Effects of interferential care

A community-based care program for persons with severe problems on several life areas

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background and aims:
Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care.
Methods:
In a multisite, pretest–posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling.
Results:
Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral.
Conclusion:
Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of home-based practice.
Keywords: Community-based care, effects, Europe, inferential care, severe problems, several life areas
Original languageEnglish
Pages (from-to)584-594
JournalInternational Journal of Social Psychiatry
Volume60
Issue number6
DOIs
Publication statusPublished - 2014

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@article{c609b2a0d44f49328d18710e0a94b960,
title = "Effects of interferential care: A community-based care program for persons with severe problems on several life areas",
abstract = "Background and aims:Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care.Methods:In a multisite, pretest–posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling.Results:Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral.Conclusion:Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of home-based practice.Keywords: Community-based care, effects, Europe, inferential care, severe problems, several life areas",
author = "D.P.K. Roeg and {van de Goor}, L.A.M. and M.C.M. Voogt and {van Assen}, M.A.L.M. and H.F.L. Garretsen",
year = "2014",
doi = "10.1177/0020764013507247",
language = "English",
volume = "60",
pages = "584--594",
journal = "The International Journal of Social Psychiatry",
issn = "0020-7640",
publisher = "Sage Publications Ltd",
number = "6",

}

TY - JOUR

T1 - Effects of interferential care

T2 - A community-based care program for persons with severe problems on several life areas

AU - Roeg, D.P.K.

AU - van de Goor, L.A.M.

AU - Voogt, M.C.M.

AU - van Assen, M.A.L.M.

AU - Garretsen, H.F.L.

PY - 2014

Y1 - 2014

N2 - Background and aims:Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care.Methods:In a multisite, pretest–posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling.Results:Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral.Conclusion:Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of home-based practice.Keywords: Community-based care, effects, Europe, inferential care, severe problems, several life areas

AB - Background and aims:Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care.Methods:In a multisite, pretest–posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling.Results:Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral.Conclusion:Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of home-based practice.Keywords: Community-based care, effects, Europe, inferential care, severe problems, several life areas

U2 - 10.1177/0020764013507247

DO - 10.1177/0020764013507247

M3 - Article

VL - 60

SP - 584

EP - 594

JO - The International Journal of Social Psychiatry

JF - The International Journal of Social Psychiatry

SN - 0020-7640

IS - 6

ER -