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Medical Care Research and Review
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*Disabilities
*Home Care Services
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Reviews

Review: Review of Nurse Home Visiting Interventions for Community-Dwelling Older Persons With Existing Disability

Dianne V. Liebel

University of Rochester, dianne_liebel{at}urmc.rochester.edu

Bruce Friedman

University of Rochester

Nancy M. Watson

University of Rochester

Bethel A. Powers

University of Rochester

Despite there being a considerable number of meta-analyses and reviews synthesizing the nurse in-home visiting literature, there have been no reviews examining nurse in-home visiting for patients who are already disabled. This article presents a literature review and synthesis of 10 trials targeted on older adults with disability. The review is organized into structure and process components related to the outcome variable disability based on the classic Donabedian model. The review suggests that the components of in-home visiting associated with favorable disability outcomes include multiple home visits, geriatric training and experience, health provider collaboration, multidimensional assessment, and theory use. In contrast, lack of process measures, physician collaboration, training, and specific intervention components targeting disability are associated with ineffective interventions. This review helps provide insight into variables that influence disability outcomes as well as the development of best-practice models of in-home visiting to older adults with existing disability.

Key Words: community-dwelling older adults • home care • disability • critical review • nurse home visiting

This version was published on April 1, 2009

Medical Care Research and Review, Vol. 66, No. 2, 119-146 (2009)
DOI: 10.1177/1077558708328815
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