Protocol for a Field Trial of a Hearing and Vision Support Intervention for People Living in Long-Term Care in Australia

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-02-10 DOI:10.1111/hex.70175

Carly Meyer, Najwan El-Saifi, Naomi Rose, Kasia Bail, Colette Browning, Dayna Cenin, Antonio Ahumada-Canale, Megan Campbell, Tim England, Melanie Ferguson, Yuanyuan Gu, Reema Harrison, Chyrisse Heine, Lisa Keay, Sheela Kumaran, Iracema Leroi, Gerald Liew, Angelita Martini, Ralph Martins, John Newall, Smriti Raichand, Emma Scanlan, Hamid R. Sohrabi, Melinda Toomey, Johanna Westbrook, Piers Dawes

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Abstract

Introduction

Hearing and vision impairments are prevalent among residents in long-term care settings. Hearing and vision impairments frequently go unsupported, affecting residents' quality of life and healthcare costs. This paper describes the protocol for a pre−post evaluation and process evaluation of a pragmatic sensory support intervention (SSI) that was developed with residents, informal caregivers and long-term care workers.

Methods and Analysis

A prospective pre−post-intervention trial within long-term care will be conducted, including three groups: residents (n = 87), informal caregivers (n = 87) and long-term care workers (n = 40). Outcome measures include health-related quality of life and well-being measures relevant to each group measured at baseline, 3- and 6-months post-intervention. Health resource and sensory device utilisation will be captured from routine data and by direct observation. Qualitative interviews, including a representative sample of residents and informal caregivers, will be conducted as part of a simultaneous process evaluation. Generalised linear models and paired t-tests will be used to evaluate the effects on residents' and caregivers' quality of life and sensory device use. The cost-effectiveness of the intervention will be examined using within-trial analysis, economic modelling and budget impact assessment. A process evaluation will use descriptive statistics and thematic analysis to assess the intervention's reach, adoption, implementation, acceptability, mechanisms of change and contextual influences.

Conclusion

Hearing and vision impairments are common but under-supported in older adults in long-term care. This protocol involves a systematic evaluation of the effectiveness and implementation challenges of a pragmatic SSI to optimise hearing and vision function and improve the quality of life for long-term care residents and their caregivers.

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澳大利亚长期护理人员听力和视力支持干预的现场试验方案

听力和视力障碍在长期护理机构的居民中普遍存在。听力和视力障碍患者经常得不到支持，影响了居民的生活质量和医疗保健费用。本文描述了一种实用的感官支持干预（SSI）的前后评估和过程评估方案，该方案是由居民、非正式护理人员和长期护理人员共同开发的。方法与分析在长期护理中进行前瞻性干预前-干预后试验，包括三组：居民（n = 87），非正式护理人员（n = 87）和长期护理人员（n = 40）。结果测量包括在基线、干预后3个月和6个月测量与每组相关的与健康相关的生活质量和福祉测量。将从日常数据和直接观察中获取卫生资源和感官设备的使用情况。定性访谈，包括居民和非正式护理人员的代表性样本，将作为同步过程评估的一部分进行。将使用广义线性模型和配对t检验来评估对居民和护理人员生活质量和感官设备使用的影响。将使用试验内分析、经济模型和预算影响评估来审查干预措施的成本效益。进程评价将使用描述性统计数据和专题分析来评估干预措施的范围、采用、执行、可接受性、变化机制和环境影响。结论听力和视力障碍在老年人长期护理中普遍存在，但支持不足。该方案包括系统评估实用SSI的有效性和实施挑战，以优化听力和视力功能，并改善长期护理居民及其护理人员的生活质量。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.