A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project

Int J Integr Care. 2021 Apr 23;21(2):9. doi: 10.5334/ijic.5607.

Abstract

Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland.

Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders' feedback and preliminary implementation strategies.

Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption.

Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.

Keywords: Frail elderly; Implementation science; Integrated care; Logic model; Program development; Program theory.

Grants and funding

This study is part of the INSPIRE research project which was funded by Swisslos Fond Baselland, Velux Stiftung/Velux Foundation, the Swiss National Science Foundation (NRP74) and Amt für Gesundheit Kanton Basel-Landschaft/Health Department Canton Basel-Landschaft. Additionally, this project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 801076 (through the SSPH+ Global PhD Fellowship Programme in Public Health Sciences [GlobalP3HS] of the Swiss School of Public Health) and grant agreement No 812656 as it also forms part of the TRANS-SENIOR Project. The funding bodies had no role in the design, execution, analysis and interpretation of the data, or writing of the study.