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Interventions to Support the Decision-Making Process for Older People Facing the Possibility of Long-Term Residential Care

Essay by   •  October 22, 2017  •  Article Review  •  725 Words (3 Pages)  •  1,044 Views

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The article “Interventions to support the decision-making process for older people facing the possibility of long-term residential care” is an evidence –based study about the process through which a person decides to enter into long-term residential care. According to Gravolin (2007) “the elderly will suffer from psycho-social adjustment to, and acceptance, of this decision “(page 1).Lastly, there the affects being overcome for older adults and their careers. The review was based on evidence from several main resources: a search of several electronic databases and additional potentially articles (Gravolin, 2007, p. 6). A total of 26 articles were reviewed. Of these, 15 were deemed, however excluded as they not suitable in order to draw conclusion about the effect of intervention to support decision making. The lack of relevant studies may also reflect the perception that moving to residential care is a routine and inevitable outcome for older people who have care needs. Overall, the proof doesn’t counsel the utilization of intervention to support the decisions for the elderly population wanted to be placed in a residential care facility. This could not be interpreted as demonstrating that the relevant interventions are not effective.

The article “Community wide intervention for increasing physical activity” is an evidence-based study about the decision that racial and ethnic disparities in health status are pervasive at all stages of the life cycle. One approach to reducing health disparities involves mobilizing community coalitions that include representatives of target populations to arrange and implement interventions for community level model. A systematic examination of coalition-led interventions is needed to inform decision making about the use of community coalition models. The review was supported from several electronic databases, science citation Index, a review of all relevant systematic reviews, guidelines and searched and we contacted experts in the field (Baker, 2015, p 4). Fifty-eight community coalition-intervention studies were enclosed. No study was at low risk of bias. Behavioral change outcomes and health standing modification outcomes were analyzed separately. According to Baker (2015) they independently extracted the data and assessed each study.

Of these, Thirty-one studies used a controlled before-after evaluation design. Nineteen studies reported that they used a randomized design; of these, 11 were randomized controlled trials and eight used a cluster-randomized design (Baker, 2015, p 7). Of the remaining studies, seven were controlled prospective cohort trials and one used a time series design. We assessed outcomes of the 58 studies by reviewing responses to questionnaires, surveys, and records for 133,852 individuals. These interventions benefit a diverse range of individual health outcomes and behaviors, as well as health and social care delivery systems. Baker stated, “the evidence in this review shows that interventions led by community coalitions may connect health and human service



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