Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research

Background and objectives Older adults with cognitive impairment are vulnerable to frequent hospital admissions and emergency department presentations. The aim of this study was to use a codesign approach to develop MyCare Ageing, a programme that will train volunteers to provide psychosocial suppor...

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Main Authors: Dave Vicary, Velandai K Srikanth, Darshini Ayton, Renée O'donnell, Helen Skouteris, Catherine Bateman, Chris Moran, Julie Lustig, Jane Banaszak-Holl, Peter Hunter, Elizabeth Pritchard, Heather Morris, Melissa Savaglio, Seema Parikh
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e036449.full
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author Dave Vicary
Velandai K Srikanth
Darshini Ayton
Renée O'donnell
Helen Skouteris
Catherine Bateman
Chris Moran
Julie Lustig
Jane Banaszak-Holl
Peter Hunter
Elizabeth Pritchard
Heather Morris
Melissa Savaglio
Seema Parikh
author_facet Dave Vicary
Velandai K Srikanth
Darshini Ayton
Renée O'donnell
Helen Skouteris
Catherine Bateman
Chris Moran
Julie Lustig
Jane Banaszak-Holl
Peter Hunter
Elizabeth Pritchard
Heather Morris
Melissa Savaglio
Seema Parikh
author_sort Dave Vicary
collection DOAJ
description Background and objectives Older adults with cognitive impairment are vulnerable to frequent hospital admissions and emergency department presentations. The aim of this study was to use a codesign approach to develop MyCare Ageing, a programme that will train volunteers to provide psychosocial support to older people with dementia and/or delirium in hospital and at home when discharged from hospital.Setting Melbourne, Victoria, Australia.Research design This study adopts an action research methodology. We report on two co-design workshops with keystakeholders: Workshop 1: identification of components from three existing programmes to inform the development of the MyCare Ageing program logic and, Workshop 2: identification of implementation strategies.Participants The key stakeholders and workshop participants included clinicians (geriatricians, nurses and allied health), hospital staff (volunteer coordinators and hospital executives), Baptcare staff, a consumer, researchers and implementation experts and project staff.Results Workshop 1 identified the components from three existing programmes—the Volunteer Dementia and Delirium Care programme, Home-Start and MyCare for inclusion in MyCare Ageing. In workshop 2, the p implementation plan was developed taking into consideration hospital-specific processes, training and support needs of volunteers and safety and risk management processes.Discussion and conclusion The codesign process was successfully applied to develop the MyCare Ageing programme to provide volunteer support to patients with dementia and/or delirium in hospital and their transition home. MyCare Ageing is an innovative programme that meets an identified need from hospitals and consumers to support patients with dementia and/or delirium to improve psychosocial outcomes on discharge from hospital.
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spelling doaj-art-1a4a4adb09ca49819e867ede091f5bec2025-08-20T02:26:56ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-036449Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action researchDave Vicary0Velandai K Srikanth1Darshini Ayton2Renée O'donnell3Helen Skouteris4Catherine Bateman5Chris Moran6Julie Lustig7Jane Banaszak-Holl8Peter Hunter9Elizabeth Pritchard10Heather Morris11Melissa Savaglio12Seema Parikh13Victoria Family & Community Services Service & Operations, Baptcare, Melbourne, Victoria, AustraliaDepartment of Medicine, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia1 Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia1 Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, AustraliaUniversity of Warwick, Coventry, West Midlands, UKSouthern New South Wales Local Health District, Queanbeyan, New South Wales, AustraliaPeninsula Clinical School, Monash University, Frankston, Victoria, AustraliaRehabilitation and Aged Care Services, Monash Health, Clayton, Victoria, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaRehabilitation, Aged and Community Care, Alfred Health, Melbourne, Victoria, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaMonash Centre for Health Research and Implementation, Monash University, Melboune, Victoria, Australia1 Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, AustraliaDepartment of Aged Care Services, Alfred Health, Melbourne, Victoria, AustraliaBackground and objectives Older adults with cognitive impairment are vulnerable to frequent hospital admissions and emergency department presentations. The aim of this study was to use a codesign approach to develop MyCare Ageing, a programme that will train volunteers to provide psychosocial support to older people with dementia and/or delirium in hospital and at home when discharged from hospital.Setting Melbourne, Victoria, Australia.Research design This study adopts an action research methodology. We report on two co-design workshops with keystakeholders: Workshop 1: identification of components from three existing programmes to inform the development of the MyCare Ageing program logic and, Workshop 2: identification of implementation strategies.Participants The key stakeholders and workshop participants included clinicians (geriatricians, nurses and allied health), hospital staff (volunteer coordinators and hospital executives), Baptcare staff, a consumer, researchers and implementation experts and project staff.Results Workshop 1 identified the components from three existing programmes—the Volunteer Dementia and Delirium Care programme, Home-Start and MyCare for inclusion in MyCare Ageing. In workshop 2, the p implementation plan was developed taking into consideration hospital-specific processes, training and support needs of volunteers and safety and risk management processes.Discussion and conclusion The codesign process was successfully applied to develop the MyCare Ageing programme to provide volunteer support to patients with dementia and/or delirium in hospital and their transition home. MyCare Ageing is an innovative programme that meets an identified need from hospitals and consumers to support patients with dementia and/or delirium to improve psychosocial outcomes on discharge from hospital.https://bmjopen.bmj.com/content/10/9/e036449.full
spellingShingle Dave Vicary
Velandai K Srikanth
Darshini Ayton
Renée O'donnell
Helen Skouteris
Catherine Bateman
Chris Moran
Julie Lustig
Jane Banaszak-Holl
Peter Hunter
Elizabeth Pritchard
Heather Morris
Melissa Savaglio
Seema Parikh
Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
BMJ Open
title Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
title_full Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
title_fullStr Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
title_full_unstemmed Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
title_short Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research
title_sort psychosocial volunteer support for older adults with cognitive impairment development of mycare ageing using a codesign approach via action research
url https://bmjopen.bmj.com/content/10/9/e036449.full
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