Evaluation of an intervention in general practices to strengthen social activities in older patients - A qualitative study of patients' experiences in the project HoPES3

Strassner, C (通讯作者),Univ Hosp Heidelberg, Dept Gen Practice & Hlth Serv Res, Neuenheimer Feld 130-3, D-69120 Heidelberg, Germany.
2023-2
Objective: In the research project HoPES3, the effectiveness of a multifaceted intervention, where one of the aims was to encourage social activities among older patients, was investigated in a cluster-randomised controlled trial. Patients were offered a conversation about their spirituality (spiritual history) which also included questions about their social relationships. The aim of this study was to examine patients' experiences regarding the acceptability, feasibility, conversational content and perceived benefits and harms of the interventions focusing on social relationships and activities. Method: Semi-structured interviews with 29 patients of the intervention group aged 70 years or older.Results: Loneliness in old age is the result of a long history with underlying complex reasons. Activities proposed by the practice team were rarely carried out, but if they were, patients reported strong benefits. Patients reported their GPs' interest in their lives had resulted in a more trusting doctor-patient relationship. Almost all patients recommended to implement the intervention in general practices.Conclusion and practice implications: When raising the topic of loneliness, it is crucial to give patients the op-portunity to explain the biographical developments which led to their situation. Therefore, embedding the conversation into a broader context such as a spiritual history might be helpful.
PATIENT EDUCATION AND COUNSELING
卷号:107
ISSN:0738-3991|收录类别:SCIE
语种
英语
来源机构
Technical University of Munich; Ruprecht Karls University Heidelberg; Eberhard Karls University of Tubingen; Eberhard Karls University Hospital
资助机构
German Federal Ministry of Edu-cation and Research(Federal Ministry of Education & Research (BMBF))
资助信息
Funding This work was supported by the German Federal Ministry of Edu-cation and Research (funding code 01GL1803) .
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1873-5134
出版年
2023-2
DOI
10.1016/j.pec.2022.11.013
关键词
Social relationships Loneliness Holistic care General practitioner Older patients Old age Doctor -patient relationship Primary care Self -efficacy
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Interdisciplinary
学科领域
循证公共卫生 循证社会科学-综合