Effectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation

D-SCOPE

Research output: Contribution to journalArticlepeer-review

Abstract

Background:
As people age, the risk of becoming frail increases, often leading to negative outcomes and less well-being. Within the light of prevention, early detection and guidance to the right care and support is crucial. This study aimed to give an overview of the descriptive results of the D-SCOPE program and evaluate the process.

Methods:
The D-SCOPE program was developed as a detection and prevention program for frail community-dwelling older adults. The program creates a continuum of care and support, consisting of 6 steps: (1) Targeted case-finding using risk profiles for purposeful selection, (2) Preventive home-visit by an older volunteer, (3) Home visits by a professional, (4), Warm referral, (5) Monthly follow-up and (6) Long-term follow-up by home visit. The effectiveness of this program, in terms of satisfaction and meaningfulness, was studied quantitatively by means of a randomized controlled trial amongst 869 people with a frailty risk profile and qualitatively by 15 focus groups interviews.

Results:
The quantitative study revealed that 83.9% of the participants found the different home visits within the D-SCOPE program useful. The focus group interviews shed light on several issues and advantages: a more efficient case finding due to the applied risk factors for frailty, a more intensive tailor-made care and support due to the warm referral, the importance of both small-scaled and larger interventions based on the wishes irrespective of the state of frailty of the older persons, the focus on a strengths-based instead of a deficit-based approach and the follow up as being one of the greatest strengths of the project. However, to fully understand the benefits of the program a shift in mind from intervention to prevention is necessary.

Conclusions:
Our quantitative data show that most participants found the home visits meaningful and were satisfied with the intervention. The qualitative findings provided more insights into the experiences of the participants with the process. Based on these insights of the 6-step model of preventive home visits, municipalities and organizations can apply this model to carry out more targeted home visits
Translated title of the contributionEffectiveness, satisfaction and meaningfulness of a 6-step detection and prevention program for frail community-dwelling older adults: a mixed-method evaluation
Original languageEnglish
Article number966
Pages (from-to)1-13
Number of pages13
JournalBMC Geriatrics
Volume22
Issue number1
Publication statusPublished - 14 Dec 2022

Bibliographical note

Funding Information:
This work was supported by a grant from the Flemish government agency for Innovation by Science and Technology (IWT-140027 SBO).

Funding Information:
The D-SCOPE consortium is an international research consortium composed of researchers from Vrije Universiteit Brussel (VUB), Belgium (Prof. Dr. A.-.S. Smetcoren, Prof. Dr. S. Dury, Prof. Dr. L. De Donder, Prof. Dr. N. De Witte, Prof. Dr. E. Dierckx, Dr. D. Lambotte, Dr. B. Fret, Dr. D. Duppen, Dr. L. Switsers, S. Hoens, Prof. Dr. M. Kardol, Prof. Dr. D. Verté); University College of Ghent, Belgium (Dr. L. Hoeyberghs, Prof. Dr. N. De Witte); Universiteit Antwerpen, Belgium (Dr. E. De Roeck, Prof. Dr. S. Engelborghs, Prof. Dr. P.P. Dedeyn); Katholieke Universiteit Leuven, Belgium (Dr. M.C.J. Van der Elst, Prof. Dr. J. De Lepeleire, Prof. Dr. B. Schoenmakers) and Maastricht University, The Netherlands (Dr. A. van der Vorst, Dr. G.A.R. Zijlstra, Prof. Dr. G.I.J.M. Kempen, Prof. Dr. J.M.G.A. Schols).

Publisher Copyright:
© 2022, The Author(s).

Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.

Keywords

  • detection and prevention program
  • frailty
  • older people

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