Background: Care To Move (CTM) provides a series of consistent ‘movement prompts’ to embed into existing movements of daily living. We explored the feasibility of incorporating CTM approaches in home care settings.
Methods: Feasibility study of the CTM approach in older adults receiving home care. Recruitment, retention and attrition (three time points), adherence, costs to deliver and data loss analyzed and differentiated pre-and post-the Covid-19 pandemic. Secondary outcomes, including functional status, physical activity, balance confidence, quality of life, cost to implement CTM.
Results: Fifty-five home care clients (69.6% of eligible sample) participated. Twenty were unable to start due to Covid-19 disruptions and health issues, leaving 35 clients recruited, mostly women (85.7%), mean age 82.8 years. Covid disruption impacted on the study, there was 60% retention to T2 assessments (8-weeks) and 13 of 35 (37.1%) completed T3 assessments (6-months). There were improvements with small to medium effect sizes in quality of life, physical function, balance confidence and self-efficacy. Managers were supportive of the roll out of CTM. The implementation cost was estimated at €280 per carer and annual running costs at €75 per carer.
Conclusion: Embedding CTM within home support services is acceptable and feasible. Data gathered can power a definitive trial.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Horgan, F., Cummins, V., Skelton, D., Doyle, F., O'Sullivan, M., Galvin, R., Burton, E., Sorensen, J., Jabakhanji, S., Townley, B., Rooney, D., Jackson, G., Murphy, L., Swan, L., O'Neill, M. & Warters, A. 2022, 'Enhancing existing formal home care to improve and maintain functional status in older adults: Results of a feasibility study on the implementation of Care to Move (CTM) in an Irish healthcare setting', International Journal of Environmental Research and Public Health, 19(18), article no: 11148. https://doi.org/10.3390/ijerph191811148