Experiences with combined personal-online case management and the self-reliance of older people with multimorbidity living alone in private households: results of an interpretative-hermeneutical analysis.

Publisher: Taylor & Francis Country of Publication: Sweden NLM ID: 8804206 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-6712 (Electronic) Linking ISSN: 02839318 NLM ISO Abbreviation: Scand J Caring Sci

Publication: Stockolm, Sweden : Taylor & Francis
Original Publication: Stockholm, Sweden : Almquist & Wiksell Periodical Co., [1987?-

Family Characteristics* ; Hermeneutics* ; Independent Living*; Case Management/*organization & administration; Aged ; Aged, 80 and over ; Female ; Germany ; Humans ; Middle Aged ; Multimorbidity ; Self Efficacy

Background: To date in Germany, only few studies have been conducted concerning the efficacy of care and case management (CCM) for older people and about using communication technology during monitoring.
Aim: With this study, it is intended to gain a better understanding of how CCM in general is perceived by older people (65+) living alone and in particular what they think about the CCM monitoring process used during video conferences.
Method: The sampling and work cycle were based on the Grounded Theory. Two different subsamples (each n = 20; total sample: 70% women; age range: 64-92 years) were recruited. Interviews were conducted with the focus on CCM contributions (Subsample I) and monitoring supported by video conferences (Subsample II). All participants had received CCM from external providers (care support centres) in two German federal states. The intervention of CCM ranged between four and twelve months. Participants of Subsample II received additionally moderated video conferences via tablet PCs for and with older people over an intervention period of nine months.
Results: Care and case management was experienced as a possibility for receiving individual support and for improving the user's everyday life. Within a short time, video conferences were a familiar communication tool. They enabled particularly people with reduced mobility to get barrier-free access to case managers, compensated for isolation and enabled participation.
Conclusions: According to the view of older CCM users with multimorbidity living alone, CCM offers formative and organisational support in various life-domains. Combined with video conferences, the exchange of information becomes barrier-free and instantaneous, and the sense of security in health questions is reinforced.
(© 2019 Nordic College of Caring Science.)

Statistisches Bundesamt. Pflegebedürftige: Deutschland, Stichtag, Art der Versorgung, Altersgruppen (Persons in need of Care: Germany, due date, type of care, age groups). 2017[cited 2017 Jul 17]. Available from: URL: https://www-genesis.destatis.de/genesis/online/link/tabelleErgebnis/22400-0001.
Kollak I, Schmidt S. Fallübungen Care und Case Management (Fall Exercises Care and Case Management). 2015, Springer Berlin Heidelberg, Berlin, Heidelberg.
Enguidanos S, Gibbs N, Jamison P. From hospital to home: a brief nurse practitioner intervention for vulnerable older adults. J Gerontol Nurs 2012; 38: 40-50.
Chiu WK, Newcomer R. A systematic review of nurse-assisted case management to improve hospital discharge transition outcomes for the elderly. Prof Case Manag 2007; 12: 330-6; quiz 337-8.
Mick DJ, Ackerman MH. New perspectives on advanced practice nursing case management for aging patients. Crit Care Nurs Clin North Am 2002; 14: 281-91.
Peters-Klimm F, Olbort R, Campbell S, Mahler C, Miksch A, Baldauf A, Szecsenyi J. Physicians’ view of primary care-based case management for patients with heart failure: a qualitative study. Int J Qual Health Care 2009; 21: 363-71.
Golden AG, Tewary S, Dang S, Roos BA. Care management's challenges and opportunities to reduce the rapid rehospitalization of frail community-dwelling older adults. Gerontologist 2010; 50: 451-8.
Kristensson J, Ekwall AK, Jakobsson U, Midlöv P, Hallberg IR. Case managers for frail older people: a randomised controlled pilot study. Scand J Caring Sci 2010; 24: 755-63.
Berner J, Anderberg P, Rennemark M, Berglund J. Case management for frail older adults through tablet computers and Skype. Inform Health Soc Care 2016; 41: 405-16.
Tsai H-YS, Shillair R, Cotten SR. Social support and “playing around”: an examination of how older adults acquire digital literacy with tablet computers. J Appl Gerontol 2017; 36: 29-55.
Piper AM, Hollan JD. Supporting medical communication for older patients with a shared touch-screen computer. Int J Med Inform 2013; 82: e242-50.
Currie M, Philip LJ, Roberts A. Attitudes towards the use and acceptance of eHealth technologies: a case study of older adults living with chronic pain and implications for rural healthcare. BMC Health Serv Res 2015; 15: 162.
Lehto P. Interactive CaringTV® supporting elderly living at home. Australas Med J 2013; 6: 425-9.
González A, Ramírez MP, Viadel V. ICT learning by older adults and their attitudes toward computer use. Curr Gerontol Geriatr Res 2015; 2015: 849308.
Damant J, Knapp M, Freddolino P, Lombard D. Effects of digital engagement on the quality of life of older people. Health Soc Care Community 2017; 25: 1679-703.
Gaertner B, Herzog A, Holzhausen M, Schmidt S. “Case-management”-Studien für Personen ab 65 Jahren in Deutschland. Systematische Übersicht zum aktuell publizierten Forschungsstand (Case management studies for individuals 65 years and older in Germany. Systematic review of the current published state of research). Zeitschrift für Gerontologie und Geriatrie 2015; 48: 529-38.
Rümenapf G, Geiger S, Schneider B, Amendt K, Wilhelm N, Morbach S, Nagel N. Readmissions of patients with diabetes mellitus and foot ulcers after infra-popliteal bypass surgery - attacking the problem by an integrated case management model. Vasa 2013; 42: 56-67.
Mostardt S, Matusiewicz D, Schröer W, Wasem J, Neumann A. Wirksamkeit und Kostenwirksamkeit eines Case-Management-Programms bei Patienten mit Demenz (Effectiveness and cost-effectiveness of a case-management-program for patients with dementia). Zeitschrift für Gerontologie und Geriatrie 2012; 45: 642-6.
Schmidt S, Kampmeier AS. Caring TV-for older people with multimorbidity living alone: positive feedback from users in Berlin and Rural Mecklenburg-West Pomerania. In Safe at Home with Assistive Technology (Kollak I ed.), 2017, Springer International Publishing, Cham, 43-57.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19: 349-57.
Strauss AL, Corbin JM. Grounded Theory: Grundlagen Qualitativer Sozialforschung (Bases of Qualitative Social Sciences). 2010, Beltz, Weinheim.
Kruse J. Reader, Einführung in die Qualitative Interviewforschung” (Reader “Introduction to qualitative interview research”). Freiburg; 2011.
Schmidt S, Luderer C. Die Bedeutung der Arbeit von Pflegestützpunkten aus der Perspektive von mehrfach erkrankten Nutzerinnen und Nutzern - Eine hermeneutisch-interpretative Studie (The work of care support points as experienced by the users - A hermeneutic, interpretative study). Pflegewissenschaft 2014; 16: 631-8.
Polit DF, Beck CT. Is there gender bias in nursing research? Res Nurs Health 2008; 31: 417-27.
Mahoney FI, Barthel D. Functional evaluation: the barthel index. Md State Med J 1965; 14: 56-61.
SVR. Sachverständigenrat zur Begutachtung der Entwicklung im Gesundheitswesen (2012). Wettbewerb an der Schnittstelle zwischen ambulanter und stationärer Gesundheitsversorgung: Sondergutachten 2012 (ADVISORY COUNCIL on the Assessment of Developments in the Healthcare System (2012). Competition at the Interfaces between inpatient and outpatient Healthcare: Special report 2012). [cited 2017 Jun 12]. Available from: URL: http://www.svr-gesundheit.de/index.php?id=378.
Korinth A. Neue Handlungsfelder in der Onkologie. Pflegerisches Case Management in der gynäkologisch-onkologischen Pflege (New spheres of activity in oncology. Nursing case Management in gynaecological and oncological Care). Onkologie 2008; 31: 195.
Enste P. Moderne Technik für ein selbstbestimmtes Leben im Alter - Was denkt die Zielgruppe? (Modern technology for self-determined life in older age - What does the target group think?) Forschung Aktuell 2016; 10: 1-14.
Chen Y-RR, Schulz PJ. The effect of information communication technology interventions on reducing social isolation in the elderly: a systematic review. J Med Internet Res 2016; 18: e18.
Behrens J. “Natürlichkeit” und “Generalisierbarkeit” sozialwissenschaftlicher Feldexperimente: verallgemeinerungen zu externer und interner Evidence (“Naturalness” and “Generalisability” of socio-scientific field trials: generalizations about external and internal evidence). Soziale Welt 2015; 22: 246-67.

17S16X11 Federal Ministry of Education and Research

Keywords: care support centres; case management; frail elderly; monitoring; multimorbidity; tablet PCs; video conferences

Date Created: 20190418 Date Completed: 20200901 Latest Revision: 20200901

20250114

10.1111/scs.12691

30994204