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

Melissa Harris-Gersten, Emily Franzosa, Kasey Decosimo, Sara Webb, Livia Anderson, Kaileigh Byrd, Amy Webster, Matthew Tucker, Leah Christensen, Jennifer L. McKenzie, Daniel Schoeps, Courtney H. Van Houtven, Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Duke University School of Nursing, Geriatric Research, Education and Clinical Center, James J. Peters VA Medical Center, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, s Health Administration Central Office, Department of Population Health Sciences, Duke University School of Medicine, Duke-Margolis Institute for Health Policy, Duke University

Journal of Applied Gerontology

Published online on August 27, 2025

Abstract

Journal of Applied Gerontology, Volume 45, Issue 7, Page 1404-1416, July 2026.
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 ...