Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06569628
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
None
First Post:
2024-07-31
Brief Title:
Validation of a Life Stories Methodologies in Long-Term Care Centres
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Validation Study of the Implementation of Narrative Care Methodology Life Stories and Biographies in Long-Term Care Centres for Old-Adults
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The objective of the research is to validate a methodology for implementing narrative care through the incorporation of peoples biographies and life stories in interventions in long-term care centres for older adults
From a positivist perspective of gerontological intervention priority will be given to the validation of quantitative methodologies with empirical support The study will involve 378 users residing in Galician long-term care centres for older adults At the theoretical level there is a broad consensus among professionals and experts on the need to develop new methodologies that allow the personalization of long-term care care and facilitate the development and promotion of the life projects of the older persons through the provision of the support that a particular person needs In addition there is a large body of practical interventions that attempt to apply these postulates However there is a clear lack of research methodologies that provide robust scientific results and data to support and evaluate these new developments
From a positivist perspective of gerontological intervention priority will be given to the validation of quantitative methodologies with empirical support The study will involve 378 users residing in Galician long-term care centres for older adults At the theoretical level there is a broad consensus among professionals and experts on the need to develop new methodologies that allow the personalization of long-term care care and facilitate the development and promotion of the life projects of the older persons through the provision of the support that a particular person needs In addition there is a large body of practical interventions that attempt to apply these postulates However there is a clear lack of research methodologies that provide robust scientific results and data to support and evaluate these new developments
Detailed Description:
A Background
Narrative care and the methodology of incorporating biographies and life stories emerged in the context of long-term care centres for old-adults in response to the need to promote the deinstitutionalization of care and to advance in the transformation of the long-term care model towards a humanistic approach and from the ethical and intervention proposal of person-centered care
Putting this care approach into practice can be complex In general the traditional care model and seeing gerontological centers as institutions does not favor the implementation of person-centered care methodologies Society in general and professionals in particular are faced with the challenge of promoting the search for solutions to care from a more human point of view in which the so-called narrative care takes center stage
In this context the need emerges to provide care professionals with new digital tools that facilitate the implementation of valuable methodologies such as life stories the life project the professional of reference and the support group and develop proposals focused on favoring spaces for the creation and strengthening of bonds and meaningful relationships that promote the participation and social inclusion of the person in hisher environment and community as a protective factor against unwanted loneliness in people in need of long-term care
Furthermore at the theoretical level there is a broad consensus among professionals and experts on the need to develop new methodologies that allow the personalization of long-term care and facilitate the development and promotion of the life projects of the older persons through the provision of the support that a particular person needs In addition there is a large body of practical interventions that attempt to apply these postulates However there is a clear lack of research methodologies that provide robust scientific results and data to support and evaluate these new developments
B Problem or need to which it is intended to provide an answer
This project jointly addresses the binomial long-term care-unwanted loneliness in long-term care centres for old-adults betting on digitization as a key element in the search for solutions The purpose is to advance the line of research in three main areas
1 Narrative care and person-centered care
Person-centered care PCC proposes a paradigm shift in long-term care placing people in need of caresupport and their life projects at the center of organizations at the backbone of their processes
The life stories and the life project are advanced methodologies typical of person-centered care approaches that facilitate old-adults in this case are the axis around which the interventions and the day-to-day communications of the centers revolve
The professionals who care for andor accompany people have to understand life stories method as the essence of person-centered care and humanization The experts argue that it is an inexcusable component of genuine person-centered care a component that acquires meaning not only by virtue of its effectiveness and the practical benefits it implies but also as an ethical imperative of care It is a valuable tool that allows us to know and recognize the person to respect and understand him or her better
2 Unwanted loneliness
According to data from the survey on loneliness in older people conducted by La Caixa Foundation in 2018 in Spain there is a higher prevalence of loneliness in institutionalized old adults than in the general population with this prevalence being much higher
Another noteworthy fact is the high prevalence of institutionalized old adults who indicate that their life is not satisfactory andor they do not feel that they have a meaningful life
In turn most old adults feel unwanted loneliness throughout their lives regardless of their living situation
The experts point out that the main interventions to alleviate loneliness are aimed at 1 direct interventions with the person fostering social connections and helping to maintain those that already exist 2 interventions in the environment focused on developing appropriate structural facilitators in a close environment to help reduce loneliness and prevent it in people at risk of experiencing it
3 Digitalization
This project will offer an essential digital solution that guides facilitates and supports the implementation of life stories and life project methodologies through which it intervenes in 3 key concepts 1 Care personalized attention 2 Involvement meaningful activities promotion of the life project 3 Unwanted loneliness creating spaces for valuable interactions and meaningful relationships from the approach of good practice in the incorporation of technology in the field of care Liedo and AusÃn 2022
C Objectives
The general objective is to empirically support the implementation methodology of narrative care by incorporating biographies and life stories in the context of long-term care with old adults professionals and families validating the effects of the program in centres
The proposal would have two main specific objectives
1 To review the empirical evidence on digital applications in PCC concepts
11 Care personalization personalized care Incorporation of biography into care
12 Involvement Meaningful activities Promoting life project
13 Unwanted loneliness relationships bonds community Create spaces for valuable interactions and meaningful relationships
2 To validate the effects of the application of narrative care through the incorporation of life stories and biographies in long-term care centres for old adults by means of a randomized clinical trial
21 To validate the cognitive effects of the application in long-term care centres for old adults
22 To validate the functional impact of the application in long-term care centres for old adults through the facilitation of participation in daily life and in their community and the promotion of new illusions goals or dreams to be fulfilled
23 To validate the effects at the affective level of the application in long-term care centres for old adults through the promotion of emotional connection and the promotion of meaningful relationships
24 To validate the effects on social support of the application in long-term care centres for old adults through the activation of meaningful relationships the strengthening of bonds and relationships of trust encouraging family participation in care and improving communication patterns
25 To assess the perception of professionals on the use of the resources deployed through the intervention methodology
Narrative care and the methodology of incorporating biographies and life stories emerged in the context of long-term care centres for old-adults in response to the need to promote the deinstitutionalization of care and to advance in the transformation of the long-term care model towards a humanistic approach and from the ethical and intervention proposal of person-centered care
Putting this care approach into practice can be complex In general the traditional care model and seeing gerontological centers as institutions does not favor the implementation of person-centered care methodologies Society in general and professionals in particular are faced with the challenge of promoting the search for solutions to care from a more human point of view in which the so-called narrative care takes center stage
In this context the need emerges to provide care professionals with new digital tools that facilitate the implementation of valuable methodologies such as life stories the life project the professional of reference and the support group and develop proposals focused on favoring spaces for the creation and strengthening of bonds and meaningful relationships that promote the participation and social inclusion of the person in hisher environment and community as a protective factor against unwanted loneliness in people in need of long-term care
Furthermore at the theoretical level there is a broad consensus among professionals and experts on the need to develop new methodologies that allow the personalization of long-term care and facilitate the development and promotion of the life projects of the older persons through the provision of the support that a particular person needs In addition there is a large body of practical interventions that attempt to apply these postulates However there is a clear lack of research methodologies that provide robust scientific results and data to support and evaluate these new developments
B Problem or need to which it is intended to provide an answer
This project jointly addresses the binomial long-term care-unwanted loneliness in long-term care centres for old-adults betting on digitization as a key element in the search for solutions The purpose is to advance the line of research in three main areas
1 Narrative care and person-centered care
Person-centered care PCC proposes a paradigm shift in long-term care placing people in need of caresupport and their life projects at the center of organizations at the backbone of their processes
The life stories and the life project are advanced methodologies typical of person-centered care approaches that facilitate old-adults in this case are the axis around which the interventions and the day-to-day communications of the centers revolve
The professionals who care for andor accompany people have to understand life stories method as the essence of person-centered care and humanization The experts argue that it is an inexcusable component of genuine person-centered care a component that acquires meaning not only by virtue of its effectiveness and the practical benefits it implies but also as an ethical imperative of care It is a valuable tool that allows us to know and recognize the person to respect and understand him or her better
2 Unwanted loneliness
According to data from the survey on loneliness in older people conducted by La Caixa Foundation in 2018 in Spain there is a higher prevalence of loneliness in institutionalized old adults than in the general population with this prevalence being much higher
Another noteworthy fact is the high prevalence of institutionalized old adults who indicate that their life is not satisfactory andor they do not feel that they have a meaningful life
In turn most old adults feel unwanted loneliness throughout their lives regardless of their living situation
The experts point out that the main interventions to alleviate loneliness are aimed at 1 direct interventions with the person fostering social connections and helping to maintain those that already exist 2 interventions in the environment focused on developing appropriate structural facilitators in a close environment to help reduce loneliness and prevent it in people at risk of experiencing it
3 Digitalization
This project will offer an essential digital solution that guides facilitates and supports the implementation of life stories and life project methodologies through which it intervenes in 3 key concepts 1 Care personalized attention 2 Involvement meaningful activities promotion of the life project 3 Unwanted loneliness creating spaces for valuable interactions and meaningful relationships from the approach of good practice in the incorporation of technology in the field of care Liedo and AusÃn 2022
C Objectives
The general objective is to empirically support the implementation methodology of narrative care by incorporating biographies and life stories in the context of long-term care with old adults professionals and families validating the effects of the program in centres
The proposal would have two main specific objectives
1 To review the empirical evidence on digital applications in PCC concepts
11 Care personalization personalized care Incorporation of biography into care
12 Involvement Meaningful activities Promoting life project
13 Unwanted loneliness relationships bonds community Create spaces for valuable interactions and meaningful relationships
2 To validate the effects of the application of narrative care through the incorporation of life stories and biographies in long-term care centres for old adults by means of a randomized clinical trial
21 To validate the cognitive effects of the application in long-term care centres for old adults
22 To validate the functional impact of the application in long-term care centres for old adults through the facilitation of participation in daily life and in their community and the promotion of new illusions goals or dreams to be fulfilled
23 To validate the effects at the affective level of the application in long-term care centres for old adults through the promotion of emotional connection and the promotion of meaningful relationships
24 To validate the effects on social support of the application in long-term care centres for old adults through the activation of meaningful relationships the strengthening of bonds and relationships of trust encouraging family participation in care and improving communication patterns
25 To assess the perception of professionals on the use of the resources deployed through the intervention methodology
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None