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.
Working with Older People, 16
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Official URL: http://dx.doi.org/10.1108/13663661211215141
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 subjective well-being and save
money for the local authority.
Design/methodology/approach – In order for the aim of the research to be established, a pilot study was
devised. This was a longitudinal study over 18 months, using a quantitative design. The sample was of
40 service users aged 65 and over whom all had critical and substantial care needs. Half of the sample of
service users was receiving the new form of outcome-focused care and the other half were a comparison
group who were receiving care packages according to the traditional form of delivery that could be
characterised as a ‘‘task-focused’’ model. The service users were administered the Measure Yourself
Concerns and Wellbeing Questionnaire (MYCAW). This questionnaire involves respondents identifying
qualityof life issues;where they areseeking improvement; andmeasureschangeover time in relation to these.
Findings – The research established that there was a greater improvement in subjective well-being in
the group receiving outcome-focussed care, when compared with the comparison group receiving the
traditional task-focused model.
Practical implications – This paper will assist managers in their decision making to implement a more
outcome-focused model of home care with older people.
Originality/value – To use MYCAWin a social care context is an innovative aspect of this study as it has
previously been used only in mainstream and complementary medicine. The focus of this paper is to
examine the impact of two models of home care delivery for older people, and how these two models
impact on the older persons’ self-reported well-being.
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