title: Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial.
abstract: The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce older people's quality of life. Person-centred care has been shown to improve the satisfaction with care and quality of life in older people cared for in hospitals and nursing homes, with limited published evidence about the effects and meanings of person-centred interventions in home care services for older people. This study protocol outlines a study aiming to evaluate such effects and meanings of a person-centred and health-promoting intervention in home aged care services.
  
  
  
  The study will take the form of a non-randomised controlled trial with a before/after approach. It will include 270 older people >65 years receiving home care services, 270 relatives and 65 staff, as well as a matched control group of equal size. All participants will be recruited from a municipality in northern Sweden. The intervention is based on the theoretical concepts of person-centredness and health-promotion, and builds on the four pedagogical phases of: theory apprehension, experimental learning, operationalization, and clinical supervision. Outcome assessments will focus on: a) health and quality of life (primary outcomes), thriving and satisfaction with care for older people; b) caregiver strain, informal caregiving engagement and relatives' satisfaction with care: c) job satisfaction and stress of conscience among care staff (secondary outcomes). Evaluation will be conducted by means of self-reported questionnaires and qualitative research interviews.
  
  
  
  Person-centred home care services have the potential to improve the recurrently reported sub-standard experiences of home care services, and the results can point the way to establishing a more person-centred and health-promoting model for home care services for older people.
  
  
  
  NCT02846246 .
authors.affiliation: Department of Nursing, Umeå University, 90187, Umeå, Sweden. karin.bolenius@umu.se.
authors.forename: Karin
authors.initials: K
authors.lastname: Bölenius
authors.affiliation: Department of Nursing, Umeå University, 90187, Umeå, Sweden.
authors.forename: Kristina
authors.initials: K
authors.lastname: Lämås
authors.affiliation: Department of Nursing, Umeå University, 90187, Umeå, Sweden.|Division of Caring Sciences, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Per-Olof
authors.initials: PO
authors.lastname: Sandman
authors.affiliation: Department of Nursing, Umeå University, 90187, Umeå, Sweden.|School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Edvardsson
mesh_terms: D000368:Aged; D017028:Caregivers; D006293:Health Promotion; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration / Q000592:standards*; D036301:Qualitative Research; D011788:Quality of Life; D012648:Self Care; D011795:Surveys and Questionnaires; D013548:Sweden; D065228:Non-Randomized Controlled Trials as Topic
keywords: Aged care; Decision making; Health; Home care services; Older people; Person-centred; Quality of life