Development of a tool to assess environmental factors to support home care - a Delphi study

被引:0
作者
Schorderet, Chloe [1 ,2 ,3 ,4 ]
Bastiaenen, Caroline H. G. [2 ]
de Bie, Robert A. [2 ]
Marechal, Marc [5 ]
Vuilleumier, Noemie [5 ]
Allet, Lara [1 ,3 ,4 ,6 ,7 ]
机构
[1] Univ Appl Sci & Arts Western Switzerland, Sch Hlth Sci, HES SO Valais Wallis, Valais, Sion, Switzerland
[2] Maastricht Univ, Care & Publ Hlth Res Inst CAPHRI, Dept Epidemiol, Maastricht, Netherlands
[3] Sense Innovat & Res Ctr, Lausanne, Switzerland
[4] Sense Innovat & Res Ctr, Sion, Switzerland
[5] Neuchatel Lung Assoc, Neuchatel, Switzerland
[6] Univ Hosp, Dept Community Med, Geneva, Switzerland
[7] Univ Geneva, Geneva, Switzerland
关键词
Environmental factors; Home care; Environment; Assessment; Delphi; SELF-ASSESSMENT TOOL; HEALTH; INTERVENTION; QUALITY; MODEL;
D O I
10.1186/s12877-023-04207-3
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background Living in an adequate environment suited to one's abilities and needs is an essential condition to function in daily life. However, no complete tool currently exists to provide a rapid overview of a person's environment, both material (accommodation and auxiliary means) and social (entourage and available services). Our aim was to develop a tool to identify potentially problematic environmental factors and to determine when an in-depth assessment is necessary. Methods Health professionals experienced in home-based treatment participated in a three-round Delphi process. The first round aimed to define which items the tool should contain, the second to collect participants' opinions on a first version of the tool, and the third to collect the participants' opinions on the adapted version of the tool. Results A total of 29 people participated in the first round, 21 in the second and 18 in the third. The final tool contains 205 items divided into four categories (basic information about the inhabitant and their home, inhabitant's level of independence and autonomy, home, tools and means at the inhabitant's disposition) and two annexes (stairs to access to the home, internal staircase to the dwelling). Conclusions A complete tool allowing professionals working in patients' homes to obtain an overview of the environmental factors that could represent obstacles to the independence of the inhabitant, or to the possibility of providing quality care could be developed. This tool is very complete but relatively long. To facilitate its usability, it would be relevant that a digital version to focus on individual relevant categories be elaborated.
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页数:10
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