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Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study

Frost, R; Kharicha, K; Jovicic, A; Liljas, AEM; Iliffe, S; Manthorpe, J; Gardner, B; ... Walters, K; + view all (2017) Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study. Health and Social Care in the Community 10.1111/hsc.12526. (In press). Green open access

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Abstract

Mild frailty is common in later life, increasing the risk of hospitalisation, loss of independence and premature death. Targeted health promotion services may reduce adverse outcomes and increase quality of life; however, effective, well‐developed theory‐based interventions are lacking. We aimed to explore perceptions of health promotion behaviours undertaken by older people with mild frailty, barriers and facilitators to engagement, and identify potential components for new home‐based health promotion services. We carried out 17 semi‐structured qualitative interviews and six focus groups with 53 stakeholders, including 14 mildly frail older people, 12 family carers, 19 community health and social care professionals, and 8 homecare workers, in one urban and one semi‐rural area of England. Transcripts were thematically analysed. Older people with mild frailty reported engaging in a variety of lifestyle behaviours to promote health and well‐being. Key barriers or facilitators to engaging in these included transport, knowledge of local services, social support and acceptance of personal limitations. Older people, carers and professionals agreed that any new service should address social networks and mobility and tailor other content to each individual. Services should aim to increase motivation through focussing on independence and facilitate older people to continue carrying out behaviours that improve their well‐being, as well as provide information, motivation, psychological support and practical support. Stakeholders agreed services should be delivered over a sustained period by trained non‐specialist workers. New services including these components are likely to be acceptable to older people with mild frailty.

Type: Article
Title: Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/hsc.12526
Publisher version: https://doi.org/10.1111/hsc.12526
Language: English
Additional information: Copyright © 2017 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: health behaviours, health promotion, older people, older people's services, qualitative research
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/10037520
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