Continuous Use of Home Care Services and Functional Performance: A Population-Based Approach

Abstract

Background

Home care (HC) services are the foundational service in Taiwan, such as personal care, housekeeping, showers, meal preparation, and so on. We used population-representative data to evaluate the effects of HC services use on the long-term functional performance of older adults.

Method

This longitudinal study used latent growth curve modeling, measured as trajectories in activities of daily living (ADL) ability. We retrieved data for 1,851 care recipients from the Long-Term Care Service Management System database.

Results

Continuous use of HC services had positive effects on functional performance over time of declining functional capacity (β = .075, p < .05). While greater age was associated with slower increases in ADL scores, being female and living alone were associated with faster increases in ADL scores.

Discussion

Continuous use of the HC services provided has a significant impact on maintaining or improving functional performance among older adults in the early stage of declined functional capacity.

Keywords

functional status longitudinal methods activities of daily living (ADLs)

Get full access to this article

View all access options for this article.

References

Asiri

F. Y.

Marchetti

G. F.

Ellis

J. L.

Otis

Sparto

P. J.

Watzlaf

Whitney

S. L.

(2017). Effect of home-based rehabilitation on activities of daily living and gait in older adults with heart failure at risk for falling: A retrospective cohort study. Physiotherapy Theory and Practice, 33(12), 943–953. https://doi.org/10.1080/09593985.2017.1360422

Birchenall

J. M.

Streight

M. E.

Streight

(2003). Mosby’s textbook for the home care aide. Mosby.

Chen

Y. M.

Chen

D. R.

Chiang

T. L.

Y. K.

H. W.

(2016). Determinants of rate of change in functional disability: An application of latent growth curve modeling. Archives of Gerontology and Geriatrics, 64, 21–28.

Chen

Y. M.

Thompson

E. A.

Berkowitz

Young

H. M.

Ward

(2011). Factors and home- and community-based services (HCBS) that predict older adults’ residential transitions. Journal of Service Science and Management, 4, 368–379.

Cook

R. J.

Berg

Lee

K.-A.

Poss

J. W.

Hirdes

J. P.

Stolee

(2013). Rehabilitation in home care is associated with functional improvement and preferred discharge. Archives of Physical Medicine and Rehabilitation, 94(6), 1038–1047. https://doi.org/10.1016/j.apmr.2012.12.024

Edgren

Salpakoski

Sihvonen

S. E.

Portegijs

Kallinen

Arkela

M.. . .

Sipila

(2015). Effects of a home-based physical rehabilitation program on physical disability after hip fracture: A randomized controlled trial. Journal of the American Medical Directors Association, 16(4), 350.e1–350.e7. https://doi.org/10.1016/j.jamda.2014.12.015

Elkan

Kendrick

Dewey

Hewitt

Robinson

Blair

M.. . .

Brummell

(2001). Effectiveness of home based support for older people- systematic review and meta-analysis. British Medical Journal, 323, 719–725.

Executive Yuan in Taiwan. (2007). Report on 10-year long-term care plan in Taiwan. https://1966.gov.tw/LTC/cp-3989-42402-201.html

Genworth. (2019). Genworth cost of care survey 2019.

10.

Han

S. J.

Kim

H. K.

Storfjell

Kim

M. J.

(2013). Clinical outcomes and quality of life of home health care patients. Asian Nursing Research, 7(2), 53–60. https://doi.org/10.1016/j.anr.2013.03.002

11.

IBM SPSS Statistics. (2011). IBM SPSS Statistics for Windows, Version 20.0. IBM Corp., Armonk, New York.

12.

Imanishi

Tomohisa

Higaki

(2017). Impact of continuous in-home rehabilitation on quality of life and activities of daily living in elderly clients over 1 year. Geriatrics & Gerontology International, 17(11), 1866–1872. https://doi.org/10.1111/ggi.12978

13.

Katz

Akpom

C. A.

(1976). Index of ADL. Medical Care, 14(Suppl. 5), 116–118.

14.

Liang

Wang

C.-N.

Hsu

H.-C.

Lin

H.-S.

Lin

Y.-H.

(2010). Trajectory of functional status among older Taiwanese: Gender and age variations. Social Science & Medicine, 71(6), 1208–1217. https://doi.org/10.1016/j.socscimed.2010.05.007

15.

Mahoney

F. I.

Barthel

D. W.

(1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65.

16.

Ministry of Health and Welfare. (2016). Ten year long-term care 2.0 plan (2015-2026).

17.

Ministry of Health and Welfare in Taiwan. (2013). The plan of long-term care service network in Taiwan: First stage (2013-2016). https://1966.gov.tw/LTC/cp-3981-38769-201.html

18.

Ministry of Health and Welfare in Taiwan. (2015). Plan of long-term care capacity and capability improvement in Taiwan (2015-2018). https://1966.gov.tw/LTC/cp-3981-38768-201.html

19.

Ministry of Health and Welfare in Taiwan. (2016). Report on 10-year long-term care plan in Taiwan (Version 2.0) (2017-2026). https://1966.gov.tw/LTC/mp-201.html

20.

Ministry of Labor. (2018). Work qualifications and rules for foreign workers. https://www.wda.gov.tw/en/NewsFAQ.aspx?n=26470E539B6FA395&sms=0FCDB188C74F69A0

21.

Ministry of Labor. (2020). Foreign workers in productive industries and social welfare by industry.

22.

Muthén

. Mplus user’s guide, Seventh Edition edn. Los Angeles, CA: Muthén & Muthén, 1998-2012.

23.

Olivares-Tirado

Tamiya

Kashiwagi

(2012). Effect of in-home and community-based services on the functional status of elderly in the long-term care insurance system in Japan. BMC Health Services Research, 12(1), Article 239.

24.

Prestmo

Hagen

Sletvold

Helbostad

J. L.

Thingstad

Taraldsen

K.. . .

Saltvedt

(2015). Comprehensive geriatric care for patients with hip fractures: A prospective, randomised, controlled trial. The Lancet, 385(9978), 1623–1633. https://doi.org/10.1016/S0140-6736(14)62409-0

25.

Raykov

Marcoulides

G. A.

(2012). A first course in structural equation modeling. Taylor & Francis.

26.

Schmitt

E. M.

Sands

L. P.

Weiss

Dowling

Covinsky

(2010). Adult day health center participation and health-related quality of life. The Gerontologist, 50(4), 531–540. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119386/pdf/gnp172.pdf

27.

Stuck

A. E.

Egger

Hammer

Minder

C. E.

Beck

J. C.

(2002). Home visits to prevent nursing home admission and functional decline in elderly people: Systematic review and meta-regression analysis. Journal of the American Medical Association, 287(8), 1022–1028.

28.

Sulter

Steen

Keyser

J. D.

(1999). Use of the Barthel Index and Modified Rankin Scale in acute stroke trials. Stroke, 30(8), 1538–1541. https://doi.org/10.1161/01.STR.30.8.1538

29.

Tinetti

M. E.

Baker

Gallo

W. T.

Nanda

Charpentier

O’Leary

(2002). Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care. Journal of the American Medical Association, 287(16), 2098–2105. https://doi.org/10.1001/jama.287.16.2098

30.

Tomita

Yoshimura

Ikegami

(2010). Impact of home and community-based services on hospitalisation and institutionalisation among individuals eligible for long-term care insurance in Japan. BMC Health Serv Res, 10, 345. doi:10.1186/1472-6963-10-345

31.

Whitehead

P. J.

Worthington

E. J.

Parry

R. H.

Walker

M. F.

Drummond

A. E.

(2015). Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: A systematic review. Clinical Rehabilitation, 29(11), 1064–1076. https://doi.org/10.1177/0269215514564894

32.

World Health Organization. (2016). Long-term-care systems. https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/ageing-and-health/integrated-continuum-of-long-term-care

33.

S. C.

Peng

M. C.

Hsueh

J. Y.

Chiang

T. L.

Y. K.

Tung

Y. C.

Chen

Y. M.

(2021). Impact of a new home-care payment mechanism on growth of the home care workforce in Taiwan. Gerontologist, 61, 505–516. https://doi.org/10.1093/geront/gnab010

34.

H. W.

Chen

D. R.

Chiang

T. L.

Y. K.

Chen

Y. M.

(2015). Disability trajectories and associated disablement process factors among older adults in Taiwan. Archives of Gerontology and Geriatrics, 60(2), 272–280. https://doi.org/10.1016/j.archger.2014.12.005

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.19 MB