3J: 7YN

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