Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Sydney, NSW, 2109, Australia.
Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, Ground Level, 75 Talavera Raod, Sydney, NSW, 2109, Australia.
BMC Geriatr. 2019 Mar 12;19(1):78. doi: 10.1186/s12877-019-1094-2.
Several outcome measures can be utilised to measure social participation and Quality of Life (QoL) in research and clinical practice. However there have been few large-scale trials of these tools in community care to identify their value to clients and providers. This study aims to evaluate the implementation of the Australian Community Participation Questionnaire (ACPQ) and the ICEpop CAPability measure for Older people (ICECAP-O) as tools to measure social participation and QoL for clients receiving community aged care services. The specific research questions focus on determining: (1) the levels and predictors of social participation and QoL among older adults using community aged care services; (2) the acceptability and feasibility of implementation of ACPQ and ICECAP-O tools into routine community aged care assessments; (3) if implementation of the tools change service provision and outcomes for older adults receiving community aged care services.
A mixed method design will be used to collect data from a large Australian aged care provider. Community aged care clients' ACPQ and ICECAP-O scores, as well as other key outcomes (e.g. services used, hospitalisation and admission to permanent residential care), will be examined at baseline and 12-monthly follow-up assessments. Interviews and focus groups with community aged care clients and staff who administer the tools will also be completed. Descriptive statistics and multiple linear regression will be used to examine the levels and predictors of social participation and QoL. Thematic analysis of interviews and focus groups will be used to determine the acceptability and feasibility of implementing the ACPQ and ICECAP-O into routine needs assessments in community aged care. Case-controlled analyses will be used to determine whether the implementation of the ACPQ and ICECAP-O changes service use and outcomes.
The novel use of the ACPQ and the ICECAP-O tools as part of routine needs assessments for community aged care clients has the potential to improve the quality and effectiveness of community aged care services and outcomes.
Australian and New Zealand clinical trial registry number: ACTRN12617001212347 . Registered 18/08/2017.
有几种结果衡量标准可用于研究和临床实践中测量社会参与度和生活质量（QoL）。然而，在社区护理中，针对这些工具的大规模试验较少，难以确定其对客户和提供者的价值。本研究旨在评估澳大利亚社区参与问卷（ACPQ）和老年人 ICEpop 能力测量表（ICECAP-O）作为衡量接受社区老年护理服务的客户社会参与度和生活质量的工具的实施情况。具体研究问题集中在确定：（1）使用社区老年护理服务的老年人的社会参与度和生活质量的水平和预测因素；（2）将 ACPQ 和 ICECAP-O 工具纳入常规社区老年护理评估中的可接受性和可行性；（3）工具的实施是否会改变接受社区老年护理服务的老年人的服务提供和结果。
将使用混合方法设计从一家大型澳大利亚老年护理机构收集数据。社区老年护理客户的 ACPQ 和 ICECAP-O 评分以及其他关键结果（例如，使用的服务、住院和入住永久性居住护理）将在基线和 12 个月的随访评估中进行检查。还将对接受工具管理的社区老年护理客户和工作人员进行访谈和焦点小组讨论。将使用描述性统计和多元线性回归来检查社会参与度和生活质量的水平和预测因素。将使用访谈和焦点小组的主题分析来确定将 ACPQ 和 ICECAP-O 纳入社区老年护理常规需求评估中的可接受性和可行性。病例对照分析将用于确定 ACPQ 和 ICECAP-O 的实施是否会改变服务的使用和结果。
将 ACPQ 和 ICECAP-O 工具作为社区老年护理客户常规需求评估的一部分的新颖使用，有可能提高社区老年护理服务和结果的质量和效果。
澳大利亚和新西兰临床试验注册编号：ACTRN12617001212347。注册于 2017 年 8 月 18 日。
