Introduction: Community-dwelling older adults with chronic multimorbidity have difficulties to implement self-care. We believe that a nursing student-led home visiting programme could foster self-care behaviours in community-dwelling older adults with chronic multimorbidity.
Objective: To examine the short and medium-term effects of a nursing student-led home visit programme on self-care behaviours, self-care self-efficacy and functional ability to perform basic activities of daily living (ADLs).

Methodology: Randomised clinical trial (NCT05264207). Participants were randomly assigned to either a control group (CG; n=142) or an intervention group (IG; n=142). The SC-CII (self-care behaviours), the SC-SES (self-efficacy in self-care) and the Barthel Index (functional ability for ADL) were used to collect data at three time points (pre-test, 12-week post-test, 6-month follow-up). The participants mean age was 76.96±7.3 years and the average number of chronic conditions was 5.86±3.3.

Results: Significant differences between groups were observed in the three subscales of SC-CII and in SC-SES at three and six months (p<0.001). For the IG, within-group analysis showed total scores significantly improved after the home visits (p<0.001). For the variable “functional ability to perform ADLs”, significant differences were only found between groups at six months (p=0.005). Conclusions: The VISITAME trial has proven that nursing student-led home visits could improve self-care behaviours and self-care self-efficacy, while reducing the decline in functional ability to perform ADLs amongst community-dwelling older adults with chronic multimorbidity. Implications for patient care: Nursing faculties and educators should work with regulatory bodies to integrate nursing student-led home visits in the services provided to older adults.

Authors:
José Manuel Hernández-Padilla, University of Almería, Spain
Anabel Chica-Pérez, Emera Nursing Home, Spain
Iria Dobarrio-Sanz, University of Almería, Spain
Matías Correa-Casado, University of Almería, Spain
José Granero-Molina, University of Almería, Spain
Cayetano Fernández-Sola, University of Almería, spain

About the Presenter(s)
Dr José Manuel Hernández-Padilla is a University Associate Professor/Senior Lecturer at University of Almería in Spain

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