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Utilization of Support Services and Perceived Health Outcomes of Vulnerable Older Adults : = An Application of the Behavioral Health Model.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Utilization of Support Services and Perceived Health Outcomes of Vulnerable Older Adults :/
Reminder of title:	An Application of the Behavioral Health Model.
Author:	Minyo, Morgan J.
Description:	1 online resource (193 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-01, Section: A.
Contained By:	Dissertations Abstracts International86-01A.
Subject:	Aging. -
Online resource:	click for full text (PQDT)
ISBN:	9798383217962

Utilization of Support Services and Perceived Health Outcomes of Vulnerable Older Adults : = An Application of the Behavioral Health Model.
Minyo, Morgan J.

Utilization of Support Services and Perceived Health Outcomes of Vulnerable Older Adults :An Application of the Behavioral Health Model. - 1 online resource (193 pages)

Source: Dissertations Abstracts International, Volume: 86-01, Section: A.

Thesis (Ph.D.)--Cleveland State University, 2024.

Includes bibliographical references

Older adults that utilize home- and community-based services demonstrated fewer symptoms of depression and anxiety, reduced loneliness and isolation, and decreased institutionalization rates. Despite these benefits, barriers to service use exist that make it difficult to reach vulnerable older adult populations. These barriers include inadequate methods for identifying risk, issues with transportation, and a lack of consumer-direction in service delivery. Research is needed to identify the individual characteristics particularly relevant for vulnerable older adult populations (e.g., loneliness, isolation, informal support) that predict support service utilization and to test the efficacy of new innovative methods to mitigate service use barriers.Guided by the Behavioral Health Model of Service Use (Andersen & Newman, 1973), this investigation had two aims: (1) describe constructs measuring predisposing, enabling, and need characteristics of vulnerable older adults and identify predictors of support service use, and (2) examine the impact of a consumer-directed telephone screening tool intervention, adapted from an evidence-based program (Bass et al., 2003) on support service use and perceived health outcomes compared to usual care. To address these aims, a randomized pragmatic trial with a two-group pre-test/post-test design was conducted with 43 older adults (intervention group=23, usual care group=20) recruited from a telephone reassurance call program at an Area Agency on Aging. Multiple linear and logistic regressions were used to examine individual differences in participants' use of formal services at baseline and test the efficacy of the consumer-directed telephone screening tool intervention.Variability was found in the volume and type of formal services participants reported using. However, no significant individual predictors of service use were identified in the current sample. Group assignment significantly predicted service use but did not predict perceived health outcomes. Participants in the intervention group demonstrated using more new and continuous service use (t=2.02, p=.05), reported more intent to use services (t=2.69, p=.01), and were offered more service referrals (t=4.07, p<.001) compared to usual care participants. These findings indicate that a consumer-directed telephone screening tool could be a beneficial structure to delivering telephone reassurance calls for vulnerable older adults. The clinical implications of these findings and future directions for research are discussed.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798383217962Subjects--Topical Terms:

559847
Aging.
Subjects--Index Terms:

Telephone reassuranceIndex Terms--Genre/Form:

554714
Electronic books.

Utilization of Support Services and Perceived Health Outcomes of Vulnerable Older Adults : = An Application of the Behavioral Health Model.
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