A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project

Yip, Olivia; Huber, Evelyn; Stenz, Samuel; Zullig, Leah L.; Zeller, Andreas; De Geest, Sabina M.; Deschodt, Mieke

doi:10.5334/ijic.5607

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-22402

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project
Authors:	Yip, Olivia Huber, Evelyn Stenz, Samuel Zullig, Leah L. Zeller, Andreas De Geest, Sabina M. Deschodt, Mieke
et. al:	No
DOI:	10.5334/ijic.5607 10.21256/zhaw-22402
Published in:	International Journal of Integrated Care
Volume(Issue):	21
Issue:	2
Page(s):	9
Issue Date:	Apr-2021
Publisher / Ed. Institution:	Ubiquity Press
ISSN:	1568-4156
Language:	English
Subjects:	Integrated care; Implementation science; Frail elderly; Logic model; Program development; Program theory
Subject (DDC):	610.73: Nursing
Abstract:	Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders’ feedback and preliminary implementation strategies. Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.
URI:	https://digitalcollection.zhaw.ch/handle/11475/22402
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Nursing (IPF)
Appears in collections:	Publikationen Gesundheit

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Yip, O., Huber, E., Stenz, S., Zullig, L. L., Zeller, A., De Geest, S. M., & Deschodt, M. (2021). A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project. International Journal of Integrated Care, 21(2), 9. https://doi.org/10.5334/ijic.5607

Yip, O. et al. (2021) ‘A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project’, International Journal of Integrated Care, 21(2), p. 9. Available at: https://doi.org/10.5334/ijic.5607.

O. Yip et al., “A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project,” International Journal of Integrated Care, vol. 21, no. 2, p. 9, Apr. 2021, doi: 10.5334/ijic.5607.

YIP, Olivia, Evelyn HUBER, Samuel STENZ, Leah L. ZULLIG, Andreas ZELLER, Sabina M. DE GEEST und Mieke DESCHODT, 2021. A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project. International Journal of Integrated Care. April 2021. Bd. 21, Nr. 2, S. 9. DOI 10.5334/ijic.5607

Yip, Olivia, Evelyn Huber, Samuel Stenz, Leah L. Zullig, Andreas Zeller, Sabina M. De Geest, and Mieke Deschodt. 2021. “A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home : The INSPIRE Project.” International Journal of Integrated Care 21 (2): 9. https://doi.org/10.5334/ijic.5607.

Yip, Olivia, et al. “A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home : The INSPIRE Project.” International Journal of Integrated Care, vol. 21, no. 2, Apr. 2021, p. 9, https://doi.org/10.5334/ijic.5607.