Centre of Expertise Urban Vitality

Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

Article

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence was assessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

Reference Rietkerk, W., de Jonge- de Haan, J., Slaets, J. P. J., Zuidema, S. U., & Gerritsen, D. L. (2021). Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation. Journal of Aging and Health, 33(7-8), 482-492. https://doi.org/10.1177/0898264321993321
Published by  Urban Vitality 1 August 2021

Publication date

Aug 2021

Author(s)

Wanda Rietkerk
Joris P J Slaets
Sytse U. Zuidema
Debby L. Gerritsen
Joris P. J. Slaets

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