Significant Activities in the Integrated Person-centered Care Model (IO/20240924)

Significant Activities in the Implementation of the Integrated Person-centered Care Model: Intervention Protocol

The increasing life expectancy and global aging population necessitate changes in long-term gerontological services based on Person-Centred Care approaches. This study aims to improve Person-Centred Care in geriatric centers through meaningful activities and the role of occupational therapists and direct care professionals in developing these activities. A descriptive cross-sectional quasi-experimental design was proposed, with 10 participants.

Study Overview

• Status: Recruiting
• Conditions: Old Age; Debility; Old Age; Dementia
• Intervention / Treatment: Other: meaningful activities; Other: other activities

Detailed Description

Background: Increasing life expectancy means that the ageing of populations globally is on the rise. It is therefore important to promote changes in long-term gerontological services based on Person-Centred Care approaches, in which meaningful occupation serves as a basis and is supported by appropriate professional support, such as the occupational therapist and the direct care professional.

Objective: To improve Person-Centred Care in a geriatric centre, through the use of meaningful activities and to identify the role of the occupational therapist and direct care professional in the development of these activities.

Methods: A descriptive cross-sectional quasi-experimental pre-post single-group design is proposed. A total of 10 participants. The methodology used will be mixed. The data collection techniques and tools will be the PDC evaluation instrument pre and post intervention and a survey at the end of the project.

• Study Type: Interventional
• Enrollment (Estimated): 10
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Burgos, Spain, 09003
    • Recruiting
    • Olalla Saiz Vazquez
    • Contact: Olalla Saiz Vazquez; Phone Number: +34625685700; Email: osaiz@ubu.es

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• That the direct care worker has a degree as a nursing assistant, dependency care technician, geroculturist or certificate of professionalism.
• The worker must speak and understand Spanish.
• The residence must offer service during the day, in the morning or afternoon shift.
• Workers must have been with the department for more than 4 months.

Exclusion Criteria:

• Workers who work night shift only.
• Workers on rotating shifts in all departments of the residence.
• Workers absent at the time of the study due to temporary leave, vacations or other causes.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Non-Randomized
• Interventional Model: Single Group Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: single group; The intervention proposal will be developed in a module with 10 elderly people, all of them men, with moderate dependence and older, with an average age of 84 years. All of them have multiple medical pathologies with the need for continuous nursing care.	Other: meaningful activities; The intervention proposal will be developed in a module with 27 elderly people, all of them men, with moderate dependence and older, with an average age of 84 years. All of them have multiple medical pathologies with the need for continuous nursing care.
Experimental: CONTROL GROUP; The intervention proposal will be developed in a module with 10 elderly people, all of them men, with moderate dependence and older, with an average age of 84 years. All of them have multiple medical pathologies with the need for continuous nursing care.	Other: other activities; The intervention proposal will be developed in a module with 27 elderly people, all of them men, with moderate dependence and older, with an average age of 84 years. All of them have multiple medical pathologies with the need for continuous nursing care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Kruskal-Wallis test	To compare the medians of the groups	3 months
Spearman's correlation coefficient	This measure allows us to determine the strength and direction of the association between the variables	3 months

Collaborators and Investigators

• Sponsor: Universidad de Burgos

Publications and helpful links

General Publications

• McCormack, B., & McCance, T. (2017). Person-Centred Practice in Nursing and Health Care: Theory and Practice. Wiley-Blackwell.
• World Health Organization. (2016). Framework on Integrated, People-Centred Health Services. WHO.
• Gittell, J. H., & Vidal, M. (2018). Relational Coordination: Guidelines for Theory and Practice. Oxford University Press.
• Edvardsson, D., & Innes, A. (2017). Measuring Person-Centred Care: A Review of Tools and Methodologies. Journal of Nursing Scholarship, 49(2), 223-235. https://doi.org/10.1111/jnu.12276
• Dewing, J. (2008). Person-Centred Dementia Care: A Vision to Be Realised. Journal of Nursing Management, 16(3), 261-268. https://doi.org/10.1111/j.1365-2834.2007.00848.x

Study record dates

Study Major Dates

• Study Start (Actual): September 24, 2024
• Primary Completion (Estimated): December 20, 2024
• Study Completion (Estimated): January 20, 2025

Study Registration Dates

• First Submitted: September 24, 2024
• First Submitted That Met QC Criteria: September 30, 2024
• First Posted (Actual): October 2, 2024

Study Record Updates

• Last Update Posted (Actual): October 2, 2024
• Last Update Submitted That Met QC Criteria: September 30, 2024
• Last Verified: September 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Frailty
• Other Study ID Numbers: IO/20240924

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Although each participant will provide their name and email address to register for the study, their data and survey results will be completely anonymous and linked to a participant code. On each measurement occasion, participants will be emailed a link to the survey and, when clicked, will be taken to the google-forms web platform that will host the surveys. The web surveys will not ask for any information that can be used to identify a specific participant, and google-forms will not record any metadata.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No