Implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): an early qualitative process evaluation
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Implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): an early qualitative process evaluation. / Roth, Catharina; Maier, Leonie; Abel, Bastian; Roigk, Patrick; Rapp, Kilian; Schmidberger, Oliver; Bongartz, Martin; Maier, Simone; Wirth, Isabel; Metz, Brigitte; Immel, Désirée; Finger, Benjamin; Schölch, Sabine; Büchele, Gisela; Deuster, Oliver; Koenig, Hans-Helmut; Gottschalk, Sophie; Dams, Judith; Micol, William; Bauer, Jürgen M; Wensing, Michel; Benzinger, Petra.
in: BMC GERIATR, Jahrgang 24, 29.08.2024, S. 720.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): an early qualitative process evaluation
AU - Roth, Catharina
AU - Maier, Leonie
AU - Abel, Bastian
AU - Roigk, Patrick
AU - Rapp, Kilian
AU - Schmidberger, Oliver
AU - Bongartz, Martin
AU - Maier, Simone
AU - Wirth, Isabel
AU - Metz, Brigitte
AU - Immel, Désirée
AU - Finger, Benjamin
AU - Schölch, Sabine
AU - Büchele, Gisela
AU - Deuster, Oliver
AU - Koenig, Hans-Helmut
AU - Gottschalk, Sophie
AU - Dams, Judith
AU - Micol, William
AU - Bauer, Jürgen M
AU - Wensing, Michel
AU - Benzinger, Petra
N1 - © 2024. The Author(s).
PY - 2024/8/29
Y1 - 2024/8/29
N2 - BACKGROUND: Geriatric rehabilitation aims at increasing physical and social activity and maintaining the functional reserve of older people. However, the continuity of geriatric rehabilitation in the outpatient setting is limited due to a lack of structured aftercare programs. In order to overcome this, a three-month multimodal home-based intervention program (GeRas) was implemented. The aim of this early qualitative process evaluation was to assess GeRas in terms of perceived reach, effectiveness/efficacy, adoption/uptake, implementation, and maintenance/sustainability (Domains within the RE-AIM Framework) from the perspective of patients who received the intervention and healthcare providers who were involved in the delivery of the intervention.METHODS: In a qualitative process evaluation, 13 healthcare providers and 10 patients were interviewed throughout the beginning of the implementation period of GeRas to capture early experiences using a semi-structured interview guide. The interview guide and qualitative content analysis was guided by the RE-AIM Framework.RESULTS: The GeRas program was perceived to be largely well implemented and beneficial by healthcare providers and patients. According to healthcare providers, GeRas showed more advantages compared to usual care. Additionally, outcome expectations were mainly met (Domain 1: Effectiveness). However, the implementation of the intervention delivered via the eHealth system was perceived as challenging (Domain 2: Adoption). Nevertheless, the outpatient physical exercise, the outpatient counselling, and the continuous care after discharge improved perceived well-being regardless of the intervention type (Domain 3: Implementation). To facilitate the continued use of GeRas, technical requirements should be created to increase user-friendliness and to motivate patients to continue the training in the long term (Domain 4: Maintenance).CONCLUSION: Although initial experiences with the implementation and effectiveness of GeRas were positive in general, organisational and technical issues need to be resolved to enhance sustainable and successful implementation of the GeRas program.TRIAL REGISTRATION: German Clinical Trials Register (DRKS00029559). Registered 5/10/2022.
AB - BACKGROUND: Geriatric rehabilitation aims at increasing physical and social activity and maintaining the functional reserve of older people. However, the continuity of geriatric rehabilitation in the outpatient setting is limited due to a lack of structured aftercare programs. In order to overcome this, a three-month multimodal home-based intervention program (GeRas) was implemented. The aim of this early qualitative process evaluation was to assess GeRas in terms of perceived reach, effectiveness/efficacy, adoption/uptake, implementation, and maintenance/sustainability (Domains within the RE-AIM Framework) from the perspective of patients who received the intervention and healthcare providers who were involved in the delivery of the intervention.METHODS: In a qualitative process evaluation, 13 healthcare providers and 10 patients were interviewed throughout the beginning of the implementation period of GeRas to capture early experiences using a semi-structured interview guide. The interview guide and qualitative content analysis was guided by the RE-AIM Framework.RESULTS: The GeRas program was perceived to be largely well implemented and beneficial by healthcare providers and patients. According to healthcare providers, GeRas showed more advantages compared to usual care. Additionally, outcome expectations were mainly met (Domain 1: Effectiveness). However, the implementation of the intervention delivered via the eHealth system was perceived as challenging (Domain 2: Adoption). Nevertheless, the outpatient physical exercise, the outpatient counselling, and the continuous care after discharge improved perceived well-being regardless of the intervention type (Domain 3: Implementation). To facilitate the continued use of GeRas, technical requirements should be created to increase user-friendliness and to motivate patients to continue the training in the long term (Domain 4: Maintenance).CONCLUSION: Although initial experiences with the implementation and effectiveness of GeRas were positive in general, organisational and technical issues need to be resolved to enhance sustainable and successful implementation of the GeRas program.TRIAL REGISTRATION: German Clinical Trials Register (DRKS00029559). Registered 5/10/2022.
KW - Humans
KW - Aged
KW - Male
KW - Female
KW - Patient Discharge
KW - Aged, 80 and over
KW - Home Care Services
KW - Qualitative Research
KW - Inpatients
U2 - 10.1186/s12877-024-05277-7
DO - 10.1186/s12877-024-05277-7
M3 - SCORING: Journal article
C2 - 39210258
VL - 24
SP - 720
JO - BMC GERIATR
JF - BMC GERIATR
SN - 1471-2318
ER -