Which components of a primary care affiliated home visiting nurse program are associated with disability maintenance/improvement?
A process evaluation of a primary care affiliated home visiting nurse intervention was performed to determine which intervention components were associated with disability maintenance/improvement. This secondary analysis (N = 238) used data recorded in intervention databases and patient interviews among community-dwelling elders with disability. Intervention components were examined in descriptive, correlational, bivariate, and logistic regression analyses. Results demonstrated that two structure components--physician-patient-family-nurse conference visits and intervention (education) materials--and three process components--disease management activities, goal setting, and medication management activities--were linked to maintaining/improving activities of daily living disability status. Confirmation of these findings may help home care nurses to delay disability worsening.
University of Rochester, School of Nursing, Rochester, New York 14642-8404, USA. dianne_liebel@urmc.rochester.edu
Dianne V
DV
Liebel
Bruce
B
Friedman
Nancy M
NM
Watson
Bethel Ann
BA
Powers
D000203:Activities of Daily Living; D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities; D019468:Disease Management; D005260:Female; D015577:Geriatric Assessment; D006701:Home Nursing; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D006278:Medicare; D009730:Nursing Assessment; D059017:Primary Care Nursing; D017064:Process Assessment, Health Care; D014481:United States