Table 4 Summary description of comprehensive geriatric care interventions based on the tidier checklist
Intervention components | Materials | Procedures | Intervention providers | Modes of delivery | Locations | When and how much | Tailoring | Planned fidelity |
|---|---|---|---|---|---|---|---|---|
1. Formation of multidisciplinary team. Established links with staff in community home care services and hospital geriatric departments | Provided a written description of the research programs | Creating opportunities for participation in structured intervention programs | Researchers | Multidisciplinary team face-to-face meeting | Hospital meeting room or community meeting room | Before the start of the study | Timing and location of meetings | Number of participants attended and topics discussed |
2. Increased awareness and acceptance of research in primary health-care service centers | Information brochures for intervention program | Network information or meeting | Researchers | E-mail or face-to-face group meetings | In the region | Before the start of the study | – | Number of copies of research programs distributed |
3. Training of case managers in integrated geriatric care | Requirements and materials for training | Caregiving training courses; Counseling | Clinical experts and researchers | Face-to-face group meetings or video conferences | Face-to-face or online | Peer counseling: independent screening qualification after assessing for OP more than 100. Training program: 240Â h of theoretical and practical training completed before the study (within 3 months). Provide materials related to basic geriatric nursing knowledge and operational skills | Timing and location of training | Training sessions: number of participants attended and topics discussed |
4. Motivated and guided hospital health and social care staff to identify eligible OP | Inclusion and exclusion criteria; Screening identification tools | Encouraging stakeholders to co-design inclusion criteria and identify screening tools | Researchers | Face-to-face group meetings | Hospital or community | Before the study and ongoing meetings | Timing and location of meeting | Number of participants attended and topics discussed |
5. Timely identification of OP and their family caregivers with integrated home care needs | Inclusion Criteria (OP with intrinsic capacity: positive screening in any aspect of Cognitive capacity, Hearing capacity, Visual capacity, Locomotor Capacity, Psychological Capacity, Vitality; OP over 60 years of age who live alone and whose ability to perform activities of daily living (ADLs) is assessed to be below normal; People with specialized needs; and people with more than one geriatric syndrome | Screening of OP with home care needs | Health care workers and community health service providers | Face-to-face group meetings | Hospital or community | Daily (8:00 a.m.-17:00 p.m.) | Time for screening | – |
6. Informing and guiding interventions for OP and family caregivers | Informational letter on home care services, care record sheets and recommendations for changes in care plans, health records | Notifying OP and family caregivers and obtaining informed consent | Case manager | Face-to-face meetings | Hospital or community | Ongoing | Duration of the case manager visit(30–60 min) | – |
7. Encouraged the involvement of home care providers in the intervention, including doctors, nurses and caregivers | Home Care Intervention Program Information booklet and Incentive mechanisms | Obtaining the informed consent of the person concerned | Researchers | Telephone calls | In the region | Ongoing | Timing for researchers to convene relevant home care providers | – |
8. Follow-up (establish long-term contact) | Visitation record | Dynamic assessment and home care education to enrich home care skills and knowledge | Case manager | Face-to-face or Telephone calls | Home or community | Weekly telephone follow-ups, monthly face-to-face follow-ups | Duration of the case manager visit(30–60 min) | – |