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Integrating Health promotion with and for Older People – ehealth (IHOPe): a randomised controlled trial Passed

Tuesday May 14, 2024 16:58 - 17:05 G2

Moderator: Filipa Ventura
Presenter: Inger Ekman

Track: Digitalisation and eHealth

Background: Healthcare systems worldwide are not equipped to accommodate for the growing population of older people. People in this age group often have an increased risk for developing frailty, multi-morbidity and functional impairments. Given that 40 % of all patients seeking care at the emergency department are frail older people, there is a need to identify ways to initiate preventative actions to frail old people.  Aim: To describe and evaluate a person-centred remote intervention via telephone and a digital platform for community-dwelling frail older people, above 75 years who seek acute hospital care but are not hospitalised.  Methods – Design: The IHOPe study is a randomised, controlled, trial with two parallel groups and a primary endpoint 3 months after inclusion (1). Frail older people aged 75 years or older, living in ordinary housing and not hospitalised, will be screened for frailty at the Emergency department and randomised to intervention or control. Intervention The intervention comprises person-centred phone-calls (stimulating narration) and co-creation of care through a digital platform for up to 6 months. The older person (sometimes with significant others) together with the health care professional will formulate a person-centred health plan, which is then uploaded to the IHOPe platform. The health plan focuses the older persons’ goals, resources and needs. The health plan is the point of departure for the forthcoming dialogues. Primary endpoint The primary endpoint is a composite of changes in general self-efficacy and need for hospital care. Results: At present 160 participants have been included. Considering the long period of time between last date for submission of abstracts and the conference (six months), we will have included the planned study population and be able to present tentative findings from analyses of data in IHOPe, at the conference in May 2024. 

Language

English

Seminar type

Pre-recorded + On-site

Lecture type

Orals

Conference

GCPCC

Authors

Zahra Ebrahimi , Mahboubeh Goudarzi, Andreas Fors, Irma Lindström Kjellberg, Birgitta Krantz, Inger Ekman

Lecturers

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Filipa Ventura Moderator

Junior Researcher
Nursing School of Coimbra, Coimbra, Portugal

Filipa Ventura has a clinical background in oncology nursing and earned a PhD in Health Care Sciences by the Sahlgrenska Academy (2016). Filipa worked both as a general nurse and an oncology nurse, in Portugal and in Sweden, for about seven years.
She is the principal investigator of one project, regional coordinator of an international research work and collaborates as an investigator in various projects.
In the domain of health care sciences, Filipa carries out research to support the person undergoing cancer treatment in illness assessment and management grounded on person-centred care principles and through eHealth.
From the methodological point of view, she is interested on research methods that allow exploring complex eHealth interventions, particularly pragmatic trials, mixed methods and interpretive description.

Profile image for Inger Ekman

Inger Ekman Presenter

Senior professor, Institutionen för vårdvetenskap och hälsa, Centrum för personcentrerad vård (GPCC), Göteborgs universitet
University of Gothenburg

Senior professor
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Sweden.
Department of Medicine, Geriatrics and Emergency Medicine, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.

Inger Ekman is the former director and founder of the University of Gothenburg Centre for Person-Centred Care (GPCC) www.gpcc.gu.se. Over eight years, she held the position of head of the Institute of Health and Care Sciences. Additionally, she has served as vice dean at the Sahlgrenska Academy, University of Gothenburg. Between 2013 and 2015, she coordinated a 7th FP EU project, resulting in a roadmap for future health care in Europe. From 2016 - 2020, she was the coordinator for COSTCARES, a European initiative focused on evaluating person-centred care, with 28 partner countries. Inger holds the title of Fellow of the American Academy of Nursing (FAAN), in addition to being the recipient of the Sigma Teta Tau European Nursing Recognition Award and the Carl-Axel Palm Research Award. The primary focus of her research has been on controlled studies evaluating interventions for person-centred care. She has approximately 170 publications in scientific journals. Currently, she is the primary investigator in a randomized controlled trial that assesses remote person-centred care in frail elderly.