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The role of patient-related factors in the implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): a qualitative process evaluation

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Title: The role of patient-related factors in the implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): a qualitative process evaluation
Authors: Maier, Leonie, Benzinger, Petra, Abel, Bastian, Roigk, Patrick, Bongartz, Martin, Wirth, Isabel, Cuvelier, Ingeborg, Schölch, Sabine, Büchele, Gisela, Deuster, Oliver, Bauer, Jürgen, Rapp, Kilian, Ullrich, Charlotte, Wensing, Michel, Roth, Catharina
Source: Eur Geriatr Med
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Aged, 80 and over, Female [MeSH], Patient Discharge [MeSH], Aged, 80 and over [MeSH], Post in-house rehabilitation intervention, Aged [MeSH], Humans [MeSH], Patient-related factors, Research Paper, Home Care Services [MeSH], Program Evaluation [MeSH], Qualitative Research [MeSH], Male [MeSH], Geriatric rehabilitation, Aftercare [MeSH], Motivation [MeSH], CFIR, Motivation, Aftercare, Home Care Services, Patient Discharge, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Humans, Female, 0305 other medical science, Qualitative Research, Aged, Program Evaluation
Description: Background Structured aftercare programs are implemented to facilitate the transition from rehabilitation centers to patients’ home environments. Taking the program GeRas as an example, this paper aims to evaluate the influence of patient-related factors on the implementation of the geriatric aftercare program GeRas from patients' and providers' perspectives. Methods To capture patients’ and providers’ perspectives, qualitative interviews were conducted using a semi-structured interview guide. The analysis was inductive–deductive and based on the thematic analysis by Braun and Clarke and guided by Domain IV of the CFIR. Results 16 participants (10 patients, 4 providers, 2 family members) were interviewed from May 2023 to November 2023. Patient-related factors were perceived as an important aspect during the implementation of the GeRas program. The results were allocated to the four Constructs of Domain IV of the CFIR (Motivation, Opportunity, Capability, Needs). Especially patients’ intrinsic motivation, social environment, and physical capabilities seemed to be crucial for successful implementation. While extrinsic motivation can mitigate missing personal capabilities, it cannot replace the presence of intrinsic motivation and capabilities. The results showed that patient-related factors are interlinked. Discussion/conclusion The relevance of patient-related factors during the implementation of the GeRas program shows that such programs must consider these factors during intervention planning.
Document Type: Article
Other literature type
Language: English
ISSN: 1878-7657
DOI: 10.1007/s41999-024-01027-5
Access URL: https://pubmed.ncbi.nlm.nih.gov/39085750
https://repository.publisso.de/resource/frl:6499453
Rights: CC BY
Accession Number: edsair.doi.dedup.....aad8a3dd2a56de62b84c73c1fb7303da
Database: OpenAIRE
Description
Abstract:Background Structured aftercare programs are implemented to facilitate the transition from rehabilitation centers to patients’ home environments. Taking the program GeRas as an example, this paper aims to evaluate the influence of patient-related factors on the implementation of the geriatric aftercare program GeRas from patients' and providers' perspectives. Methods To capture patients’ and providers’ perspectives, qualitative interviews were conducted using a semi-structured interview guide. The analysis was inductive–deductive and based on the thematic analysis by Braun and Clarke and guided by Domain IV of the CFIR. Results 16 participants (10 patients, 4 providers, 2 family members) were interviewed from May 2023 to November 2023. Patient-related factors were perceived as an important aspect during the implementation of the GeRas program. The results were allocated to the four Constructs of Domain IV of the CFIR (Motivation, Opportunity, Capability, Needs). Especially patients’ intrinsic motivation, social environment, and physical capabilities seemed to be crucial for successful implementation. While extrinsic motivation can mitigate missing personal capabilities, it cannot replace the presence of intrinsic motivation and capabilities. The results showed that patient-related factors are interlinked. Discussion/conclusion The relevance of patient-related factors during the implementation of the GeRas program shows that such programs must consider these factors during intervention planning.
ISSN:18787657
DOI:10.1007/s41999-024-01027-5