Engaging Caregivers in Health-Related Housing Decisions for Older Adults with Cognitive Impairment: A Cluster Randomized Trial

Engaging Caregivers in Health-Related Housing Decisions for Older Adults with Cognitive Impairment: A Cluster Randomized Trial

Engaging Caregivers in Health-Related Housing Decisions for Older Adults with Cognitive Impairment: A Cluster Randomized Trial

Engaging Caregivers in Health-Related Housing Decisions for Older Adults with Cognitive Impairment: A Cluster Randomized Trials

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Référence bibliographique [21360]

Adekpedjou, Rhéda, Stacey, Dawn, Brière, Nathalie, Freitas, Adriana, Garvelink, Mirjam M., Dogba, Maman Joyce, Durand, Pierre J., Desroches, Sophie, Croteau, Jordie, Rivest, Louis-Paul et Legaré, France. 2020. «Engaging Caregivers in Health-Related Housing Decisions for Older Adults with Cognitive Impairment: A Cluster Randomized Trial ». The Gerontologist, vol. 60, no 5, p. 947-957.

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1. Objectifs


Intentions :
The aim of this study is to «[assess] the effect of training home care teams in interprofessional SDM [shared decision-making] on the proportion of caregivers who report being active in decision making regarding health-related housing for a cognitively impaired older adult.» (p. 948)

2. Méthode


Échantillon/Matériau :
L’échantillon est composé de 271 professionnels et professionnelles de la santé, et de 296 proches aidants et proches aidantes. Ils et elles ont été recrutées dans 16 Centres de santé et de services sociaux (CSSS) de sept régions administratives.

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé


«When informal caregivers are not involved in healthrelated housing decisions about cognitively impaired older adults (e.g., should he/she move into a nursing home or stay at home with home care services?), or the caregivers have insufficient decision-making support, the decision can be poorly informed and result in decisional conflict, guilt, and regret.» (p. 948) The authors «observed that training home care teams in interprofessional SDM combined with a decision guide increased the proportion of caregivers who reported being active in making health-related housing decisions for an older adult with cognitive impairment. It also increased the proportion of caregivers who reported a match between the role they preferred and the role they actually assumed in decision making. However, the data suggest that it had no effect on caregivers’ preferred health-related housing option, the decision made, the match between preferred option and decision made, decisional conflict, decision regret, or burden of care.» (p. 952)