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A systematic review evaluating the impact of paid home carer training, supervision, and other interventions on the health and well-being of older home care clients

Cooper, C; Cenko, B; Dow, B; Rapaport, P; (2017) A systematic review evaluating the impact of paid home carer training, supervision, and other interventions on the health and well-being of older home care clients. International Psychogeriatrics , 29 (4) pp. 595-604. 10.1017/S1041610216002386. Green open access

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Abstract

BACKGROUND: Interventions to support and skill paid home carers and managers could potentially improve health and well-being of older home care clients. This is the first systematic review of interventions to improve how home carers and home care agencies deliver care to older people, with regard to clients’ health and wellbeing and paid carers’ well-being, job satisfaction, and retention. METHODS: We reviewed 10/731 papers found in the electronic search (to January 2016) fitting predetermined criteria, assessed quality using a checklist, and synthesized data using quantitative and qualitative techniques. RESULTS: Ten papers described eight interventions. The six quantitative evaluations used diverse outcomes that precluded meta-analysis. In the only quantitative study (a cluster Randomized Controlled Trial), rated higher quality, setting meaningful goals, carer training, and supervision improved client health-related quality of life. The interventions that improved client outcomes comprised training with additional implementation, such as regular supervision and promoted care focused around clients’ needs and goals. In our qualitative synthesis of four studies, intervention elements carers valued were greater flexibility to work to a needs-based rather than a task-based model, learning more about clients, and improved communication with management and other workers. CONCLUSION: There is a dearth of evidence regarding effective strategies to improve how home care is delivered to older clients, particularly those with dementia. More research in this sector including feasibility testing of the first home care intervention trials to include health and life quality outcomes for clients with more severe dementia is now needed.

Type: Article
Title: A systematic review evaluating the impact of paid home carer training, supervision, and other interventions on the health and well-being of older home care clients
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S1041610216002386
Publisher version: https://doi.org/10.1017/S1041610216002386
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Dementia, home care provision, psychological interventions
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 Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1547657
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