Outcomes and Well-being Part 1: A comparative longitudinal study of two models of homecare delivery and their impact upon the older person self-reported subjective well-being

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Gethin-Jones, Stephen;

Purpose – This paper aims to report on a study of outcome-focussed care for older people in one English local authority. The aim of the research is to examine whether altering the delivery of care to an outcome-focused model would improve the individual participant’s su... View more
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    12 references, page 1 of 2

    intervention worked that were not also provided by the traditional time/task model of 400 homecare delivery. 401 402

    Conclusion 403 404

    This paper has focused mainly on the ''does'' question. In examining the ''does'' question, it 405 has been established that there is an association between the type of intervention the 406 participant receives and their self-rated wellbeing. However, it is not clear why this is the 407 case and therefore further qualitataive research, will allow for the context to be studied in 408 greater depth to establish why this intervention appears to have an impact upon the 409 individuals SWB. 410 411 412 Implications for practice 413 414 415

    B Move away from task-focused provision to person-centered services. 416 B Targeting of outcome-focused care to the most socially isolated. 417 418

    B Greater focus on the holistic care of the service user rather than pure physical care. 419 420 421

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    Department of Health (2002), Fair Access to Care Services, available at: /www.dh.gov.uk/en/ 431 consultations/responsestoconsultations/dh_4017186">http://webarchive.nationalarchives.gov.uk/þ / 432 www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_4017186 (accessed 7 April 2011). 433 Diener, E. (1984), ''Subjective well-being'', Psychological Bulletin, Vol. 95, pp. 542-75. 434 435

    Diener, E. (2009), The Science of Well-being: The Collected Works of Ed Diener, Springer, London. 436 Kutner, N.G., Ory, M.G., Baker, D.L., Schechtman, K.B., Hornbrook, M.C. and Mulrow, C.D. (1992), 437 ''Measuring the quality of life of the elderly in health promotion clinical trials'', Public Health Reports, 438 Vol. 107, pp. 530-9. 439 440

    Lawton, M.P. (1991), ''A multidimensional view of quality of life in frail elders'', in Birren, J.E., Luben, J.E., 441 Rowe, J.C. and Deutchman, D.E. (Eds), The Concept of the Measurement of Quality of Life in the Frail 442 Elderly, Academic Press, San Diego, CA, pp. 3-27. 443 Leece, J. (2003), ''The development of domiciliary care: what does the future hold?'', Practice: Social 444 Work in Action, Vol. 15 No. 3, pp. 17-30. 445 446

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