1 Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
2 Research Centre for Community Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands.
Clin Rehabil. 2017 Nov;31(11):1419-1430. doi: 10.1177/0269215517698733. Epub 2017 Mar 14.
Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence. To achieve this behavioural change in home care professionals, the 'Stay Active at Home' programme was developed.
The aim of this article is to give a detailed description of the rationale and content of the 'Stay Active at Home' programme by making use of the TIDieR (Template for Intervention Description and Replication) Checklist.
'Stay Active at Home' is a comprehensive training programme that aims to equip home care professionals (i.e. community nurses and domestic support workers) with the necessary knowledge, attitude, skills and social and organisational support to deliver day-to-day services at home from a more rehabilitative perspective. More specifically, home care professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.
由于年龄增长、意外事故或患病，社区居住的老年人需要接受家庭护理服务。传统上，这些服务侧重于为老年人做事，而不是与他们一起做事；尽管从康复的角度来看，帮助老年人达到并保持其最高功能水平非常重要。因此，需要对家庭护理服务进行重新定位，从治疗疾病和造成依赖性转向关注能力和机会，并最大限度地提高独立性。为了使家庭护理专业人员实现这种行为转变，开发了“Stay Active at Home”计划。
本文的目的是利用 TIDieR（干预描述和复制模板）清单详细描述“Stay Active at Home”计划的原理和内容。
“Stay Active at Home”是一项综合性培训计划，旨在使家庭护理专业人员（即社区护士和家庭支持工作者）具备必要的知识、态度、技能以及社会和组织支持，以便从更具康复性的角度提供日常家庭服务。更具体地说，家庭护理专业人员应提供以目标为导向、全面和以个人为中心的服务，重点是支持老年人维持、获得或恢复其从事身体和日常活动的能力，以便他们能够尽可能独立地管理日常生活。
