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Effects of a continuum of care intervention on frail older persons’ life satisfaction: a randomized controlled study

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  • Helene Berglund
  • Henna Hasson
  • Karin Kjellgren
  • Katarina Wilhelmson

Abstract

Aims and objectives The aim of this study was to analyse effects of a comprehensive continuum of care (intervention group) on frail older persons’ life satisfaction, as compared to those receiving usual care (control group). The intervention included geriatric assessment, case management, interprofessional collaboration, support for relatives and organising of care‐planning meetings in older persons’ own homes. Background Improvements in older persons’ subjective well‐being have been shown in studies including care planning and coordination by a case manager. However, effects of more complex continuum of care interventions on frail older persons’ life satisfaction are not well explored. Design Randomised controlled study. Methods The validated LiSat‐11 scale was used in face‐to‐face interviews to assess older persons’ life satisfaction at baseline and at three, six and 12 months after the baseline. The odds ratio for improving or maintaining satisfaction was compared for intervention and control groups from baseline to three‐month, three‐ to six‐month as well as six‐ to 12‐month follow‐ups. Results Older persons who received the intervention were more likely to improve or maintain satisfaction than those who received usual care, between 6 and 12 month follow‐ups, for satisfaction regarding functional capacity, psychological health and financial situation. Conclusions A comprehensive continuum of care intervention comprising several components had a positive effect on frail older persons’ satisfaction with functional capacity, psychological health and financial situation. Relevance to clinical practice Frail older persons represent a great proportion of the persons in need of support from the health care system. Health care professionals need to consider continuum of care interventions’ impact on life satisfaction. As life satisfaction is an essential part of older persons’ well‐being, we propose that policy makers and managers promote comprehensive continuum of care solutions.

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  • Helene Berglund & Henna Hasson & Karin Kjellgren & Katarina Wilhelmson, 2015. "Effects of a continuum of care intervention on frail older persons’ life satisfaction: a randomized controlled study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(7-8), pages 1079-1090, April.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:7-8:p:1079-1090
    DOI: 10.1111/jocn.12699
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    References listed on IDEAS

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    1. Bowling, Ann & Farquhar, Morag & Grundy, Emily & Formby, Juliet, 1993. "Changes in life satisfaction over a two and a half year period among very elderly people living in London," Social Science & Medicine, Elsevier, vol. 36(5), pages 641-655, March.
    2. Helene Berglund & Katarina Wilhelmson & Staffan Blomberg & Anna Dunér & Karin Kjellgren & Henna Hasson, 2013. "Older people's views of quality of care: a randomised controlled study of continuum of care," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(19-20), pages 2934-2944, October.
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    1. Carl Willers & Anne-Marie Boström & Lennart Carlsson & Anton Lager & Rikard Lindqvist & Elisabeth Rydwik, 2021. "Readmission within three months after inpatient geriatric care—Incidence, diagnosis and associated factors in a Swedish cohort," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-16, March.

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