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Centre for Policy on Ageing | |
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| Development of two measures of client engagement for use in home aged care | | Author(s) | Jess Rose Baker, Fleur Harrison, Lee-Fay Low |
| Journal title | Health and Social Care in the Community, vol 24, no 3, May 2016 |
| Publisher | Wiley Blackwell, May 2016 |
| Pages | pp 363-374 |
| Source | wileyonlinelibrary.com/journals/hsc |
| Keywords | Apathy ; Usage [services] ; Home care services ; Engagement ; Evaluation ; Reliability. |
| Annotation | The aim of this Australian study was to develop and validate two measures of client engagement in aged homecare. The Homecare Measure of Engagement-Staff questionnaire (HoME-S) is a self-complete measure of six dimensions of client engagement: client acceptance, attention, attitude, appropriateness, engagement duration and passivity. The Homecare Measure of Engagement-Client/Family report (HoME-CF) is a researcher-rated interview, which obtains client and/or family perspectives regarding frequency and valence of conversational and recreational engagement during care worker visits. Care workers (n = 84) completed the HoME-S and a measure of relationship bond with client. Researchers interviewed clients (n = 164) and/or their family (n = 117) and completed the HoME-CF, and measures of agitation, dysphoria, apathy and cognitive functioning. The HoME-S and HoME-CF demonstrated good test-retest and inter-rater reliability, and showed significant negative correlations with apathy, agitation and non-English-speaking background. Controlling for client and care service characteristics, a stronger care worker-client relationship bond and English-speaking background were independently associated with higher HoME-S scores, and apathy was independently associated with higher HoME-CF scores. The study concludes that the HoME-S and HoME-CF are psychometrically sound engagement measures for use in homecare. Clients who are apathetic or from non-English-speaking backgrounds may be less responsive to traditional care worker engagement strategies. Engagement may be augmented in clients who have stronger relationships with their care workers. (RH). |
| Accession Number | CPA-160415218 A |
| Classmark | EPA: QLD: NH: DN: 4C: 5HC |
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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