Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

Wanda Rietkerk*, Jannet de Jonge-de Haan, Joris P J Slaets, Sytse U Zuidema, Debby L Gerritsen

*Corresponding author for this work

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Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 +/- 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

Original languageEnglish
Article number0898264321993321
Number of pages11
JournalJournal of Aging and Health
Early online date24-Feb-2021
Publication statusPublished - 24-Feb-2021


  • implementation
  • motivational interviewing
  • goal setting
  • process assessment
  • preventive health services

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