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Medical Care Research and Review
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Article

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

Dianne V. Liebel*, Bruce Friedman, Nancy M. Watson, and Bethel A. Powers

* To whom correspondence should be addressed. E-mail: dianne_liebel{at}urmc.rochester.edu.


  Abstract
Despite there being a considerable number of metaanalyses and reviews synthesizing the nurse inhome 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 bestpractice models of in-home visiting to older adults with existing disability.

First published on December 29, 2008, doi:10.1177/1077558708328815

Medical Care Research and Review 2009;66:119.

A more recent version of this article appeared on April 1, 2009

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 The GerontologistHome page
B. Friedman, B. R. Wamsley, D. V. Liebel, Z. B. Saad, and G. M. Eggert
Patient Satisfaction, Empowerment, and Health and Disability Status Effects of a Disease Management-Health Promotion Nurse Intervention Among Medicare Beneficiaries With Disabilities
Gerontologist, December 1, 2009; 49(6): 778 - 792.
[Abstract] [Full Text] [PDF]