Empowering Older Veterans Through Self-Directed Care: A Mixed Methods Evaluation of a Technology Enabled Respite Homecare Model Pilot.

ABSTRACT: To remain living independently, many older and disabled adults rely on homecare workers, though workforce shortages and turnover can hinder access to care. The Veterans Health Administration piloted a Technology Enabled Respite Homecare Model allowing Veterans to select their homecare aide in collaboration with a coordinating agency to expand access to services. We used a convergent mixed method design, surveying Veterans (n = 97) and homecare aides (n = 110) and conducting qualitative interviews with staff (n = 8). Forty-four percent more Veterans accessed in-home care after enrollment compared to before and satisfaction was high (8.6 out of 10). Homecare aides were also satisfied (8.0 out of 10) and reported receiving $3.11 higher hourly compensation. Staff found no

SUBMITTER: Harris-Gersten M 

PROVIDER: S-EPMC12798836 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature