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Home First: Exploring the Impact of Community-based Home Care for Older Adults and Their Family Caregivers

  • Roslyn M. Compton (a1), Alex Olirus Owilli (a1), Vera Caine (a2), Charlotte Berendonk (a2), Donna Jouan-Tapp (a3), Susan Sommerfeldt (a2), D. Jane McPhee (a4) and Darla Walz (a5)...


Given the rapidly expanding older adult population, finding health care approaches that support older adults to age in their choice of place, with an accompanying philosophical re-orientation of health services, is becoming more urgent. We studied the Home Care Home First – Quick Response Project to understand how clients over age 75 and their family caregivers perceived the enhanced community-based services delivered through Home First. Using interpretive description as the methodological design, we explored the experiences of eight older adults and 11 family caregivers; all older adults were enrolled in Home First due to a significant change in their health status. We identified four themes: growing older in chosen places with support, philosophy of care, processes of Home First, and the significance of Home First for clients. Overall, clients and family caregivers responded positively to the Home First services. Clients valued their independence and growing older in places they had specifically chosen.

Avec la croissance rapide de la population plus âgée, il est devenu urgent de trouver des approches en matière de soins de santé qui aident les personnes âgées à vieillir dans le milieu de leur choix, en assurant une réorientation philosophique des services de santé. Nous nous sommes penchés sur le projet Home Care Home First - Quick Response Project, réalisé dans une ville de l’Ouest canadien, afin de comprendre les perceptions de clients âgés de plus de 75 ans et de leurs aidants naturels quant aux services communautaires améliorés offerts par Home First. Le modèle méthodologique utilisé est celui de la description interprétative. Nous avons analysé les expériences de huit personnes âgées et de onze aidants naturels ayant fait appel à Home First. Les personnes âgées s’étaient toutes inscrites à Home First en raison d’un changement majeur dans leur état de santé. Quatre thèmes ont été identifiés : vieillir dans le milieu de son choix avec du soutien, la philosophie de soins, les processus de Home First et l’importance du programme. Dans l’ensemble, les clients et les aidants naturels ont réagi positivement aux services offerts dans le cadre du programme Home First. Les clients ont indiqué qu’ils appréciaient leur indépendance et désiraient vieillir dans les milieux de leur choix, qui reflétaient la communauté dans laquelle ils vivaient depuis de nombreuses années.


Corresponding author

La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dr. Roslyn Compton, Ph.D. RN. College of Nursing University of Saskatchewan Office 4222, Health Sciences E-Wing 104 Clinic Place Saskatoon, SK S7N 2Z4 (


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Thank you to Carolyn Burton for her contributions to the research team discussions and the development of the interview guide. Thank you to Laurie Bletsky for the French translation and for her careful editing of our article.

Funding: We received funding from the Saskatchewan Ministry of Health and support from Saskatchewan Polytechnic.



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