The Safe Home Care Intervention Study: Implementation Methods and Effectiveness Evaluation

Details

• Personal Author:
  Fallon PJ ; Galligan CJ ; Gore RJ ; Kriebel D ; Lindberg JE ; Markkanen PK ; Quinn, Margaret M. ; Sama SR
• Description:
  Home care (HC) aides experience numerous safety hazards in clients' homes; many hazards also put clients at risk. We hypothesized that safety coaching led by nurse managers (NMs) during their initial HC needs assessment could prompt clients to improve safety conditions in their homes. Following a 2-arm proof-of-concept intervention study design, intervention NMs used motivational interviewing (MI), facilitated by a safety handbook and video, to coach clients on home safety improvements. Control arm NMs performed intake assessments with no changes to usual practices. Intervention effectiveness was assessed by NMs and aides. Three HC agencies and two elder services contributed 35 intervention and 23 control homes. NMs coached 97% of clients and reported that 94% were engaged; 63% implemented improvements. NMs' and aides' assessments were consistent; homes with clients reported by NMs as resistant to safety changes had higher aides' hazard scores. Client coaching can be effective for improving HC safety. [Description provided by NIOSH]
• Subjects:
  Health Personnel Home Care Services Occupational Health Safety
• Keywords:
  Author Keywords: Patient Safety Gerontology Health Care Personnel Home Care Aides Home Care Aide Safety Home Care Safety Home Health Care Home Safety Checklist Household Workers Intervention Motivational Interviewing Occupational Health Intervention Study Occupational Safety And Health Safety Practices

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• ISSN:
  0733-4648
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Boston Region [OSHA] ; Massachusetts
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  43
• Issue:
  11
• NIOSHTIC Number:
  nn:20070031
• Citation:
  J Appl Gerontol 2024 Nov; 43(11):1595-1604
• Contact Point Address:
  Margaret M. Quinn, Safe Home Care Project, Department of Public Health and Lowell Center for Sustainable Production, Zuckerberg College of Health Sciences, University of Massachusetts, 600 Suffolk Street, 520C, Lowell, MA 01854, USA
• Email:
  Margaret_Quinn@uml.edu
• Federal Fiscal Year:
  2025
• Performing Organization:
  University of Massachusetts - Lowell
• Peer Reviewed:
  True
• Start Date:
  20040901
• Source Full Name:
  Journal of Applied Gerontology
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:4d2eb49c27acc4f134c879bf3cc577575f90c6840fe5cee7f2d9c1826ff10866c9f671e9f867a4c80f92b0965771ec4380ad0af39cff422315077ea078b1d1b6
• Download URL:
  https://stacks.cdc.gov/view/cdc/208336/cdc_208336_DS1.pdf
• File Type:
  [PDF - 1.15 MB ]