Full metadata record
DC Field | Value | Language |
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dc.citation.endPage | 469 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 460 | - |
dc.citation.title | GERONTOLOGIST | - |
dc.citation.volume | 61 | - |
dc.contributor.author | Kim, Hongsoo | - |
dc.contributor.author | Jung, Young-il | - |
dc.contributor.author | Kim, Gi-Soo | - |
dc.contributor.author | Choi, Hyoungshim | - |
dc.contributor.author | Park, Yeon-Hwan | - |
dc.date.accessioned | 2023-12-21T15:53:39Z | - |
dc.date.available | 2023-12-21T15:53:39Z | - |
dc.date.created | 2021-12-06 | - |
dc.date.issued | 2021-04 | - |
dc.description.abstract | Background and Objectives: The objective of this study was to evaluate the impact of an information and communication technologies (ICT)-enhanced, multidisciplinary integrated care model, called Systems for Person-centered Elder Care (SPEC), on frail older adults at nursing homes. Research Design and Methods: SPEC was implemented at 10 nursing homes in South Korea in random order using a stepped-wedge design. Data were collected on all participating older residents in the homes before the first implementation and until 6 months after the last implementation. The 21-month SPEC intervention guided by the chronic care model (CCM) consists of 5 strategies: comprehensive geriatric assessment, care planning, optional interdisciplinary case conferences, care coordination, and a cloud-based ICT tool along with a free messaging app. The primary outcome was quality of care measured by a composite quality indicator (QI) from the interRAI assessment system. Usual care continued over the control periods. Nursing home staff were not blinded to the intervention. Results: There were a total of 482 older nursing home residents included in the analysis. Overall quality of care measured by the composite QI was significantly improved (adjusted mean difference: -0.025 [95% CI: -0.037 to -0.014, p<.0001]). The intervention effect was consistent in the subgroup analysis by cognition and activities of daily living. There were no important adverse events or side effects. Discussion and Implications: The SPEC, a CCM-guided, ICT-supported, multidisciplinary integrated care management intervention, can improve the quality of care measured by health and functional outcomes for frail older persons residing in nursing homes with limited health care provision. | - |
dc.identifier.bibliographicCitation | GERONTOLOGIST, v.61, no.3, pp.460 - 469 | - |
dc.identifier.doi | 10.1093/geront/gnaa090 | - |
dc.identifier.issn | 0016-9013 | - |
dc.identifier.scopusid | 2-s2.0-85104047983 | - |
dc.identifier.uri | https://scholarworks.unist.ac.kr/handle/201301/56605 | - |
dc.identifier.wosid | 000648934300028 | - |
dc.language | 영어 | - |
dc.publisher | OXFORD UNIV PRESS INC | - |
dc.title | Effectiveness of a Technology-Enhanced Integrated Care Model for Frail Older People: A Stepped-Wedge Cluster Randomized Trial in Nursing Homes | - |
dc.type | Article | - |
dc.description.isOpenAccess | TRUE | - |
dc.relation.journalWebOfScienceCategory | Gerontology | - |
dc.relation.journalResearchArea | Geriatrics & Gerontology | - |
dc.type.docType | Article | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordAuthor | Asia | - |
dc.subject.keywordAuthor | Evaluation | - |
dc.subject.keywordAuthor | Geriatric care model | - |
dc.subject.keywordAuthor | Implementation science | - |
dc.subject.keywordAuthor | Long-term care | - |
dc.subject.keywordPlus | LONG-TERM-CARE | - |
dc.subject.keywordPlus | FACILITIES | - |
dc.subject.keywordPlus | PROTOCOL | - |
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