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European Geriatric Medicine
Article . 2024 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Other literature type . 2024
License: CC BY
Data sources: PubMed Central
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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

Authors: Maier, Leonie; Benzinger, Petra; Abel, Bastian; Roigk, Patrick; Bongartz, Martin; Wirth, Isabel; Cuvelier, Ingeborg; +8 Authors

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

Abstract

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.

Keywords

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, Humans, Female, Qualitative Research, Research Paper, Aged, Program Evaluation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
hybrid